CDA Validation differences

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Junyi Jin

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Mar 14, 2017, 8:54:04 PM3/14/17
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We created an internal referenceccdaservice, but got different validation results comparing to NIST production CCDA reference site:

From the Local install have conformance Info.

 

  {

      "description": "Value set code validation attempt for value set(s) ('2.16.840.1.113883.3.88.12.3221.7.4) that do not exist in service for code system  (2.16.840.1.113883.6.90)",

      "type": "ONC 2015 S&CC Vocabulary Validation Conformance Info",

      "xPath": "/ClinicalDocument[1]/component[1]/structuredBody[1]/component[5]/section[1]/entry[1]/encounter[1]/entryRelationship[1]/act[1]/entryRelationship[1]/observation[1]/value[1]",

      "validatorConfiguredXpath": "//v3:observation/v3:templateId[@root='2.16.840.1.113883.10.20.22.4.4' and @extension='2015-08-01']/ancestor::v3:observation[1]/v3:value[not(@nullFlavor) and (ancestor::v3:encounter or ancestor::v3:act) and ancestor::v3:section[not(@nullFlavor)]]",

      "documentLineNumber": "1209",

      "actualCode": "D63.1AAAABC",

      "actualCodeSystem": "2.16.840.1.113883.6.90",

      "actualCodeSystemName": "",

      "actualDisplayName": "ANEMIA IN CHRONIC KIDNEY DISEASE",

 

From the NIST website have conformance Error.

 

    {

      "description": "Code D63.1AAAABC does not exist in the value set(s) 2.16.840.1.113883.3.88.12.3221.7.4",

      "type": "ONC 2015 S&CC Vocabulary Validation Conformance Error",

      "xPath": "/ClinicalDocument[1]/component[1]/structuredBody[1]/component[5]/section[1]/entry[1]/encounter[1]/entryRelationship[1]/act[1]/entryRelationship[1]/observation[1]/value[1]",

      "validatorConfiguredXpath": "//v3:observation/v3:templateId[@root='2.16.840.1.113883.10.20.22.4.4' and @extension='2015-08-01']/ancestor::v3:observation[1]/v3:value[not(@nullFlavor) and (ancestor::v3:encounter or ancestor::v3:act) and ancestor::v3:section[not(@nullFlavor)]]",

      "documentLineNumber": "1209",

      "actualCode": "D63.1AAAABC",

      "actualCodeSystem": "2.16.840.1.113883.6.90",

      "actualCodeSystemName": "",

      "actualDisplayName": "ANEMIA IN CHRONIC KIDNEY DISEASE",



In addition, we cannot get a newer copy of referenceccdaservce-bundle. the latest one we can get from https://bitbucket.org/jperugini/ett/downloads/ is pretty old. Can you bundle the latest VocabularyConfiguration used by NIST production site and share with us?


Thanks,


Nagesh Bashyam

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Mar 15, 2017, 1:40:31 PM3/15/17
to Junyi Jin, Edge Test Tool (ETT)

The latest C-CDA validator can be accessed at :

 

https://github.com/siteadmin/referenceccdavalidator/releases

 

The errors seem to be related to vocabularies which indicate there maybe a mismatch in the vocabulary/value set that you are using. The value sets are not part of the release.

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Junyi Jin

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Mar 15, 2017, 4:28:18 PM3/15/17
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Can you share the value set used by the NIST production set? It is very hard to figure out which files your team are using in order to get matching results.

Thanks,

Nagesh Bashyam

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Mar 15, 2017, 10:41:30 PM3/15/17
to Junyi Jin, Edge Test Tool (ETT)


Sent: Wednesday, March 15, 2017 4:28 PM
To: Edge Test Tool (ETT)

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