Referral Note CCD - intendedRecipient failing

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Dale Owens

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Jun 8, 2025, 9:15:17 AMJun 8
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We have tried several combinations based on the 4.1 companion guide and outlined below ad still getting the error.  

Option# 1

<informationRecipient>

    <intendedRecipient>

        <addr>

            <streetAddressLine>123 Health St</streetAddressLine>

            <city>Kansas City</city>

            <state>MO</state>

            <postalCode>64101</postalCode>

            <country>USA</country>

        </addr>

        <telecom value=tel:+1-555-555-5555 />

        <informationRecipient>

            <name>FirstName, LastName</name>

        </informationRecipient>

    </intendedRecipient>

</informationRecipient>

 Option# 2

<informationRecipient>

    <intendedRecipient>

        <informationRecipient>

            <name>FirstName, LastName</name>

        </informationRecipient>

    </intendedRecipient>

</informationRecipient>

 Option# 3

<informationRecipient>

    <intendedRecipient>

       <name>FirstName, LastName</name>

    </intendedRecipient>

</informationRecipient>

Error when we put any of the above options

 

 

If we remove Intended Recipient element altogether get this error

I have attached a working sample for Hollow.  Please advise what we may be missing to pass validation.  

The informationRecipient element records the intended recipient of the information at the time the document was created. In cases where the intended recipient of the document is the patient's health chart, set the receivedOrganization to the scoping organization for that chart.  Pg. 27 of 4.1 guide.

The informant element describes an information source for any content within the clinical document. This informant is constrained for use when the source of information is an assigned health care provider for the patient.

MAY contain zero or more [0..*] informant (CONF:1198-8001) such that it

  • SHALL contain exactly one [1..1] assignedEntity (CONF:1198-8002).
    • This assignedEntity SHALL contain at least one [1..*] id (CONF:1198-9945).
      • If assignedEntity/id is a provider then this id, SHOULD include zero or one [0..1] id where id/@root ="2.16.840.1.113883.4.6" National Provider Identifier (CONF:1198-9946).
    • This assignedEntity MAY contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy 2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-32174).
    • This assignedEntity SHALL contain at least one [1..*] US Realm Address (AD.US.FIELDED) (identifier: 2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8220).
    • This assignedEntity SHALL contain exactly one [1..1] assignedPerson (CONF:1198-8221).
      • This assignedPerson SHALL contain at least one [1..*] US Realm Person Name (PN.US.FIELDED) (identifier: 2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-8222).


 

 


CCDReferralNotes.xml

br...@waveoneassociates.com

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Jun 9, 2025, 9:55:53 AMJun 9
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Good morning,

Order of elements matters in CDA!

Download and use the latest Schema in your development environment (https://github.com/HL7/CDA-core-2.0 - I recommend the one here: https://github.com/HL7/CDA-core-2.0/tree/master/schema/extensions/SDTC).

The error is telling you the informationRecipient isn't in the right spot 

Best
Brett 
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