C-CDA Validator Error - Coverage/PolicyActivity b1_sample1_amb_sender Alice Newman

[SueAnn Svaby]

We are getting the following error from the ONC validator on b1 sample 1 ambulatory sender (Alice Newman):

“The scenario requires data related to patient's coverage policy for type 72 , but the submitted C-CDA does not contain the Policy Activity entry data.\”

 

We did not see this error prior to this week (11/17/2025).  Is anyone else seeing this error?  From our analysis, we cannot find any issues with our XML. 

 

     <templateId root="2.16.840.1.113883.10.20.22.4.61" extension="2023-05-01"/>

                  <id root="77ee058a-d0b2-440f-9f6b-52efa0745572" extension="Acme Gold Plan"/>

                  <code xsi:type="CE" code="CI" codeSystem="2.16.840.1.113883.6.255.1336" codeSystemName="Insurance Type Code (x12N-1336)" displayName="Commercial(Other)">

                    <translation code="72" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology (PHDSC)" displayName="PPO"/>

                  </code>

[Mat Davis]

Hi Sue.

I would check the following Conversation history - https://groups.google.com/g/edge-test-tool/search?q=coverage

Based on the error alone, I'm assuming it's related to the new expectation to move the translation element info to the code element info ----- then remove the translation completely.

See this HL7 Approved Patch for more info
- https://confluence.hl7.org/spaces/SD/pages/230555842/Approved+Patches+and+Additional+Guidance
- login required - https://jira.hl7.org/browse/CDA-20764?filter=21514

Thanks - Mat