Still Facing this issue (Result Description: The scenario requires Planned Procedure data but the submitted C-CDA does not contain Planned Procedure data.)

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ahsan

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Dec 2, 2025, 3:46:34 AMDec 2

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<?xml version="1.0" encoding="us-ascii" standalone="yes"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
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<title>Patient Chart Summary</title>
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<name>
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<assignedPerson>
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<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
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<postalCode>97006</postalCode>
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<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
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<state>OR</state>
<postalCode>97006</postalCode>
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<name>
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<streetAddressLine>2472 Rocky Place Beaverton Or 97006</streetAddressLine>
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<telecom value="tel:+1 (881)345-6789" />
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<name>
<given>Albert</given>
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<id extension="1011163" root="1.2.16.840.1.113883.4.6.1011163" />
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<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
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<addr>
<streetAddressLine>2472 Rocky Place Beaverton Or 97006</streetAddressLine>
<city>Beaverton</city>
<state>Or</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (555)555-1002" />
<assignedPerson>
<name>
<given>Tracy</given>
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<name>Neighborhood Physicians Practice</name>
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<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
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<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>ALLERGIES AND ADVERSE REACTIONS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Substance</th>
<th>Reaction</th>
<th>Severity</th>
<th>Status</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="product1">penicillin G</td>
<td ID="reaction1">Hives</td>
<td ID="severity1">Moderate</td>
<td>active</td>
<td>05/10/1980</td>
</tr>
<tr>
<td ID="product2">ampicillin</td>
<td ID="reaction2">Hives</td>
<td ID="severity2">Moderate</td>
<td>active</td>
<td>05/10/1980</td>
</tr>
</tbody>
</table>
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<code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
<text>
<reference value="#severity1" />
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<statusCode code="completed" />
<value xsi:type="CD" code="6736007" displayName="Moderate" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
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</author>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code code="733" displayName="ampicillin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
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<reference value="#product2" />
</originalText>
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<statusCode code="completed" />
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<code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
<text>
<reference value="#severity2" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" code="6736007" displayName="Moderate" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
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<section>
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<templateId root="2.16.840.1.113883.10.20.22.2.22.1" />
<code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters" />
<title>ENCOUNTERS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Encounter</th>
<th>Performer</th>
<th>Location</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="Encounter1">Office or other outpatient visit</td>
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<td>Jun 22, 2015</td>
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Consultation Notes
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<td>Oct 21, 2025</td>
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<td>Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is operating properly and the
breathlessness is due to high fever and anxiety.</td>
<td>Jun 22, 2015</td>
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Progress Notes
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<td>Assessment: The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day.Plan of Treatment: i. Get an EKG done on 6/23/2015. ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure. iii. Take Clindamycin 300mg three times a day as needed if pain does not subside. iv. Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.&nbsp;Progress Note: Ms Alice Newman seems to be developing high fever and hence we recommend her to get admitted to a nearby hospital using the provided referral.&nbsp;</td>
<td>Oct 23, 2025</td>
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History & Physical Exam Notes
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<td>Oct 31, 2025</td>
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Discharge Summary Notes
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<td>Nov 28, 2025</td>
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<title>FUNCTIONAL STATUS</title>
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<td>May 01, 2005</td>
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<td>Not Pregnant</td>
<td>06/22/2015</td>
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<title>TREATMENT PLAN</title>
<text>
<content styleCode="Bold"> Hand-off Communication:</content>
<br />
<br />
<table border="1" width="100%">
<thead>
<tr>
<th>Planned Care</th>
<th>Start Date</th>
</tr>
</thead>
<tbody>
<tr ID="ID0EFFFFFFCAB2">
<td ID="ID0EFAAAAACAB2">oxygen saturation : 95%</td>
<td>Jun 22, 2015</td>
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<name>Neighborhood Physicians Practice</name>
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<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
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<title>Assessment</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Assessment</th>
<th>Date</th>
<th>Result</th>
</tr>
</thead>
<tbody>
<tr>
<td>Do you have serious difficulty walking or climbing stairs</td>
<td>06/22/2015</td>
<td>Yes</td>
</tr>
</tbody>
</table>
</text>
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<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="18776-5" displayName="Plan of Treatment" />
<title>Plan of Treatment</title>
<text>i. Get an EKG done on 6/23/2015. ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure. iii. Take Clindamycin 300mg three times a day as needed if pain does not subside. iv. Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.Progress Note: Ms Alice Newman seems to be developing high fever and hence we recommend her to get admitted to a nearby hospital using the provided referral.<content ID="IDSDOHCOL1">Assistance with application for food pantry program (procedure)</content><content>Jun 22, 2015</content><content ID="plannedEKG">Electrocardiography</content><content ID="plannedChestXray">Chest X-ray</content></text>
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<reference value="#plannedEKG" />
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<city>Schenectady</city>
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<postalCode>12345</postalCode>
<country>US</country>
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<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
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<telecom value="tel:+1 (352)374-5895" />
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<given>Albert</given>
<family>Davis</family>
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<reference value="#IDSDOHCOL1" />
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<code code="59772-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Planned procedure narrative" />
<title>Planned Procedures</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Procedure</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="PlannedProc1">Electrocardiography</td>
<td>Jun 23, 2015</td>
</tr>
<tr>
<td ID="PlannedProc2">Plain chest X-ray</td>
<td>Jun 23, 2015</td>
</tr>
</tbody>
</table>
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<reference value="#PlannedProc1" />
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<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
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<postalCode>12345</postalCode>
<country>US</country>
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<telecom value="tel:+1 (352)374-5895" />
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<code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST" />
<title>PROBLEMS</title>
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<list>
<item>Problem #1<list><item>R50.9 : Fever, unspecified 386661006 Jun 19, 2015</item></list></item>
</list>
<list>
<item>Problem #2<list><item>T86.11 : Kidney transplant rejection 236578006 Dec 30, 2011</item></list></item>
</list>
<list>
<item>Problem #3<list><item>E03.9 : Hypothyroidism, unspecified 83986005 Dec 30, 2006</item></list></item>
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<list>
<item>Problem #4<list><item>I10 : Essential (primary) hypertension 59621000 Sep 01, 2010</item></list></item>
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<list>
<item>Problem #5<list><item>R50.9 : Fever, unspecified 386661006 Jun 22, 2015</item></list></item>
</list>
<list>
<item>Problem #6<list><item>Z59.41 : Food insecurity 733423003 Jun 22, 2015</item></list></item>
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<paragraph styleCode="Bold">Resolved Concerns</paragraph>
<list>
<item>Problem #1<list><item>E66.3 : Overweight 238131007 Jan 01, 2006</item></list></item>
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<td>Nov 25, 2025</td>
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Completed
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<td ID="Proc2">Nebulizer therapy (procedure)</td>
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Completed
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<td ID="Proc3">Introduction of cardiac pacemaker system via vein (procedure)</td>
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Completed
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<table>
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<col />
<col />
<col />
<col />
<col />
<col width="10%" />
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<td ID="result1">Appearance</td>
<td ID="resultvalue1">CLEAR </td>
<td ID="referencerange1" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result2">Color</td>
<td ID="resultvalue2">Yellow </td>
<td ID="referencerange2" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<td ID="result3">Glucose</td>
<td ID="resultvalue3">50 mg/dL</td>
<td ID="referencerange3" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<td ID="result4">Ketones</td>
<td ID="resultvalue4">Negative </td>
<td ID="referencerange4" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<td ID="result5">pH</td>
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<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<td ID="result6">Protein</td>
<td ID="resultvalue6">100 mg/dL</td>
<td ID="referencerange6" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<tr>
<td ID="result7">Specific gravity</td>
<td ID="resultvalue7">1.015 </td>
<td ID="referencerange7" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
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<table border="1" width="100%">
<thead>
<tr>
<th>Social History Observation</th>
<th>Description/ Question</th>
<th>Answer</th>
<th>Dates Observed</th>
</tr>
</thead>
<tbody>
<tr>
<td>Smoking Status</td>
<td>Current every day smoker</td>
<td />
<td>Jun 19, 2012</td>
</tr>
<tr>
<td>Current Smoking Status</td>
<td>Current every day smoker,
</td>
<td />
<td>Jun 21, 2015</td>
</tr>
<tr>
<td>Hunger Vital Signs Screening</td>
<td>Within the past 12 months I/we were worried whether our food would run out before we got money to buy more.</td>
<td>Often True</td>
<td>Oct 25, 2025</td>
</tr>
<tr>
<td>Hunger Vital Signs Screening</td>
<td>Within the past 12 months the food I/we bought just didn?t last and I/we didn?t have the money to get more.</td>
<td>Often True</td>
<td>Oct 25, 2025</td>
</tr>
<tr>
<td>Basic Occupation</td>
<td>Janitors and Cleaners, Except Maids and Housekeeping Cleaners</td>
<td />
<td />
</tr>
<tr>
<td>Tribal Affiliation</td>
<td>Coquille Indian Tribe</td>
<td />
<td />
</tr>
<tr>
<td>Gender Identity</td>
<td>
Choose not to disclose (nullFlavor ASKU)
</td>
<td />
<td />
</tr>
<tr>
<td>Sex Orientation</td>
<td>
Don't know (nullFlavor UNK)
</td>
<td />
<td />
</tr>
</tbody>
</table>
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<title>VITAL SIGNS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th align="right">Date / Time: </th>
<th>Nov 27, 2025</th>
</tr>
</thead>
<tbody>
<tr>
<th align="left">Height</th>
<td>177 cm</td>
</tr>
<tr>
<th align="left">Weight</th>
<td>88 kg</td>
</tr>
<tr>
<th align="left">Blood Pressure</th>
<td>145
/88</td>
</tr>
<tr>
<th align="left">Heart Rate</th>
<td>80 beats per minute
</td>
</tr>
<tr>
<th align="left">O2 Percentage BldC Oximetry</th>
<td>95 percent
</td>
</tr>
<tr>
<th align="left">Body Temperature</th>
<td>38 degree celsius</td>
</tr>
<tr>
<th align="left">Respiratory Rate</th>
<td>18 breaths per minute
</td>
</tr>
</tbody>
</table>
</text>
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<streetAddressLine>123 Insurance Road</streetAddressLine>
<city>Blue Bell</city>
<state>MA</state>
<postalCode>02368</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
<participant typeCode="COV">
<templateId root="2.16.840.1.113883.10.20.22.4.89" />
<time>
<low nullFlavor="UNK" />
<high nullFlavor="UNK" />
</time>
<participantRole classCode="PAT">
<id root="1.1.1.1.1.1.1.1.14" extension="88800933502" />
<code code="FAMDEP" codeSystem="2.16.840.1.113883.5.111" />
<addr use="HP">
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<playingEntity>
<name>
<given>Alice</given>
<family>Newman</family>
</name>
<sdtc:birthTime value="19700501" />
</playingEntity>
</participantRole>
</participant>
<participant typeCode="HLD">
<templateId root="2.16.840.1.113883.10.20.22.4.90" />
<participantRole>
<id extension="888009335" root="2.16.840.1.113883.19" />
<addr use="HP">
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
</participantRole>
</participant>
<entryRelationship typeCode="REFR">
<act classCode="ACT" moodCode="DEF">
<id root="1.1.1.1.1.1.1.1.14" />
<code nullFlavor="NI" />
<text>Acme Gold Plan</text>
</act>
</entryRelationship>
</act>
</entryRelationship>
</act>
</entry>
</section>
</component>
</structuredBody>
</component>
</ClinicalDocument>

Mat Davis

unread,

Dec 2, 2025, 9:16:08 AMDec 2

to Edge Test Tool (ETT)

Hi Ahsan - thanks for providing your XML.

1. You have 2 Plan of Treatment sections

2. Review the following example and compare to your Plan of Treatment > SDOH Entry
https://github.com/HL7/C-CDA-Examples/blob/master/Guide%20Examples/Planned%20Procedure%20(V3)_2.16.840.1.113883.10.20.22.4.41/Social%20Determinant%20of%20Health%20Planned%20Procedure%20Example.xml