Unclear on why getting validation error for use of "

Chris Barnes

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Dec 16, 2021, 4:18:45 PM12/16/21

to Edge Test Tool (ETT)

We've confirmed that in the HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 Volume 2 (page 894), that “… LOW LINE (underscore)… are explicitly permitted.”

Thus, we're confused as to why we're getting the following errors. I'm unable to attach the xml file for some reason so not sure how best to provide it for debugging...

I'll drop the XML surrounding the line numbers provided in the errors (lines 1739 to 1968):

<observation classCode="OBS" moodCode="GOL">

<templateId root="2.16.840.1.113883.10.20.22.4.121"/>
<id root="79a9d9df-907a-44ed-9b35-e83df4ad2a5a"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" nullFlavor="NI"/>
<statusCode code="active"/>
<effectiveTime value="20210609"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20210609094020-0500"/>
<assignedAuthor>
<id root="DBA_PATCH_20210609"/>
<assignedPerson>
<name>
<given>athenaHealth</given>
<family>PATCH</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="GOL">

<templateId root="2.16.840.1.113883.10.20.22.4.121"/>
<id root="19cd7522-10a8-4c15-8f3c-fc4abbb3790c"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" nullFlavor="NI"/>
<statusCode code="active"/>
<effectiveTime value="20210609"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20210609094020-0500"/>
<assignedAuthor>
<id root="DBA_PATCH_20210609"/>
<assignedPerson>
<name>
<given>athenaHealth</given>
<family>PATCH</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>
<component>
<section>

<templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.2.58"/>
<code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concerns Document"/>
<title>Health Concerns Section</title>
<text>
<table>
<thead>
<tr>
<th>Related Observation</th>
</tr>
</thead>
<tbody>
<tr>
<td>Overweight</td>
</tr>
<tr>
<td>Severe hypothyroidism</td>
</tr>
<tr>
<td>Essential hypertension</td>
</tr>
</tbody>
</table>
<table>
<thead>
<tr>
<th>Concern</th>
<th>Status</th>
<th>Updated by</th>
<th>Updated on</th>
</tr>
</thead>
<tbody>
<tr>
<td styleCode="Botrule">overweight</td>
<td styleCode="Botrule">Active</td>
<td styleCode="Botrule">athenaHealth PATCH</td>
<td styleCode="Botrule">06/09/2021</td>
</tr>
<tr>
<td styleCode="Botrule">severe hypothyroidism</td>
<td styleCode="Botrule">Active</td>
<td styleCode="Botrule">athenaHealth PATCH</td>
<td styleCode="Botrule">06/09/2021</td>
</tr>
<tr>
<td styleCode="Botrule">essential hypertension</td>
<td styleCode="Botrule">Active</td>
<td styleCode="Botrule">athenaHealth PATCH</td>
<td styleCode="Botrule">06/09/2021</td>
</tr>
</tbody>
</table>
</text>
<entry>

<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.5"/>
<templateId extension="2014-06-09" root="2.16.840.1.113883.10.20.22.4.5"/>
<id root="8b01b9b6-cacf-4f17-ace9-144348c07c35"/>
<code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="General health"/>
<statusCode code="completed"/>
<value code="238131007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Overweight" xsi:type="CD"/>
</observation>
</entry>
<entry>

<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.5"/>
<templateId extension="2014-06-09" root="2.16.840.1.113883.10.20.22.4.5"/>
<id root="3a9b6592-bc6a-4101-b652-e539867def72"/>
<code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="General health"/>
<statusCode code="completed"/>
<value code="83986005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Severe hypothyroidism" xsi:type="CD"/>
</observation>
</entry>
<entry>

<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.5"/>
<templateId extension="2014-06-09" root="2.16.840.1.113883.10.20.22.4.5"/>
<id root="cc5818d3-6ae6-4afe-8b2c-c2a9c2a1e657"/>
<code code="11323-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="General health"/>
<statusCode code="completed"/>
<value code="59621000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Essential hypertension" xsi:type="CD"/>
</observation>
</entry>
<entry>

<act classCode="ACT" moodCode="EVN">
<templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.4.132"/>
<id root="8c020342-aeaa-4aff-b6e7-687f2cad7bf1"/>
<code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern"/>
<statusCode code="active"/>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.4.4"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="0440a875-1579-4a12-99b0-a0f83b5a0e0d"/>
<code code="55607006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Problem">
<translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem HL7.CCDAR2"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="UNK"/>
</effectiveTime>
<value code="238131007" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="overweight" xsi:type="CD"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20210609094020-0500"/>
<assignedAuthor>
<id root="DBA_PATCH_20210609"/>
<assignedPerson>
<name>
<given>athenaHealth</given>
<family>PATCH</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.4.4"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="e82343b1-ad60-4943-90f6-9a02e7294598"/>
<code code="55607006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Problem">
<translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem HL7.CCDAR2"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="UNK"/>
</effectiveTime>
<value code="83986005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="severe hypothyroidism" xsi:type="CD"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20210609094020-0500"/>
<assignedAuthor>
<id root="DBA_PATCH_20210609"/>
<assignedPerson>
<name>
<given>athenaHealth</given>
<family>PATCH</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId extension="2015-08-01" root="2.16.840.1.113883.10.20.22.4.4"/>
<templateId root="2.16.840.1.113883.10.20.22.4.4"/>
<id root="616ab2ae-0da5-43fa-ad7a-eb12c743eb72"/>
<code code="55607006" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Problem">
<translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem HL7.CCDAR2"/>
</code>
<statusCode code="completed"/>
<effectiveTime>
<low nullFlavor="UNK"/>
</effectiveTime>
<value code="59621000" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="essential hypertension" xsi:type="CD"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20210609094020-0500"/>
<assignedAuthor>
<id root="DBA_PATCH_20210609"/>
<assignedPerson>
<name>
<given>athenaHealth</given>
<family>PATCH</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>

I'm told all of these errors are related to the use of the "_" which is permitted.

Thanks,

Chris

Error -

cvc-datatype-valid.1.2.3: 'DBA_PATCH_20210609' is not a valid value of union type 'uid'.

Line Number: Line number not available

Error -

cvc-attribute.3: The value 'DBA_PATCH_20210609' of attribute 'root' on element 'id' is not valid with respect to its type, 'uid'.

Line Number: Line number not available

Error -

cvc-datatype-valid.1.2.3: 'DBA_PATCH_20210609' is not a valid value of union type 'uid'.

Line Number: Line number not available

Error -

cvc-attribute.3: The value 'DBA_PATCH_20210609' of attribute 'root' on element 'id' is not valid with respect to its type, 'uid'.

Line Number: Line number not available

Error -

cvc-datatype-valid.1.2.3: 'DBA_PATCH_20210609' is not a valid value of union type 'uid'.

Line Number: Line number not available

Error -

cvc-attribute.3: The value 'DBA_PATCH_20210609' of attribute 'root' on element 'id' is not valid with respect to its type, 'uid'.

Line Number: Line number not available

Error -

cvc-datatype-valid.1.2.3: 'DBA_PATCH_20210609' is not a valid value of union type 'uid'.

Line Number: Line number not available

Error -

cvc-attribute.3: The value 'DBA_PATCH_20210609' of attribute 'root' on element 'id' is not valid with respect to its type, 'uid'.

Line Number: Line number not available

Error -

cvc-datatype-valid.1.2.3: 'DBA_PATCH_20210609' is not a valid value of union type 'uid'.

Line Number: Line number not available

Error -

cvc-attribute.3: The value 'DBA_PATCH_20210609' of attribute 'root' on element 'id' is not valid with respect to its type, 'uid'.

Line Number: Line number not available

Error -

The feature 'root' of 'org.eclipse.mdht.uml.hl7.datatypes.impl.IIImpl@22439862{http:///resource7201.xml#//@clinicalDocument/@component/@structuredBody/@component.17/@section/@entry.0/@observation/@author.0/@assignedAuthor/@id.0}' contains a bad value

/ClinicalDocument/component/structuredBody/component[18]/section/entry/observation/author/assignedAuthor/id

Line Number: 1749

Error -

The feature 'root' of 'org.eclipse.mdht.uml.hl7.datatypes.impl.IIImpl@44776c3b{http:///resource7201.xml#//@clinicalDocument/@component/@structuredBody/@component.17/@section/@entry.1/@observation/@author.0/@assignedAuthor/@id.0}' contains a bad value

/ClinicalDocument/component/structuredBody/component[18]/section/entry[2]/observation/author/assignedAuthor/id

Line Number: 1772

Error -

The feature 'root' of 'org.eclipse.mdht.uml.hl7.datatypes.impl.IIImpl@6e13ea37{http:///resource7201.xml#//@clinicalDocument/@component/@structuredBody/@component.18/@section/@entry.3/@act/@entryRelationship.0/@observation/@author.0/@assignedAuthor/@id.0}' contains a bad value

/ClinicalDocument/component/structuredBody/component[19]/section/entry[4]/act/entryRelationship/observation/author/assignedAuthor/id

Line Number: 1898

Error -

The feature 'root' of 'org.eclipse.mdht.uml.hl7.datatypes.impl.IIImpl@366dbbd7{http:///resource7201.xml#//@clinicalDocument/@component/@structuredBody/@component.18/@section/@entry.3/@act/@entryRelationship.1/@observation/@author.0/@assignedAuthor/@id.0}' contains a bad value

/ClinicalDocument/component/structuredBody/component[19]/section/entry[4]/act/entryRelationship[2]/observation/author/assignedAuthor/id

Line Number: 1926

Error -

The feature 'root' of 'org.eclipse.mdht.uml.hl7.datatypes.impl.IIImpl@138bd2a8{http:///resource7201.xml#//@clinicalDocument/@component/@structuredBody/@component.18/@section/@entry.3/@act/@entryRelationship.2/@observation/@author.0/@assignedAuthor/@id.0}' contains a bad value

/ClinicalDocument/component/structuredBody/component[19]/section/entry[4]/act/entryRelationship[3]/observation/author/assignedAuthor/id

Line Number: 1954

Error -

The value 'DBA_PATCH_20210609' must match one of {'[0-2](\.(0|[1-9][0-9]*))*', '[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}', '[A-Za-z][A-Za-z0-9\-]*'}

Line Number: Line number not available

Error -

The value 'DBA_PATCH_20210609' must match one of {'[0-2](\.(0|[1-9][0-9]*))*', '[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}', '[A-Za-z][A-Za-z0-9\-]*'}

Line Number: Line number not available

Error -

The value 'DBA_PATCH_20210609' must match one of {'[0-2](\.(0|[1-9][0-9]*))*', '[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}', '[A-Za-z][A-Za-z0-9\-]*'}

Line Number: Line number not available

Error -

The value 'DBA_PATCH_20210609' must match one of {'[0-2](\.(0|[1-9][0-9]*))*', '[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}', '[A-Za-z][A-Za-z0-9\-]*'}

Line Number: Line number not available

Error -

The value 'DBA_PATCH_20210609' must match one of {'[0-2](\.(0|[1-9][0-9]*))*', '[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}', '[A-Za-z][A-Za-z0-9\-]*'}

Line Number: Line number not available

sean....@gmail.com

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Dec 16, 2021, 6:03:47 PM12/16/21

to Edge Test Tool (ETT)

Can you confirm the IG version and page you are referring discusses patient team not II

Nagesh Bashyam - Drajer

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Dec 16, 2021, 11:54:58 PM12/16/21

to Chris Barnes, Edge Test Tool (ETT)

Root is normally an OID or a guid.

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Chris Barnes

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Dec 17, 2021, 9:20:48 AM12/17/21

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HL7 Implementation Guide for CDA® Release 2: Consolidated CDA Templates for Clinical Notes (US Realm) Draft Standard for Trial Use Release 2.1 Volume 2 (page 894). Is this what you're asking for?

sean....@gmail.com

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Dec 17, 2021, 9:38:55 AM12/17/21

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Look at the top of the PDF you are looking at to get the version

CDAR2_IG_CCDA_CLINNOTES_R1_DSTU2.1_2015AUG_ Vol2_2019JUNwith_errata

There is nothing on the PDF on page 894 regarding underline

and to reiterate it is meant to be a GUID

Chris Barnes

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Dec 17, 2021, 11:34:59 AM12/17/21

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the version is CDAR2_IG_CCDA_CLINNOTES_R1_DSTU2.1_2015AUG_ Vol2_2019JUNwith_errata

My apologies as I'm not the SME and was trying to see if I could resolve, but will pull the SME directly into this thread. I confirmed the SME was referencing this link at the bottom of page 894: https://www.w3.org/TR/2008/REC-xml-20081126/. You can search for "LOW LINE" on this page to find what he was referencing.

sean....@gmail.com

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Dec 17, 2021, 2:15:55 PM12/17/21

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That is an older version o the spec

The element in question is the root element of the II structure

here is the rules for values

https://www.hl7.org/documentcenter/public/wg/inm/datatypes-its-xml20050714.htm#dtimpl-UID

hope that helps

Chris Barnes

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Dec 20, 2021, 1:43:19 PM12/20/21

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Thank you all. I think we have what we need at this point, but will raise additional questions if needed.

Reply all

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Forward

Unclear on why getting validation error for use of "_"

Chris Barnes

sean....@gmail.com

Nagesh Bashyam - Drajer

Chris Barnes

sean....@gmail.com

Chris Barnes

sean....@gmail.com

Chris Barnes