Need Clarification on TOC_INP Lab Result Validation Errors

[Rajkumar P]

Dear Team,

I am validating my C-CDA Transition of Care (TOC) Inpatient document against the ONC certification scenario 170.315(b)(1) TOC_INP – USCDI v4, using the sample scenario 170.315_b1_toc_inp_svap_uscdiv4_sample1_v1.pdf.

For LOINC 50544-6, I changed the Result Observation to 3.0, but I still receive the same validation error. I also verified that the observation value is 10, as specified in the scenario PDF, but the error remains unchanged.

For LOINC 5767-9, I receive an error indicating the expected value is "Unknown", while my C-CDA contains "CLEAR".

I have a few questions:

• Is there any additional requirement for the Result Observation 3.0 template beyond updating the templateId?

• For LOINC 50544-6, is a <referenceRange> element mandatory for this specific certification scenario? If so, could you provide an example of the expected C-CDA XML?

• For LOINC 5767-9, the validator expects the value "Unknown", while my document contains "CLEAR". Is the expected value defined by the certification scenario rather than the C-CDA specification? If so, where can I find the expected scenario data for this test case?
  I also have a question about Implantable Devices. My database stores only the Device Identifier (DI) and not the complete UDI. Is the full UDI mandatory for this certification, or is the Device Identifier (DI) sufficient? If the full UDI is required, where can I obtain or download it?

• Are there any scenario-specific constraints for these observations that are not covered by the C-CDA Implementation Guide?

Result Description: The scenario requires Lab Result Reference Range element for Lab Result Observation Entry corresponding to the code 50544-6 data for 3.0 , but submitted file does not contain Lab Result Reference Range element for Lab Result Observation Entry corresponding to the code 50544-6 data

Result Description: The String value (CLEAR) does not match the string value (Unknown) in submitted C-CDA for: Value (String Type) Comparison associated with Lab Result Observation Entry corresponding to the code 5767-9

Any guidance or sample XML would be greatly appreciated.

Thank you for your assistance.

Best regards,
Rajkumar

[Prahbu Shankar]

Hello Rajkumar,

For the Reference testing to satisfy the scenario you need to have below code and value to be present in you ccda test file.

 <code code="5767-9" displayName="Appearance of Urine" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>

<value xsi:type="ST">CLEAR</value>

Thanks,

-Prabhu