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

[Rajkumar P]

Hi Team,

We are validating our C-CDA against the 170.315(g)(9) API Access – Inpatient Scenario 1 test data and have a question regarding the RelatedPerson validation.

Our validator reports the following errors:

The scenario contains RelatedPerson data with Relationship:, lastName: , firstName: GRPRN, Robert, Matthews, however there is no matching data in the submitted CCDA. The scenario contains RelatedPerson data with Relationship:, lastName: , firstName: SPS, Frank, Larson, however there is no matching data in the submitted CCDA.

However, in the sample test data document, the Related Person section appears inside square brackets ([ ]), which indicates that it is optional.

Our application currently does not capture or export RelatedPerson information, so our generated C-CDA does not include these entries.

Could you please clarify:

1. Is RelatedPerson required for 170.315(g)(9) API Access – Inpatient Scenario 1 certification?
2. If the sample document marks RelatedPerson as optional, why is the validator reporting it as a required element?
3. Should vendors include these RelatedPerson entries even when their application does not maintain RelatedPerson data?

Any clarification would be appreciated.

Thank you.

[Prahbu Shankar]

Hello Rajkumar, 

Can you please share  CCDA file.

Thanks,

-Prabhu

[Rajkumar P]

Hi Prabhu Shankar,

We are encountering the following validation error:

Result Description: Facility information for 1160-1, for EncounterActivity data with code 386661006: The scenario requires FacilityIdentifiers data, but the submitted file does not contain the required FacilityIdentifiers data.

Has anything been added or changed in the Encounter Service Delivery Location fields? If so, could you please let me know what information needs to be populated?

Regards,

Rajkumar P.
mettlerHealth

[Rajkumar P]

HI Teams:

I am getting the following validation error in many scenarios:

Result Description: Facility information for 1160-1, for EncounterActivity data for code D63.1: The scenario requires FacilityIdentifiers data, but the submitted file does have FacilityIdentifiers data.

I am seeing this same error in multiple scenarios, but I don't know what the exact issue is. I have attached the TOC Inpatient-3 scenario XML. Could you please check it and identify what is causing this validation error?

Regards,

Rajkumar P.
mettlerHealth