Reference C-CDA validator error - Comparing Disability Status observation

[sandeep mali]

Hi,

Could you please help us understand why we are receiving below error for disability status:

Result Description: The Comparing Disability Status Observation data for code LA29243-5 , Template Id Comparison : : element - template id, Root Value = 2.16.840.1.113883.10.20.22.4.505 and Extension Value = No Extension value is not present in the submitted CCDA's

This is for the test scenario sample -  170.315_e1_vdt_amb_svap_uscdiv3_sample1_v1.pdf 

We are representing it the disability as follows on on C-CDAs:

                    <entry>
                        <observation classCode = "OBS" moodCode = "EVN">
                            <templateId root = "2.16.840.1.113883.10.20.22.4.505" extension = "2023-05-01"/>
                            <id root = "2.16.840.1.113883.4.391.317833" extension = "a3c054f6-958c-3033-ac64-f53174038841"/>
                            <code
                                code = "89571-4"
                                codeSystem = "2.16.840.1.113883.6.1"
                                codeSystemName = "LOINC"
                                displayName = "Disability Status [CUBS]"/>
                            <text>
                                <reference value = "#DisabilityStatus"/>
                            </text>
                            <statusCode code = "completed"/>
                            <effectiveTime value = "20250729"/>
                            <value
                                xsi:type = "CD"
                                code = "LA29243-5"
                                codeSystem = "2.16.840.1.113883.6.1"
                                codeSystemName = "LOINC"
                                displayName = "I'm Vulnerable - I sometimes or periodically have acute or chronic symptoms affecting housing, employment, social interactions, etc."/>
                        </observation>
                    </entry>

Thank you,

Sandeep

[Mat Davis]

Hi Sandeep.

These extension validations have been tricky and kind of frustrating because the error message isn't fully clear but the findings from the other conversations helped me resolve this issue on my end.

Try ensuring you have support for both templateIds vs just updating the existing templateId.

So

YOUR BEFORE

 <templateId root = "2.16.840.1.113883.10.20.22.4.505" extension = "2023-05-01"/>

YOUR AFTER

 <templateId root = "2.16.840.1.113883.10.20.22.4.505" />

 <templateId root = "2.16.840.1.113883.10.20.22.4.505" extension = "2023-05-01"/>

Thanks - Mat