Hey Mat, I'm still getting her error with this header...
<!--
********************************************************
CDA Header
********************************************************
-->
<!-- realmCode neccsary for CCDA because it is a "US Based" standard. Other standards could omit realmCode -->
<realmCode code="US"/>
<typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
<!-- Referral Note Document
Conforms to the document specific requirements -->
<templateId root="2.16.840.1.113883.10.20.22.1.1"/>
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2023-05-01"/>
<id extension="136.20260120153611-0500" root="1.2.840.114398.1.119991161009997114108115111110"/>
<code codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" code="18776-5" displayName="Plan of Care Note"/>
<title>Care Plan Summary</title>
<effectiveTime value="20260120153611-0500"/>
<confidentialityCode code="N" displayName="Normal" codeSystemName="Confidentiality" codeSystem="2.16.840.1.113883.5.25"/>
<languageCode code="en-US"/>
That seems to go with what she had, plus the 1.1 with the 23-05-01 required, unless I am off on some of the extension dates... so confusing at times.