Basic Observation Code validity for 37-2011.00.028742

[Mat Davis]

Hi all.

Issue

Based off what I reviewed via the 2020 version 1 valueset and googling, it appears that the code "37-2011.00.028742" in the test data is not valid aka doesn't exist.

If this was done purposely (custom, non standard) or I am incorrect, please let me know.

While we've already passed this particular validation by using the code from the Patient PDF,  a newer ETT Google Group conversation prompted me to create this conversation.

ETT Google Group History

1. 2020 vs 2025 Occupation Valueset (Thanks Kyle!)

https://groups.google.com/g/edge-test-tool/c/wYz15QM0fAU/m/LYSgdEe_BQAJ

https://groups.google.com/g/edge-test-tool/c/y6Norv6KH5g/m/KNxiMXQqAgAJ

2. Recent ETT Google Group conversation for e1_Amb_Sample1

https://groups.google.com/g/edge-test-tool/c/m35cbSoWzfI

Thanks - Mat

[Husnain Iftikhar]

any update regarding this validation 
Thanks - Husnain

[Mat Davis]

Nothing that I’ve seen Husnain. 

I think to meet the test tool, for now, supply the code they mention until any updates on possible fixes or changes. 

That’s how I passed. 

Thanks - Mat

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[Kyle Meadors]

I see it in the version 1 .xsl file you download.

https://phinvads.cdc.gov/vads/ViewValueSet.action?id=3ED71C35-8147-492B-B88F-94953573E55F

To view this discussion visit https://groups.google.com/d/msgid/edge-test-tool/CAN_QOLyLB6YDW-VhO%3DySWDaEeYV4dS_vs2m%3DV3UgxakeKgbdGQ%40mail.gmail.com.

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Kyle Meadors
@kylemeadors

[Mat Davis]

Much appreciated Kyle!

I'll take a 2nd look on my end.

The 2020 Version 1 downloaded only goes to 10,000 rows vs 37,000 rows in the Excel.

Thanks - Mat

[Mat Davis]

Okay, looks like PhinVad download just gave me a partial list is all using Option #2 so I used Option #1.

Total Values in the Value Set - 59,000+

Confirming Code

Thanks - Mat

[Jeff Cardenas]

I have a related question about the code for this - which version of the value set should we be using?

The 4.1 Companion Guide states that the value set is dynamic which I thought was a term used to indicate the latest version should be used:

SHALL contain exactly one [1..1] value, which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006)

In the latest version though, the code is shortened to just "37-2011".

This is problematic for the service I'm working on since if a code isn't in the required value set, the service will generate a null flavor main code and add the non-standard code as a translation:
<value xsi:type="CD" nullFlavor="OTH">
<originalText><reference value="#social-history-7-value"/></originalText>
<translation code="37-2011.00.028742" codeSystem="2.16.840.1.114222.4.5.327" displayName="Odd Jobs Day Worker (Janitors and Cleaners, Except Maids and Housekeeping)"/>
</value>

It does this so that the generated CDA is still valid according to the spec, but this means it'll fail the USCDI Validator since it doesn't have the data in the main <code> element.

Which value set should be used here? Is everyone still using the old version, or do they have both loaded?

[Jeff Cardenas]

Some of the messages that I posted a while ago are just showing up now after being auto-deleted, but some others in the links Mat posted commented that the latest version is preferred and that if the testing tool won't be updated implementers should just work with the test proctors to confirm conformance.