Issues including Patient Sex (Observation) - 170.315 e1 VDT AMB

[Chandler Douglas]

Hey all -

I've got a CCDA that isn't passing the validation due to the following error:

"The scenario contains Sex Observation data with code 184115007 , however there is no matching data in the submitted CCDA."

I've attempted to include this code in the header & in the social history section -- both to no avail. Does anyone have any references they can point me to? I feel like I am losing my mind on this.

Validation criteria: 170.315_e1_VDT_Amb

Scenario file: 170.315_e1_vdt_amb_svap_uscdiv3_sample3_v1.pdf

Example XML in the header:

        <administrativeGenderCode code="UN" displayName="U" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender">
  <translation code="184115007"
              displayName="Patient sex unknown (finding)"
              codeSystem="2.16.840.1.113762.1.4.1240.3"
              codeSystemName="ONC Administrative Sex"/>
</administrativeGenderCode>

Example XML in Social History

<entry>
  <observation classCode="OBS" moodCode="EVN">
<!-- TemplateIds for Social History Observation -->
<templateId root="2.16.840.1.113883.10.20.22.4.38"/>
<templateId root="2.16.840.1.113883.10.20.22.4.38" extension="2015-08-01"/>

<!-- Unique ID -->
<id root="2.16.840.1.113883.19" extension="sex-observation-001"/>

<!-- LOINC code for Sex Assigned at Birth -->
<code code="76689-9"
  displayName="Sex Assigned at Birth"
  codeSystem="2.16.840.1.113883.6.1"
  codeSystemName="LOINC"/>

<statusCode code="completed"/>

<!-- Required effective time -->
<effectiveTime value="20250529"/>

<!-- SNOMED CT value -->
<value xsi:type="CD"
   code="184115007"
   displayName="Patient sex unknown (finding)"
   codeSystem="2.16.840.1.113762.1.4.1240.3"
   codeSystemName="SNOMED CT"/>    
  </observation>
</entry>

[Kyle Meadors]

You need to include the Sex Observation (templateID=root "2.16.840.1.113883.10.20.22.4.507" extension="2023-06-28"). The Birth Sex observation you listed below is not longer part of USCDI - you can still use it but it is out of scope. 

https://www.hl7.org/ccdasearch/templates/2.16.840.1.113883.10.20.22.4.507.html

Kyle Meadors

Chart Lux Consulting

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Kyle Meadors
@kylemeadors

[Chandler Douglas]

I very much appreciate the help. That was it!