The scenario requires Planned Procedure data but the submitted C-CDA does not contain Planned Procedure data.

A Mahmood

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Dec 2, 2025, 11:12:15 AMDec 2

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We are validating the Alice Newman patient for USCDI V3 and getting the following error.

The scenario requires Planned Procedure data but the submitted C-CDA does not contain Planned Procedure data.

I implemented the planned procedure as mentioned in following guide

https://www.hl7.org/ccdasearch/pdfs/2.16.840.1.113883.10.20.22.4.41.pdf

<entry>
<procedure classCode="PROC" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.41"/>
<templateId root="2.16.840.1.113883.10.20.22.4.41" extension="2022-06-01"/>
<id root="77040cfc-72f3-44de-a962-d500a35082eb"/>
<code code="467771000124109" displayName="Assistance with application for food pantry program (procedure)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT">
<originalText>
<reference value="#SDOHPLANNEDINTERVENTION105336141"/>
</originalText>
</code>
<text>
<reference value="#ITEM_SDOHPLANNEDINTERVENTION105336141"/>
</text>
<statusCode code="active"/>
<effectiveTime value="20250307101400-0600"/>
<author>
<templateId root="2.16.840.1.113883.10.20.22.5.6"/>
<templateId root="2.16.840.1.113883.10.20.22.4.119"/>
<time value="20250307161457+0000"/>
<assignedAuthor classCode="ASSIGNED">
<id nullFlavor="NI"/>
<assignedPerson classCode="PSN" determinerCode="INSTANCE">
<name>
<given>Jamie</given>
<family>Mast</family>
</name>
</assignedPerson>
<representedOrganization classCode="ORG">
<id root="2.16.840.1.113883.4.6" extension="0126985472" assigningAuthorityName="NPI"/>
<name>Certification Clinic</name>
</representedOrganization>
</assignedAuthor>
</author>
</procedure>
</entry>

Can any one from tool developers explain why we are getting this error because its seems like there is a issue with tool.

Andrew McCall

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Dec 2, 2025, 12:02:57 PMDec 2

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Try adding the following element to the entry

Andrew McCall

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Dec 2, 2025, 12:12:01 PMDec 2

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You may also want to check to make sure that this entry is in the TREATMENT PLAN section (code="18776-5"). I've recently ran into a similar error where an item wasn't found because it was in an incorrect document section.

A Mahmood

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Dec 3, 2025, 2:41:46 AMDec 3

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Thanks Andrew,

i have added template id as you mentioned and also i added this in TREATMENT PLAN section but still i am getting this error. I added exactly as mentioned in companion guide example.
I think the issue with tool.

ahsan

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Dec 3, 2025, 6:32:02 AMDec 3

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I am facing the same issue. Despite adding the element as suggested and ensuring the entry is in the correct section (TREATMENT PLAN) I am still encountering the same error. I have followed the companion guide exactly but it doesn't seem to resolve the issue.

Mat Davis

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Dec 3, 2025, 8:51:25 AM (14 days ago) Dec 3

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AHSAN
Hi Ahsan, I replied to you yesterday - https://groups.google.com/g/edge-test-tool/c/TsKyjFGMmks

You have a few changes but mainly, you have 2 Plan of Treatment Sections and you should only have 1

It's reading the 1st instance but you're making changes to the 2nd instance, that's why you keep getting this error.

A MAHMOOD
I know its frustrating, at least it can be at times for me, but many others are passing this test at this point.

I'm only a community supporter but you should provide your entire XML for the best support from the community and from the ETT Google Group Development Team so it can be reproduced and hopefully resolved.

Thanks - Mat

A Mahmood

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Dec 4, 2025, 2:01:08 AM (13 days ago) Dec 4

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Hi Mat,

Following is my complete CCDA xml.

--------------------------------------------------------------

<?xml version="1.0" encoding="us-ascii" standalone="yes"?>
<?xml-stylesheet type="text/xsl" href="CDA.xsl"?>
<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:voc="urn:hl7-org:v3/voc" xmlns:sdtc="urn:hl7-org:sdtc">
<realmCode code="US" />
<typeId extension="POCD_HD000040" root="2.16.840.1.113883.1.3" />
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2023-05-01" />
<templateId root="2.16.840.1.113883.10.20.22.1.1" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.1.1" />
<templateId root="2.16.840.1.113883.10.20.22.1.2" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.1.2" />
<id extension="TT988" root="2.16.840.1.113883.10.20.24" />
<code code="34133-9" displayName="Summarization of Episode Note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>Patient Chart Summary</title>
<effectiveTime value="201506221658-0800" />
<confidentialityCode code="N" displayName="normal" codeSystem="2.16.840.1.113883.5.25" codeSystemName="Confidentiality" />
<languageCode code="en-US" />
<setId extension="sTT988" root="2.16.840.1.113883.19.5.99999.19" />
<versionNumber value="1" />
<recordTarget>
<patientRole>
<id extension="101116396010159" root="2.16.840.1.113883.3.225.1011163" />
<id root="2.16.840.1.113883.4.1" extension="444445441" />
<id root="2.16.840.1.113883.4.572" extension="123456789" />
<addr>
<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<addr use="H">
<streetAddressLine>1357, Amber Dr</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (555)723-1544" use="HP" />
<telecom value="tel:+1 (555)777-1234" use="MC" />
<telecom value="Email: New...@mailinator.com" />
<telecom nullFlavor="NA" />
<patient>
<name>
<given>Alice</given>
<given>jones</given>
<family>Newman</family>
</name>
<administrativeGenderCode code="F" displayName="female" codeSystemName="HL7 AdministrativeGenderCodes" codeSystem="2.16.840.1.113883.5.1" />
<birthTime value="19700501" />
<maritalStatusCode nullFlavor="UNK" />
<raceCode code="2106-3" displayName="White" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC" />
<ethnicGroupCode code="2186-5" displayName="Not Hispanic Or Latino" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC" />
<birthplace>
<place>
<addr nullFlavor="UNK" />
</place>
</birthplace>
<languageCommunication>
<languageCode code="en" />
<modeCode code="ESP" displayName="Expressed spoken" codeSystem="2.16.840.1.113883.5.60" codeSystemName="LanguageAbilityMode" />
<proficiencyLevelCode nullFlavor="UNK" />
<preferenceInd value="true" />
</languageCommunication>
</patient>
<providerOrganization>
<id extension="1011163" root="2.16.840.1.113883.4.6.1011163" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</providerOrganization>
</patientRole>
</recordTarget>
<author>
<time value="201506221658-0800" />
<assignedAuthor>
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
<addr>
<streetAddressLine nullFlavor="UNK" />
<city>Schenectady</city>
<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="1011163" root="1.2.16.840.1.113883.4.6.1011163" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<dataEnterer>
<assignedEntity>
<id extension="1163TESTING" root="2.16.840.1.113883.4.6" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (555)555-1010" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</dataEnterer>
<custodian>
<assignedCustodian>
<representedCustodianOrganization>
<id extension="1011163" root="2.16.840.1.113883.4.6" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
<legalAuthenticator>
<time value="201506221658-0800" />
<signatureCode code="S" />
<assignedEntity>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr>
<streetAddressLine nullFlavor="UNK" />
<city>Schenectady</city>
<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</legalAuthenticator>
<authenticator>
<time value="201506221658-0800" />
<signatureCode code="S" />
<assignedEntity>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr>
<streetAddressLine nullFlavor="UNK" />
<city>Schenectady</city>
<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedEntity>
</authenticator>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01" />
<associatedEntity classCode="PRS">
<code code="GRPRN" displayName="grandparent" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set" />
<addr>
<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
<city>BEAVERTON</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<associatedPerson>
<name>
<given>Rick</given>
<family>Holler</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01" />
<associatedEntity classCode="PRS">
<code code="GRPRN" displayName="grandparent" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set" />
<addr>
<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
<city>BEAVERTON</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<associatedPerson>
<name>
<given>Rick</given>
<family>Holler</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01" />
<associatedEntity classCode="PRS">
<code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set" />
<addr>
<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
<city>BEAVERTON</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<associatedPerson>
<name>
<given>Matthew</given>
<family>Newman</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<participant typeCode="IND">
<templateId root="2.16.840.1.113883.10.20.22.5.8" extension="2023-05-01" />
<associatedEntity classCode="PRS">
<code code="SPS" displayName="SPOUSE" codeSystem="2.16.840.1.113883.1.11.19563" codeSystemName="Personal Relationship Role Type Value Set" />
<addr>
<streetAddressLine>1357, Amber Dr, Beaverton, OR-97006</streetAddressLine>
<city>BEAVERTON</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<associatedPerson>
<name>
<given>Matthew</given>
<family>Newman</family>
</name>
</associatedPerson>
</associatedEntity>
</participant>
<documentationOf>
<serviceEvent classCode="PCPR">
<effectiveTime>
<low value="19700501" />
<high nullFlavor="UNK" />
</effectiveTime>
<performer typeCode="PRF">
<assignedEntity>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr>
<streetAddressLine nullFlavor="UNK" />
<city>Schenectady</city>
<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (352)374-5895" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="1011163" root="1.2.16.840.1.113883.4.6.1011163" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
<performer typeCode="PRF">
<functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88" codeSystemName="ParticipationFunction" displayName="Primary Care Provider">
<originalText>Primary Care Provider</originalText>
</functionCode>
<assignedEntity>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr>
<streetAddressLine>2472 Rocky Place Beaverton Or 97006</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (881)345-6789" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="1011163" root="1.2.16.840.1.113883.4.6.1011163" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
<performer typeCode="PRF">
<assignedEntity>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<addr>
<streetAddressLine>2472 Rocky Place Beaverton Or 97006</streetAddressLine>
<city>Beaverton</city>
<state>Or</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+1 (555)555-1002" />
<assignedPerson>
<name>
<given>Tracy</given>
<family>Davis</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="1011163" root="1.2.16.840.1.113883.4.6.1011163" />
<name>Neighborhood Physicians Practice</name>
<telecom value="tel:+1 (555)555-1010" />
<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
</serviceEvent>
</documentationOf>
<component>
<structuredBody>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.6.1" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.2.6.1" />
<code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>ALLERGIES AND ADVERSE REACTIONS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Substance</th>
<th>Reaction</th>
<th>Severity</th>
<th>Status</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="product1">penicillin G</td>
<td ID="reaction1">Hives</td>
<td ID="severity1">Moderate</td>
<td>active</td>
<td>05/10/1980</td>
</tr>
<tr>
<td ID="product2">ampicillin</td>
<td ID="reaction2">Hives</td>
<td ID="severity2">Moderate</td>
<td>active</td>
<td>05/10/1980</td>
</tr>
</tbody>
</table>
</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.4.30" />
<id root="36e3e930-7b14-11db-9fe1-0800200c9a66" />
<code code="CONC" codeSystem="2.16.840.1.113883.5.6" />

<low value="19800510" />
</effectiveTime>
<entryRelationship typeCode="SUBJ">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.7" extension="2014-06-09" />
<templateId root="2.16.840.1.113883.10.20.22.4.7" />
<id root="4adc1020-7b14-11db-9fe1-0800200c9a66" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<statusCode code="completed" />
<effectiveTime>
<low value="19800510" />
</effectiveTime>
<value xsi:type="CD" code="416098002" displayName="Medication" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="201506221658-0800" />
<assignedAuthor>
<id extension="1245319599" root="2.16.840.1.113883.4.6" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
</assignedAuthor>
</author>
<participant typeCode="CSM">
<participantRole classCode="MANU">
<playingEntity classCode="MMAT">
<code code="733" displayName="ampicillin" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RxNorm">
<originalText>
<reference value="#product2" />
</originalText>
</code>
</playingEntity>
</participantRole>
</participant>
<entryRelationship typeCode="MFST" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.9" extension="2014-06-09" />
<templateId root="2.16.840.1.113883.10.20.22.4.9" />
<id root="4adc1020-7b14-11db-9fe1-0800200c9a67" />
<code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
<text>
<reference value="#reaction2" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" code="247472004" codeSystem="2.16.840.1.113883.6.96" displayName="Hives" />
<entryRelationship typeCode="SUBJ" inversionInd="true">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.8" extension="2014-06-09" />
<templateId root="2.16.840.1.113883.10.20.22.4.8" />
<code code="SEV" displayName="Severity Observation" codeSystem="2.16.840.1.113883.5.4" codeSystemName="ActCode" />
<text>
<reference value="#severity2" />
</text>
<statusCode code="completed" />
<value xsi:type="CD" code="6736007" displayName="Moderate" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" />
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.22.1" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.2.22.1" />
<code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters" />
<title>ENCOUNTERS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Encounter</th>
<th>Performer</th>
<th>Location</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="Encounter1">Office or other outpatient visit</td>
<td>Davis Albert</td>
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<td>This is a consultation note.</td>
<td>Oct 21, 2025</td>
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<td>Dr Albert Davis examined Ms Alice Newman and found that the pacemaker is operating properly and the
breathlessness is due to high fever and anxiety.</td>
<td>Jun 22, 2015</td>
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<td>Assessment: The patient was found to have fever and Dr Davis is suspecting Anemia based on the patient history. So Dr Davis asked the patient to closely monitor the temperature and blood pressure and get admitted to Community Health Hospitals if the fever does not subside within a day.Plan of Treatment: i. Get an EKG done on 6/23/2015. ii. Get a Chest X-ray done on 6/23/2015 showing the Lower Respiratory Tract Structure. iii. Take Clindamycin 300mg three times a day as needed if pain does not subside. iv. Schedule follow on visit with Neighborhood Physicians Practice on 7/1/2015.&nbsp;Progress Note: Ms Alice Newman seems to be developing high fever and hence we recommend her to get admitted to a nearby hospital using the provided referral.&nbsp;</td>
<td>Oct 23, 2025</td>
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<td>Oct 31, 2025</td>
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<td>May 01, 2005</td>
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<assignedPerson>
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<given>Albert</given>
<family>Davis</family>
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<section>
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<code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES" />
<title>PROCEDURES</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Procedure</th>
<th>Date</th>
<th>Status</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="Proc1">Consultation 60 minutes</td>
<td>Nov 25, 2025</td>
<td>
Completed
</td>
</tr>
<tr>
<td ID="Proc2">Nebulizer therapy (procedure)</td>
<td>Jun 22, 2015</td>
<td>
Completed
</td>
</tr>
<tr>
<td ID="Proc3">Introduction of cardiac pacemaker system via vein (procedure)</td>
<td>Oct 05, 2011</td>
<td>
Completed
</td>
</tr>
</tbody>
</table>
</text>
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<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
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<addr>
<streetAddressLine nullFlavor="UNK" />
<city>Schenectady</city>
<state>NY</state>
<postalCode>12345</postalCode>
<country>US</country>
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<name>Neighborhood Physicians Practice</name>
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<addr>
<streetAddressLine>2648 ROUTE 27</streetAddressLine>
<city>NORTH BRUNSWICK</city>
<state>NJ</state>
<postalCode>089021021</postalCode>
<country>US</country>
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</section>
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<component>
<section>
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<templateId root="2.16.840.1.113883.10.20.22.2.3.1" />
<code code="30954-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="RESULTS" />
<title>RESULTS</title>
<text>
<table>
<colgroup>
<col />
<col />
<col />
<col />
<col />
<col />
<col width="10%" />
<col width="20%" />
</colgroup>
<thead>
<tr>
<th>Result Type</th>
<th>Result Value</th>
<th>Relevant Reference Range</th>
<th>Interpretation</th>
<th>Test Name</th>
<th>Lab Name/Address</th>
<th>Date</th>
<th>Comments</th>
</tr>
</thead>
<tbody>
<tr>
<td ID="result1">Appearance</td>
<td ID="resultvalue1">CLEAR </td>
<td ID="referencerange1" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result2">Color</td>
<td ID="resultvalue2">Yellow </td>
<td ID="referencerange2" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result3">Glucose</td>
<td ID="resultvalue3">50 mg/dL</td>
<td ID="referencerange3" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result4">Ketones</td>
<td ID="resultvalue4">Negative </td>
<td ID="referencerange4" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result5">pH</td>
<td ID="resultvalue5">5.0 [ph]</td>
<td ID="referencerange5" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result6">Protein</td>
<td ID="resultvalue6">100 mg/dL</td>
<td ID="referencerange6" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
<tr>
<td ID="result7">Specific gravity</td>
<td ID="resultvalue7">1.015 </td>
<td ID="referencerange7" />
<td />
<td>Ua Dipstick Pnl Ur Loinc</td>
<td>Value Labs (2474, Rocky place, Beaverton, OR 97006, BEAVERTON, OR, 97006) </td>
<td>Jun 22, 2015</td>
<td />
</tr>
</tbody>
</table>
</text>
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<value xsi:type="ST">CLEAR</value>
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<statusCode code="completed" />
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<value xsi:type="ST">Negative</value>
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<value xsi:type="ST">1.015</value>
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<section>
<templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01" />
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<code code="29762-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Social History" />
<title>SOCIAL HISTORY</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Social History Observation</th>
<th>Description/ Question</th>
<th>Answer</th>
<th>Dates Observed</th>
</tr>
</thead>
<tbody>
<tr>
<td>Smoking Status</td>
<td>Current every day smoker</td>
<td />
<td>Jun 19, 2012</td>
</tr>
<tr>
<td>Current Smoking Status</td>
<td>Current every day smoker,
</td>
<td />
<td>Jun 21, 2015</td>
</tr>
<tr>
<td>Hunger Vital Signs Screening</td>
<td>Within the past 12 months I/we were worried whether our food would run out before we got money to buy more.</td>
<td>Often True</td>
<td>Oct 25, 2025</td>
</tr>
<tr>
<td>Hunger Vital Signs Screening</td>
<td>Within the past 12 months the food I/we bought just didn?t last and I/we didn?t have the money to get more.</td>
<td>Often True</td>
<td>Oct 25, 2025</td>
</tr>
<tr>
<td>Basic Occupation</td>
<td>Janitors and Cleaners, Except Maids and Housekeeping Cleaners</td>
<td />
<td />
</tr>
<tr>
<td>Tribal Affiliation</td>
<td>Coquille Indian Tribe</td>
<td />
<td />
</tr>
<tr>
<td>Gender Identity</td>
<td>
Choose not to disclose (nullFlavor ASKU)
</td>
<td />
<td />
</tr>
<tr>
<td>Sex Orientation</td>
<td>
Don't know (nullFlavor UNK)
</td>
<td />
<td />
</tr>
</tbody>
</table>
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<id extension="123456789" root="2.16.840.1.113883.19" />
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<statusCode code="completed" />
<effectiveTime nullFlavor="NI" />
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<time value="20120619" />
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<thead>
<tr>
<th align="right">Date / Time: </th>
<th>Nov 27, 2025</th>
</tr>
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<th align="left">Height</th>
<td>177 cm</td>
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<td>88 kg</td>
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<td>145
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<td>95 percent
</td>
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<th align="left">Body Temperature</th>
<td>38 degree celsius</td>
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<tr>
<th align="left">Respiratory Rate</th>
<td>18 breaths per minute
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<th>Goal</th>
<th>Value</th>
<th>Date</th>
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<td>a. Get rid of intermittent fever that is occurring every few weeks.
b. Need to gain more energy to do regular activities.</td>
<td />
<td />
</tr>
<tr>
<td>History of social function</td>
<td>161036002</td>
<td>Aug 31, 2015</td>
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<td>Housing adequate (finding)</td>
<td />
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<id extension="996-756-495" root="2.16.840.1.113883.19.5" />
</assignedAuthor>
</author>
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="GOL">
<templateId root="2.16.840.1.113883.10.20.22.4.121" />
<templateId root="2.16.840.1.113883.10.20.22.4.121" extension="2022-06-01" />
<id root="a928162017-fbed-11e2-b778-0800200c9a66" />
<code code="8689-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of social function" />
<statusCode code="active" />
<effectiveTime value="20150831" />
<value xsi:type="CD" code="161036002" codeSystem="2.16.840.1.113883.6.96" />
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="201506221658-0800" />
<assignedAuthor>
<id root="d839038b-7171-4165-a760-467925b43857" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time />
<assignedAuthor>
<id extension="996-756-495" root="2.16.840.1.113883.19.5" />
</assignedAuthor>
</author>
</observation>
</entry>
<entry>
<observation classCode="OBS" moodCode="GOL">
<templateId root="2.16.840.1.113883.10.20.22.4.121" />
<templateId root="2.16.840.1.113883.10.20.22.4.121" extension="2022-06-01" />
<id root="a928157947-fbed-11e2-b778-0800200c9a66" />
<code code="161036002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Housing adequate (finding)" />
<statusCode code="active" />
<effectiveTime value="20150831" />
<value xsi:type="CD" code="161036002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Housing adequate (finding)" />
<author>
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="201506221658-0800" />
<assignedAuthor>
<id root="d839038b-7171-4165-a760-467925b43857" />
<code code="207R00000X" displayName="Internal Medicine" codeSystem="2.16.840.1.113883.6.101" codeSystemName="Healthcare Provider Taxonomy (HIPAA)" />
<assignedPerson>
<name>
<given>Albert</given>
<family>Davis</family>
</name>
</assignedPerson>
</assignedAuthor>
</author>
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time />
<assignedAuthor>
<id extension="996-756-495" root="2.16.840.1.113883.19.5" />
</assignedAuthor>
</author>
</observation>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.58" extension="2015-08-01" />
<code code="75310-3" displayName="Health Concerns Document" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
<title>Health Concerns</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Concern</th>
<th>Status</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>
Documented problem: Food insecurity</td>
<td>Active</td>
<td>Jun 22, 2015</td>
</tr>
</tbody>
</table>
<br />
<table border="1" width="100%">
<thead>
<tr>
<th>Concern</th>
<th>Status</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr ID="IDSDOHHCROW1">
<td ID="IDSDOHHCCOL1">a. Chronic Sickness exhibited by patient
b. HealthCare Concerns refer to underlying clinical facts
i. Documented HyperTension problem
ii. Documented HypoThyroidism problem
iii. Watch Weight of patient</td>
<td>completed</td>
<td />
</tr>
<tr ID="IDSDOHHCROW2">
<td ID="IDSDOHHCCOL2">Food insecurity (finding)</td>
<td>completed</td>
<td>Jun 22, 2015</td>
</tr>
</tbody>
</table>
</text>
<entry>
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.132" extension="2015-08-01" />
<id root="4eab0e52-dd7d-4285-99eb-72d32ddb195c" />
<code code="75310-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Health Concern" />
<statusCode code="active" />
<effectiveTime value="201506221658-0800" />
<entryRelationship typeCode="REFR">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.122" />
<id root="ab1791b0-5c71-11db-b0de-0800200c9a" />
<code nullFlavor="NP" />
<statusCode code="completed" />
</act>
</entryRelationship>
<entryRelationship typeCode="REFR">
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.4" />
<templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01" />
<id root="a928158397-f9a4-41e4-a8e4-2d1b11f2eb66" />
<code code="733423003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Food insecurity (finding)">
<translation code="75321-0" displayName="Clinical Finding" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
</code>
<statusCode code="completed" />
<effectiveTime>
<low value="20150622" />
</effectiveTime>
<value xsi:type="CD" code="733423003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Food insecurity (finding)" />
<author typeCode="AUT">
<templateId root="2.16.840.1.113883.10.20.22.4.119" />
<time value="201506221658-0800" />
<assignedAuthor>
<id root="20cf14fb-b65c-4c8c-a54d-b0cca834c18c" />
</assignedAuthor>
</author>
</observation>
</entryRelationship>
</act>
</entry>
</section>
</component>
<component>
<section>
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" extension="2014-06-09" />
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.1" />
<code code="42349-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Reason for Referral" />
<title>REASON FOR REFERRAL</title>
<text>
<paragraph>Problem
Observation data
related to Fever
in Problems
Section</paragraph>
<paragraph>Ms Alice Newman is being referred to Community Health Hospitals Inpatient facility because of the high
fever noticed and suspected Anemia</paragraph>
</text>
<entry>
<act classCode="PCPR" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.140" />
<id root="2.16.840.1.113883.19.5" extension="REF-31044900" />
<code code="310449005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Referral to hospital (procedure)" />
<statusCode code="active" />
<effectiveTime value="201506221658-0800" />
</act>
</entry>
<entry>
<act classCode="PCPR" moodCode="RQO">
<templateId root="2.16.840.1.113883.10.20.22.4.140" />
<id root="2.16.840.1.113883.19.5" extension="REF-31044900" />
<code code="310449005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Referral to hospital (procedure)" />
<statusCode code="active" />
<effectiveTime value="201506221658-0800" />
</act>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.1.5" extension="20060828170821659" />
<id root="2.16.840.1.113883.19.4.27" />
<code code="18748-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Diagnostic Imaging Report" />
<title>Diagnostic Imaging Report</title>
<text>
<br />
<table border="1" width="100%">
<thead>
<tr>
<th>Test Code</th>
<th>Code System</th>
<th>Name</th>
<th>Comments</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td />
<td>LOINC</td>
<td />
<td />
<td>Nov 10, 2025</td>
</tr>
</tbody>
</table>
</text>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" />
<code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" />
<title>MENTAL STATUS</title>
<text>
<table border="1" width="100%">
<thead>
<tr>
<th>Status</th>
<th>Date</th>
</tr>
</thead>
<tbody>
<tr>
<td>Amnesia (finding)</td>
<td>May 01, 2005</td>
</tr>
</tbody>
</table>
</text>
<entry>
<observation classCode="OBS" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.74" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.4.74" />
<id root="a7bc1062-8649-42a0-833d-ekd65bd013d1" />
<code code="373930000" displayName="Cognitive function" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT">
<translation code="75275-8" displayName="Cognitive function" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" />
</code>
<statusCode code="completed" />
<effectiveTime value="20050501" />
<value xsi:type="CD" code="48167000" displayName="Amnesia (finding)" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" />
</observation>
</entry>
</section>
</component>
<component>
<section>
<templateId root="2.16.840.1.113883.10.20.22.2.18" />
<templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2015-08-01" />
<templateId root="2.16.840.1.113883.10.20.22.2.18" extension="2023-05-01" />
<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payers" />
<title>Insurance Providers</title>
<text>Health Insurance Information</text>
<entry typeCode="DRIV">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.60" />
<templateId root="2.16.840.1.113883.10.20.22.4.60" extension="2015-08-01" />
<id root="1fe2cdd0-7aad-11db-9fe1-0800200c9a66" />
<code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources" />
<statusCode code="completed" />
<effectiveTime value="20150101" />
<entryRelationship typeCode="COMP">
<act classCode="ACT" moodCode="EVN">
<templateId root="2.16.840.1.113883.10.20.22.4.61" />
<templateId root="2.16.840.1.113883.10.20.22.4.61" extension="2015-08-01" />
<id root="2.16.840.1.113883.19" extension="Acme Gold Plan" />
<code code="72" displayName="PPO" codeSystem="2.16.840.1.113883.3.221.5" codeSystemName="Source of Payment Typology (PHDSC)" />
<statusCode code="completed" />
<performer typeCode="PRF">
<templateId root="2.16.840.1.113883.10.20.22.4.87" />
<time>
<low nullFlavor="UNK" />
<high nullFlavor="UNK" />
</time>
<assignedEntity>
<id root="2.16.840.1.113883.19" />
<code code="PAYOR" codeSystem="2.16.840.1.113883.5.110" codeSystemName="HL7 RoleCode" />
<addr use="WP">
<streetAddressLine>123 Insurance Road</streetAddressLine>
<city>Blue Bell</city>
<state>MA</state>
<postalCode>02368</postalCode>
<country>US</country>
</addr>
<telecom value="tel:+(555)555-1515" use="WP" />
<representedOrganization>
<name>Example Payer Organization</name>
<telecom value="tel:+(555)555-1515" use="WP" />
<addr use="WP">
<streetAddressLine>123 Insurance Road</streetAddressLine>
<city>Blue Bell</city>
<state>MA</state>
<postalCode>02368</postalCode>
<country>US</country>
</addr>
</representedOrganization>
</assignedEntity>
</performer>
<participant typeCode="COV">
<templateId root="2.16.840.1.113883.10.20.22.4.89" />
<time>
<low nullFlavor="UNK" />
<high nullFlavor="UNK" />
</time>
<participantRole classCode="PAT">
<id root="1.1.1.1.1.1.1.1.14" extension="88800933502" />
<code code="FAMDEP" codeSystem="2.16.840.1.113883.5.111" />
<addr use="HP">
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
<playingEntity>
<name>
<given>Alice</given>
<family>Newman</family>
</name>
<sdtc:birthTime value="19700501" />
</playingEntity>
</participantRole>
</participant>
<participant typeCode="HLD">
<templateId root="2.16.840.1.113883.10.20.22.4.90" />
<participantRole>
<id extension="888009335" root="2.16.840.1.113883.19" />
<addr use="HP">
<streetAddressLine>1357 Amber Dr</streetAddressLine>
<city>Beaverton</city>
<state>OR</state>
<postalCode>97006</postalCode>
<country>US</country>
</addr>
</participantRole>
</participant>
<entryRelationship typeCode="REFR">
<act classCode="ACT" moodCode="DEF">
<id root="1.1.1.1.1.1.1.1.14" />
<code nullFlavor="NI" />
<text>Acme Gold Plan</text>
</act>
</entryRelationship>
</act>
</entryRelationship>
</act>
</entry>
</section>
</component>
</structuredBody>
</component>

</ClinicalDocument>
----------------------------------------------------------------

Kindly Check and find out that what is the problem with this.

I will be very thankful for your support.

Thanks

Arshad

Mat Davis

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Dec 4, 2025, 2:17:34 AM (13 days ago) Dec 4

to Edge Test Tool (ETT)

Hi Arshad.

1. This is the same issue as Ahsan - I just did a quick search for "18776-5" in your XML

2. You have 2 Plan of Treatment Sections.

3. Start by removing 1 - search for "18776-5" in your XML to see 2 instances of the same Section

4. Add all your data changes to only 1 Plan of Treatment Section

5. Review this thread related to Ahsan, seems like you both work on the same Team
- https://groups.google.com/g/edge-test-tool/c/TsKyjFGMmks
- After only using 1 Plan of Treatment Section, there were additional changes for Section Template IDs, SDOH Template IDs but the errors should be more direct for you to resolve

Thanks - Mat

A Mahmood

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Dec 4, 2025, 7:48:02 AM (13 days ago) Dec 4

to Edge Test Tool (ETT)

Hi Mat,

Issue is fixed now.

Thank you for your support and assistance.

Arshad

Mat Davis

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Dec 4, 2025, 8:44:25 AM (13 days ago) Dec 4

to Edge Test Tool (ETT)

No problem at all Arshad.

Thank you for your collaboration and your final updates.

Mat

ahsan

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Dec 5, 2025, 7:00:55 AM (12 days ago) Dec 5

to Edge Test Tool (ETT)

Hi Mat,

In the test data of patient "Happy Kid" , there is "unknown" option in Sex field and its code is also avaialble. When we use the "unknown" code your tool does not accept it under **USCDI v3**. It only accepts the code for **female** and adds the **female** code instead of the "unknown" code.

However when we change the "unknown" code to the **female** code the tool does not give any error.

Shuisheng Wang

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Dec 5, 2025, 8:27:08 AM (12 days ago) Dec 5

to Edge Test Tool (ETT)

Hi Ahsan,

FYI, Mat is not one of IT owners of CCDA Validators on ONC SITE and gender of Happy Kid was updated on 08/29/2025.

SITE Platform Version: 4.1.7 | Released on 8/29/2025

Versions and Changes to various Components in the Release 4.1.7

Updates in Sample 3:

Removed sdtc:raceCode requirement Changed Happy Kid Sex to Female Updated Related Person Frank Larson to relationship of type Father Updates in Sample 1:

Mat Davis

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Dec 5, 2025, 8:27:59 AM (12 days ago) Dec 5

to Edge Test Tool (ETT)

Hi Ahsan

1. Just for ultra clarity, this is not "my tool" - I'm just a community supporter, trying to pass validation and meet Certification Compliance like everyone else

2. Check out previous threads and the CCG (Certification Companion Guide) for more details related to expectations for USCDIv3 Sex, specifically related to Happy Kid
- https://groups.google.com/g/edge-test-tool/search?q=unknown%20sex
- https://www.healthit.gov/test-method/transitions-care -----> search for "sex"

Thanks - Mat

On Friday, December 5, 2025 at 6:00:55 AM UTC-6 ahsan wrote:

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