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Problem importing CCD into HV RRS feed

  • Question

  • We are trying to import the followign CCD into Health Vault. This CCD data is based on the NIST test scripts for Meaningful Use. It is valid according to the NIST C32 MU Validator but it does not get parsed by HV, instead it goes ito the "Documents" folder inside Health Vault. other CCDs I have tried are properly parsed and HV then gives the ability to view the CCD and to import discrete data elements into the various Health Vault information departments. Please advise.

    <?xml version="1.0"?> <ClinicalDocument xsi:schemaLocation="urn:hl7-org:v3 http://xreg2.nist.gov:8080/hitspValidation/schema/cdar2c32/infrastructure/cda/C32_CDA.xsd" xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xhtml="http://www.w3.org/1999/xhtml" xmlns:rdfs="http://www.w3.org/2000/01/rdf-schema#" xmlns:owl="http://www.w3.org/2002/07/owl#"> <realmCode code="US" /> <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040" /> <templateId root="2.16.840.1.113883.10.20.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.1" /> <templateId root="2.16.840.1.113883.10.20.3" /> <templateId root="2.16.840.1.113883.3.88.11.32.1" /> <id root="447a2d5e-ebf8-11e1-b464-005056bc0010" /> <code code="34133-9" displayName="Summarization of episode note" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Continuity of Care Document from Provider XXX</title> <effectiveTime value="20120821212533-0800" /> <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" /> <languageCode code="en-US" /> <recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole> <id root="2.16.840.1.113883.13.47.11.1" extension="304-f" /> <addr use="HP"> <streetAddressLine>856 SALT STREET</streetAddressLine> <city>SHAWVILLE</city> <state>PENNSYLVANIA</state> <postalCode>16873</postalCode> </addr> <telecom use="HP" value="tel:+1-814-645-6489" /> <telecom use="WP" nullFlavor="UNK" /> <patient> <name use="L"> <given qualifier="CL">SARAH</given> <family>EBBERT</family> </name> <administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="HL7" displayName="Female" /> <birthTime value="19621008" /> <languageCommunication> <languageCode code="en-US" /> </languageCommunication> </patient> </patientRole> </recordTarget> <author> <time value="20120821212533" /> <assignedAuthor> <id root="2.16.840.1.113883.4.1" extension="800000018" /> <addr use="WP"> <streetAddressLine></streetAddressLine> <city></city> <state></state> <postalCode></postalCode> </addr> <telecom use="WP" nullFlavor="UNK" /> <assignedPerson> <name> <given>USE</given> <family>ZZDONOT</family> </name> </assignedPerson> </assignedAuthor> </author> <custodian> <assignedCustodian> <representedCustodianOrganization> <id root="447a2d60-ebf8-11e1-ab58-005056bc0010" /> <name>PROVIDER XXX</name> <telecom use="WP" nullFlavor="UNK" /> <addr use="WP"> <streetAddressLine>123 Address Dr.</streetAddressLine> <city>Juno Beach</city> <state>FLORIDA</state> <postalCode>33408</postalCode> </addr> </representedCustodianOrganization> </assignedCustodian> </custodian> <documentationOf> <serviceEvent classCode="PCPR"> <effectiveTime> <low value="20060705110000" /> <high value="20120423133802" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.32.4" /> <assignedEntity> <id root="2.16.840.1.113883.4.1" extension="991234567" /> <addr use="WP"> <streetAddressLine>123 STATE ST</streetAddressLine> <city>LAS VEGAS</city> <state>NEVADA</state> <postalCode>89128</postalCode> </addr> <telecom use="WP" value="tel:+1-561-555-1212" /> <assignedPerson> <name> <given>MARIA</given> <family>VALDEZ</family> </name> </assignedPerson> <sdtc:patient> <sdtc:id root="44ba91c0-ebf8-11e1-9903-005056bc0010" extension="304-f" /> </sdtc:patient> </assignedEntity> </performer> </serviceEvent> </documentationOf> <component> <structuredBody> <!-- ******************************************************** 4.3 Functional Status ******************************************************** --> <!-- ******************************************************** 4.5 Problems ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.3.83.11.83.103" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" /> <templateId root="2.16.840.1.113883.10.20.1.11" /> <code code="11450-4" displayName="Problem list" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Problem list</title> <text> <list> <item ID="prob-9000011-279">DMII WO CMP NT ST UNCNTR, Active</item> <item ID="prob-9000011-280">UNKN CAUSE MORB/MORT NEC, Active</item> <item ID="prob-9000011-281">HYPERTENSION NOS, Active</item> <item ID="prob-9000011-282">HYPERLIPIDEMIA NEC/NOS, Active</item> </list> </text> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27" /> <templateId root="2.16.840.1.113883.3.88.11.83.7" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2" /> <id root="44f18040-ebf8-11e1-bb85-005056bc0010" /> <code nullFlavor="NA" /> <statusCode code="active"></statusCode> <effectiveTime> <low value="20120423" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.32.4" /> <assignedEntity> <id root="2.16.840.1.113883.4.1" extension="991234567" /> <addr use="WP"> <streetAddressLine>123 STATE ST</streetAddressLine> <city>LAS VEGAS</city> <state>NEVADA</state> <postalCode>89128</postalCode> </addr> <telecom use="WP" value="tel:+1-561-555-1212" /> <assignedPerson> <name> <given>MARIA</given> <family>VALDEZ</family> </name> </assignedPerson> <sdtc:patient> <sdtc:id root="44ba91c0-ebf8-11e1-9903-005056bc0010" extension="304-f" /> </sdtc:patient> </assignedEntity> </performer> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <id root="44f18040-ebf8-11e1-bb85-005056bc0010" /> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></code> <text> <reference value="#prob-9000011-279" /> </text> <statusCode code="completed" /> <effectiveTime> <low nullFlavor="UNK" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="250.00" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9" displayName="DMII WO CMP NT ST UNCNTR" /> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.50"></templateId> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27" /> <templateId root="2.16.840.1.113883.3.88.11.83.7" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2" /> <id root="44f18042-ebf8-11e1-9ecb-005056bc0010" /> <code nullFlavor="NA" /> <statusCode code="active"></statusCode> <effectiveTime> <low value="20120423" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.32.4" /> <assignedEntity> <id root="2.16.840.1.113883.4.1" extension="991234567" /> <addr use="WP"> <streetAddressLine>123 STATE ST</streetAddressLine> <city>LAS VEGAS</city> <state>NEVADA</state> <postalCode>89128</postalCode> </addr> <telecom use="WP" value="tel:+1-561-555-1212" /> <assignedPerson> <name> <given>MARIA</given> <family>VALDEZ</family> </name> </assignedPerson> <sdtc:patient> <sdtc:id root="44ba91c0-ebf8-11e1-9903-005056bc0010" extension="304-f" /> </sdtc:patient> </assignedEntity> </performer> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <id root="44f18042-ebf8-11e1-9ecb-005056bc0010" /> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></code> <text> <reference value="#prob-9000011-280" /> </text> <statusCode code="completed" /> <effectiveTime> <low value="20060705" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="799.9" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9" displayName="UNKN CAUSE MORB/MORT NEC" /> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.50"></templateId> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27" /> <templateId root="2.16.840.1.113883.3.88.11.83.7" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2" /> <id root="44f18043-ebf8-11e1-8aa6-005056bc0010" /> <code nullFlavor="NA" /> <statusCode code="active"></statusCode> <effectiveTime> <low value="20120423" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.32.4" /> <assignedEntity> <id root="2.16.840.1.113883.4.1" extension="991234567" /> <addr use="WP"> <streetAddressLine>123 STATE ST</streetAddressLine> <city>LAS VEGAS</city> <state>NEVADA</state> <postalCode>89128</postalCode> </addr> <telecom use="WP" value="tel:+1-561-555-1212" /> <assignedPerson> <name> <given>MARIA</given> <family>VALDEZ</family> </name> </assignedPerson> <sdtc:patient> <sdtc:id root="44ba91c0-ebf8-11e1-9903-005056bc0010" extension="304-f" /> </sdtc:patient> </assignedEntity> </performer> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <id root="44f18043-ebf8-11e1-8aa6-005056bc0010" /> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></code> <text> <reference value="#prob-9000011-281" /> </text> <statusCode code="completed" /> <effectiveTime> <low value="20060705" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="401.9" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9" displayName="HYPERTENSION NOS" /> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.50"></templateId> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27" /> <templateId root="2.16.840.1.113883.3.88.11.83.7" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.2" /> <id root="44f18044-ebf8-11e1-a6d0-005056bc0010" /> <code nullFlavor="NA" /> <statusCode code="active"></statusCode> <effectiveTime> <low value="20120423" /> </effectiveTime> <performer typeCode="PRF"> <templateId root="2.16.840.1.113883.3.88.11.32.4" /> <assignedEntity> <id root="2.16.840.1.113883.4.1" extension="991234567" /> <addr use="WP"> <streetAddressLine>123 STATE ST</streetAddressLine> <city>LAS VEGAS</city> <state>NEVADA</state> <postalCode>89128</postalCode> </addr> <telecom use="WP" value="tel:+1-561-555-1212" /> <assignedPerson> <name> <given>MARIA</given> <family>VALDEZ</family> </name> </assignedPerson> <sdtc:patient> <sdtc:id root="44ba91c0-ebf8-11e1-9903-005056bc0010" extension="304-f" /> </sdtc:patient> </assignedEntity> </performer> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.28" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <id root="44f18044-ebf8-11e1-a6d0-005056bc0010" /> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT"></code> <text> <reference value="#prob-9000011-282" /> </text> <statusCode code="completed" /> <effectiveTime> <low value="20060705" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" nullFlavor="UNK"> <translation code="272.4" codeSystem="2.16.840.1.113883.6.2" codeSystemName="ICD9" displayName="HYPERLIPIDEMIA NEC/NOS" /> </value> <entryRelationship typeCode="REFR" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.50"></templateId> <code code="33999-4" displayName="Status" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <text /> <statusCode code="completed" /> <value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Active" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <!-- ******************************************************** 4.7 Social History ******************************************************** --> <!-- ******************************************************** 4.8 Vital Signs ******************************************************** --> <!-- ******************************************************** 4.9 Results ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.1.14" /> <templateId root="2.16.840.1.113883.3.88.11.83.122" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.28" /> <code code="30954-2" displayName="Relevant diagnostic tests and/or laboratory data" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Results</title> <text> <list> <item ID="labres-9999999999_6304-3_6909283_91_86">On 20090715090000, Trigl SerPl-sCnc is 187</item> <item ID="labres-9999999999_6304-5_6909283_91_86">On 20090715090000, LDLc SerPl-mCnc is 120</item> <item ID="labres-9999999999_6304-4_6909283_91_86">On 20090715090000, HDLc SerPl-sCnc is 41</item> <item ID="labres-9999999999_6304-2_6909283_91_86">On 20090715090000, Cholest SerPl-sCnc is 180</item> <item ID="labres-9999999999_6304-1_6909283_91_86">On 20090715090000, Potassium SerPl-sCnc is 4.5</item> </list> </text> <entry typeCode="DRIV"> <organizer classCode="BATTERY" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.32" /> <id root="451534de-ebf8-11e1-a689-005056bc0010" /> <code code="61-72" codeSystem="2.16.840.1.113883.13.47.11.3" codeSystemName="Local DSS" displayName="SERUM" /> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <component> <procedure classCode="PROC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.17" assigningAuthorityName="HITSP C83" /> <templateId root="2.16.840.1.113883.10.20.1.29" assigningAuthorityName="CCD" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.19" assigningAuthorityName="IHE PCC" /> <id /> <code code="61-72" codeSystem="2.16.840.1.113883.13.47.11.3" codeSystemName="Local DSS" displayName="SERUM"> <originalText><reference value=" " /></originalText> </code> <text><reference value="" /></text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> </procedure> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD" /> <templateId root="2.16.840.1.113883.3.88.11.83.15.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" /> <id root="451534e2-ebf8-11e1-8151-005056bc0010" /> <code code="14927-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Trigl SerPl-sCnc" /> <text> <reference value="#labres-9999999999_6304-3_6909283_91_86" /> </text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <value xsi:type="PQ" value="187" unit="mg/dL" /> <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83" codeSystemName="Observation Interpretation" displayName="High" /> <referenceRange> <observationRange> <text>0 - 149 mg/dL</text> </observationRange> </referenceRange> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD" /> <templateId root="2.16.840.1.113883.3.88.11.83.15.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" /> <id root="451534e4-ebf8-11e1-a81f-005056bc0010" /> <code code="2089-1" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="LDLc SerPl-mCnc" /> <text> <reference value="#labres-9999999999_6304-5_6909283_91_86" /> </text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <value xsi:type="PQ" value="120" unit="mg/dL" /> <interpretationCode code="H" codeSystem="2.16.840.1.113883.5.83" codeSystemName="Observation Interpretation" displayName="High" /> <referenceRange> <observationRange> <text> - 99 mg/dL</text> </observationRange> </referenceRange> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD" /> <templateId root="2.16.840.1.113883.3.88.11.83.15.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" /> <id root="451534e3-ebf8-11e1-bf67-005056bc0010" /> <code code="14646-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HDLc SerPl-sCnc" /> <text> <reference value="#labres-9999999999_6304-4_6909283_91_86" /> </text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <value xsi:type="PQ" value="41" unit="mg/dL" /> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD" /> <templateId root="2.16.840.1.113883.3.88.11.83.15.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" /> <id root="451534e1-ebf8-11e1-bebf-005056bc0010" /> <code code="14647-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Cholest SerPl-sCnc" /> <text> <reference value="#labres-9999999999_6304-2_6909283_91_86" /> </text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <value xsi:type="PQ" value="180" unit="mg/dL" /> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="Observation Interpretation" displayName="Normal" /> <referenceRange> <observationRange> <text> - 200 mg/dL</text> </observationRange> </referenceRange> </observation> </component> <component> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.31" assigningAuthorityName="CCD" /> <templateId root="2.16.840.1.113883.3.88.11.83.15.1" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.13" /> <id root="451534df-ebf8-11e1-89fe-005056bc0010" /> <code code="2823-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Potassium SerPl-sCnc" /> <text> <reference value="#labres-9999999999_6304-1_6909283_91_86" /> </text> <statusCode code="completed" /> <effectiveTime value="20090715090000" /> <value xsi:type="PQ" value="4.5" unit="mEq/L" /> <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83" codeSystemName="Observation Interpretation" displayName="Normal" /> <referenceRange> <observationRange> <text>3.5 - 5.3 mEq/L</text> </observationRange> </referenceRange> </observation> </component> </organizer> </entry> </section> </component> <!-- ******************************************************** 4.10 Procedures ******************************************************** --> <!-- ******************************************************** 4.11 Encounters ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.1.3" /> <templateId root="2.16.840.1.113883.3.88.11.83.127" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.1.5.3.3" /> <code code="46240-8" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of encounters" /> <title>Encounters</title> <text> <content ID="encounter-9999999999_9000010-1064">20090715090000, OUTPATIENT</content> <content ID="encounter-doc-9999999999_9000010-1064"> </content> <content ID="encounter-9999999999_9000010-1114">20120423112942, OUTPATIENT</content> <content ID="encounter-doc-9999999999_9000010-1114"> </content> <content ID="encounter-9999999999_9000010-1117">20120423120108, OUTPATIENT</content> <content ID="encounter-doc-9999999999_9000010-1117"> </content> <content ID="encounter-9999999999_9000010-1119">20060705110000, OUTPATIENT</content> <content ID="encounter-doc-9999999999_9000010-1119"> </content> <content ID="encounter-9999999999_9000010-1120">20120423133802, OUTPATIENT</content> <content ID="encounter-doc-9999999999_9000010-1120"> </content> </text> <entry typeCode="DRIV"> <encounter classCode="ENC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.16" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" /> <templateId root="2.16.840.1.113883.10.20.1.21" /> <id root="44cb5a9e-ebf8-11e1-8b5b-005056bc0010" /> <code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActCode"> <originalText> <reference value="#encounter-9999999999_9000010-1064" /> </originalText> </code> <text> <reference value="#encounter-doc-9999999999_9000010-1064" /> </text> <effectiveTime> <low value="20090715090000" /> <high nullFlavor="UNK" /> </effectiveTime> <participant typeCode="LOC"> <templateId root="2.16.840.1.113883.10.20.1.45" /> <participantRole classCode="SDLOC"> <code code="PC" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Primary Care Clinic" /> <playingEntity classCode="PLC"> <name></name> </playingEntity> </participantRole> </participant> </encounter> </entry> <entry typeCode="DRIV"> <encounter classCode="ENC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.16" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" /> <templateId root="2.16.840.1.113883.10.20.1.21" /> <id root="44d01591-ebf8-11e1-9f01-005056bc0010" /> <code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActCode"> <originalText> <reference value="#encounter-9999999999_9000010-1114" /> </originalText> </code> <text> <reference value="#encounter-doc-9999999999_9000010-1114" /> </text> <effectiveTime> <low value="20120423112942" /> <high nullFlavor="UNK" /> </effectiveTime> <participant typeCode="LOC"> <templateId root="2.16.840.1.113883.10.20.1.45" /> <participantRole classCode="SDLOC"> <code code="PC" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Primary Care Clinic" /> <playingEntity classCode="PLC"> <name></name> </playingEntity> </participantRole> </participant> </encounter> </entry> <entry typeCode="DRIV"> <encounter classCode="ENC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.16" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" /> <templateId root="2.16.840.1.113883.10.20.1.21" /> <id root="44d2868f-ebf8-11e1-8522-005056bc0010" /> <code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActCode"> <originalText> <reference value="#encounter-9999999999_9000010-1117" /> </originalText> </code> <text> <reference value="#encounter-doc-9999999999_9000010-1117" /> </text> <effectiveTime> <low value="20120423120108" /> <high nullFlavor="UNK" /> </effectiveTime> <participant typeCode="LOC"> <templateId root="2.16.840.1.113883.10.20.1.45" /> <participantRole classCode="SDLOC"> <code code="PC" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Primary Care Clinic" /> <playingEntity classCode="PLC"> <name></name> </playingEntity> </participantRole> </participant> </encounter> </entry> <entry typeCode="DRIV"> <encounter classCode="ENC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.16" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" /> <templateId root="2.16.840.1.113883.10.20.1.21" /> <id root="44d28691-ebf8-11e1-8a0d-005056bc0010" /> <code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActCode"> <originalText> <reference value="#encounter-9999999999_9000010-1119" /> </originalText> </code> <text> <reference value="#encounter-doc-9999999999_9000010-1119" /> </text> <effectiveTime> <low value="20060705110000" /> <high nullFlavor="UNK" /> </effectiveTime> <participant typeCode="LOC"> <templateId root="2.16.840.1.113883.10.20.1.45" /> <participantRole classCode="SDLOC"> <code code="PC" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Primary Care Clinic" /> <playingEntity classCode="PLC"> <name></name> </playingEntity> </participantRole> </participant> </encounter> </entry> <entry typeCode="DRIV"> <encounter classCode="ENC" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.16" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.14" /> <templateId root="2.16.840.1.113883.10.20.1.21" /> <id root="44ea544f-ebf8-11e1-b7ae-005056bc0010" /> <code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="Ambulatory" codeSystemName="HL7 ActCode"> <originalText> <reference value="#encounter-9999999999_9000010-1120" /> </originalText> </code> <text> <reference value="#encounter-doc-9999999999_9000010-1120" /> </text> <effectiveTime> <low value="20120423133802" /> <high nullFlavor="UNK" /> </effectiveTime> <participant typeCode="LOC"> <templateId root="2.16.840.1.113883.10.20.1.45" /> <participantRole classCode="SDLOC"> <code code="PC" codeSystem="2.16.840.1.113883.5.111" codeSystemName="RoleCode" displayName="Primary Care Clinic" /> <playingEntity classCode="PLC"> <name></name> </playingEntity> </participantRole> </participant> </encounter> </entry> </section> </component> <!-- ******************************************************** 4.12 Plan Of Care ******************************************************** --> <!-- ******************************************************** 4.13 (Alerts) Allergy/Drug Sensitivity ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.1.2" /> <templateId root="2.16.840.1.113883.3.88.11.83.102" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.13" /> <code code="48765-2" displayName="Allergies, adverse reactions, alerts" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" /> <title>Allergies and Adverse Reactions</title> <text> <list> <item ID="allergy-120_8-127">Adverse reaction to PENICILLIN, SIGN_SYMPTOMS-RASH, Active</item> </list> </text> <entry typeCode="DRIV"> <act classCode="ACT" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.27"></templateId> <templateId root="2.16.840.1.113883.3.88.11.83.6" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.3" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5.1" /> <id root="4506dd00-ebf8-11e1-b136-005056bc0010" /> <code nullFlavor="NA" /> <statusCode code="completed" /> <effectiveTime> <low value="20120423130400" /> <high nullFlavor="UNK" /> </effectiveTime> <entryRelationship typeCode="SUBJ" inversionInd="false"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.18" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <templateId root="2.16.840.1.113883.10.20.1.28" /> <id root="4506dd00-ebf8-11e1-b136-005056bc0010" /> <code code="416098002" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="drug allergy" /> <text> <reference value="#allergy-120_8-127" /> </text> <statusCode code="completed" /> <effectiveTime> <low value="20120423130400" /> </effectiveTime> <value xsi:type="CD" /> <participant typeCode="CSM"> <participantRole classCode="MANU"> <playingEntity classCode="MMAT"> <code code="70618" codeSystem="2.16.840.1.113883.6.88" codeSystemName="RXNORM" displayName="PENICILLIN" /> <name>PENICILLIN</name> </playingEntity> </participantRole> </participant> <entryRelationship typeCode="MFST" inversionInd="true"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.54"></templateId> <templateId root="2.16.840.1.113883.10.20.1.28" /> <id root="4506dd01-ebf8-11e1-a8fb-005056bc0010" /> <code code="282291009" displayName="Diagnosis" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" /> <statusCode code="completed" /> <effectiveTime> <low nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" code="271807003" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED CT" displayName="Eruption of skin (disorder)"> <originalText>Eruption of skin (disorder)<reference></reference></originalText> </value> </observation> </entryRelationship> <entryRelationship typeCode="REFR"> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.1.39" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.5" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.6" /> <templateId root="2.16.840.1.113883.10.20.1.28" /> <id root="0D4E7DD1-A6F0-46BA-8B56-7EC9539F73BC" /> <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status" /> <statusCode code="completed" /> <effectiveTime> <low value="20120423130400" /> <high nullFlavor="UNK" /> </effectiveTime> <value xsi:type="CD" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNOMED CT" /> </observation> </entryRelationship> </observation> </entryRelationship> </act> </entry> </section> </component> <!-- ******************************************************** 4.14 Medications ******************************************************** --> <component> <section> <templateId root="2.16.840.1.113883.10.20.1.8" /> <templateId root="2.16.840.1.113883.3.88.11.83.112" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.19" /> <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of medication use" /> <title>Medications</title> <text> <content ID="nomeds">Patient not on any medication</content> </text> <entry typeCode="DRIV"> <substanceAdministration classCode="SBADM" moodCode="EVN"> <templateId root="2.16.840.1.113883.3.88.11.83.8" assigningAuthorityName="HITSP C83" /> <templateId root="2.16.840.1.113883.10.20.1.24" assigningAuthorityName="CCD" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7" assigningAuthorityName="IHE PCC" /> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.1" assigningAuthorityName="IHE PCC" /> <id /> <code code="182849000" codeSystem="2.16.840.1.113883.6.96" displayName="No Drug Therapy Prescribed" codeSystemName="SNOMED CT" /> <statusCode code="completed" /> <consumable> <manufacturedProduct> <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.7.2" assigningAuthorityName="IHE PCC" /> <templateId root="2.16.840.1.113883.3.88.11.83.8.2" assigningAuthorityName="HITSP C83" /> <templateId root="2.16.840.1.113883.10.20.1.53" assigningAuthorityName="CCD" /> <manufacturedMaterial> <code> <originalText> <reference value="#nomeds" /> </originalText> </code> </manufacturedMaterial> </manufacturedProduct> </consumable> </substanceAdministration> </entry> </section> </component> <!-- ******************************************************** 4.16 Immunization ******************************************************** --> </structuredBody> </component> </ClinicalDocument>



    Wednesday, August 22, 2012 1:45 AM

Answers

  • As of the HealthVault release on 2/4/2013, the SDTC HITSP extensions are now supported natively.

    Jeff Jones
    Technical Lead
    Microsoft HealthVault

    Tuesday, February 12, 2013 10:40 PM

All replies

  • Having just gone through this exercise. We were using the Direct Protocol for the exchange and setting the content type to "application/ccd-xml" allowed our CCD attachment to pass through to the CCD bucket.

    http://social.msdn.microsoft.com/Forums/br/healthvault/thread/4f337a9a-2f44-4a9d-b560-a66e1546d574

    Friday, August 24, 2012 8:49 PM
  • Rich, the document you submitted is failing our schema validation for the C32. We use a schema document that we received from HL7 for this, so I'm not sure where the disconnect is happening with the NIST validator ... I'll investigate a bit.

    You can test your files against our schema using the tools at http://developer.healthvault.com (use the Health Types Schema Browser, which both has the schema and a tool to test validation). I see two problems with your schema; one of which may be ours:

    1. The file has empty "value" attributes on the <reference> element in two places:

         <text><reference value="" /></text>
         <originalText><reference value=" " /></originalText>

    The schema disallows empty or blank strings in these attributes ... this one is a problem with your CCD generation.

    2. You're using hte HL7 SDTC extension to add a <patient> element... our schema validator is puking on this extension, which isn't valid according to our C32 schema, but seems like relatively common use ... so I will ask our team to look into this one. In the immediate term, if you remove the SDTC: elements (and fix issue #1 above) your file parses fine.

    Hope that helps and let us know if you run into other problems.

    ---S

     

    Thursday, August 30, 2012 5:41 AM
  • As of the HealthVault release on 2/4/2013, the SDTC HITSP extensions are now supported natively.

    Jeff Jones
    Technical Lead
    Microsoft HealthVault

    Tuesday, February 12, 2013 10:40 PM