AssignedAuthor and Preconditions not populated when getAllSections() on ClinicalDocument object is called

[tanvip15]

I am using jars from MDHT_CCDA_R2.1_R1.1_MU2_DS4P_20220126. And when I call getAllSections on ClinicalDocument , Authors is populated but AssignedAuthor is null.
Also in entries object, substanceAdministration is populated but Preconditions is null.

I am loading following packages:
CDAPackage.eINSTANCE.eClass();
CDAUtil.loadPackages();
ConsolPackage.eINSTANCE.eClass();

Am I missing any packages?

@swmuir
@drbgfc

[swmuir]

Are you able to post the xml you are referring to - with no PHI
I am not able to duplicate

[tanvip15]

<title>170.315_b1_toc_amb_ccd_r21_sample2 test data</title> 1004 Amber Dr Beaverton OR 97006 US Christopher Hammer jr Neighborhood Physicians Practice 2472 Rocky place Beaverton OR 97006 US 2472 Rocky place Beaverton OR 97006 US Neighborhood Physicians Practice EMR Amb EMR v1.0 Neighborhood Physicians Practice 2472 Rocky place Beaverton OR 97006 US Tracy Davis 2472 Rocky place Beaverton OR 97006 US Albert Davis Julia Hammer Neighborhood Physicians Practice 2472 Rocky place Beaverton OR 97006 US Dr Albert Davis Neighborhood Physicians Practice 2472 Rocky place Beaverton OR 97006 US Dr Albert Davis 2472 Rocky place Beaverton OR 97006 US Dr Albert Davis 1004 Amber Dr Beaverton OR 97006 US Mr. Mathew Hammer 1004 Amber Dr Beaverton OR 97006 US Ms Julia Hammer Primary Care Provider 2472 Rocky place Beaverton OR 97006 US Dr Albert Davis Neighborhood Physicians Practice 2472 Rocky place Beaverton OR 97006 US 2472 Rocky place Beaverton OR 97006 US Tracy Davis

  <!-- ***************** ALLERGIES *************** -->
  <!-- edited as per test doc - all data relevant -db -->
  <component>
    <section>
      <!-- *** Allergies and Intolerances Section (entries required) (V3) *** -->
      <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"/>
      <!-- Alerts section template -->
      <code code="48765-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
      <title>ALLERGIES AND ADVERSE REACTIONS</title>
      <text>No Known Allergies</text>
      <!-- replaced Allergy Problem Act (R1.1) with 
				Allergy Concern Act (V3) to meet R2.1 validation requirements -DB-->
      <entry typeCode="DRIV">
        <act classCode="ACT" moodCode="EVN">
          <!-- ** Allergy Concern Act (V3) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.30" extension="2015-08-01"/>
          <!--Critical Change-->
          <templateId root="2.16.840.1.113883.10.20.22.4.30"/>
          <id root="36e3e930-7b15-11db-9fe1-0800200c9a66"/>
          <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
          <!-- The statusCode represents the need to continue tracking the allergy -->
          <!-- This is of ongoing concern to the provider -->
          <statusCode code="active"/>
          <effectiveTime>
            <!-- The low value represents when the allergy was first recorded in the patient's chart -->
            <low value="20150722"/>
          </effectiveTime>
          <entryRelationship typeCode="SUBJ">
            <!-- using negationInd="true" to signify that there are is NO food allergy (disorder) allergy -db -->
            <observation classCode="OBS" moodCode="EVN" negationInd="true">
              <!-- ** Allergy observation (V2) ** -->
              <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="4adc1020-7b16-11db-9fe1-0800200c9a66"/>
              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
              <statusCode code="completed"/>
              <effectiveTime nullFlavor="NA"/>
              <!-- We cannot use the No known Food Allergy value/@code 429625007 
								required by the test data as it is not part of the valueSet required 
								(Allergy/Adverse Event Type 2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC CONF:1098-7390 -db -->
              <!--
								<value xsi:type="CD" code="429625007"
									displayName="No known Food Allergy"
									codeSystem="2.16.840.1.113883.6.96"
									codeSystemName="SNOMED-CT">
									<originalText>
										<reference value="#reaction1"/>
									</originalText>
								</value>
								-->
              <!-- using Food allergy (disorder) along with negationInd instead -db -->
              <value xsi:type="CD" code="419199007"
									displayName="Allergy to substance (disorder)"
									codeSystem="2.16.840.1.113883.6.96"
									codeSystemName="SNOMED-CT">
              </value>
              <!-- In C-CDA R2 the participant is required. The SNOMED code ="105590001" displayName="Substance" could be used in the participant-->
              <participant typeCode="CSM">
                <participantRole classCode="MANU">
                  <playingEntity classCode="MMAT">
                    <code nullFlavor="NA"/>
                  </playingEntity>
                </participantRole>
              </participant>
            </observation>
          </entryRelationship>
        </act>
      </entry>
    </section>
  </component>

  <!-- ******************************* MEDICATIONS ***************************** -->
  <!-- edited as per test doc - all data relevant -db -->
  <component>
    <section>
      <!-- *** Medications Section (entries required) (V2) *** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.1.1" extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.1.1"/>
      <code code="10160-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF MEDICATION USE"/>
      <title>MEDICATIONS</title>
      <text>No known Medications</text>
      <entry>
        <!-- Act.actionNegationInd -->
        <substanceAdministration moodCode="EVN" classCode="SBADM" negationInd="true">
          <!-- ** Medication Activity (V2) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.16" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.16"/>
          <id root="cdbd33f0-6cde-12db-9fe1-0800200c9a66"/>
          <statusCode code="active"/>
          <effectiveTime nullFlavor="NA"/>
          <doseQuantity nullFlavor="NA"/>
          <consumable>
            <manufacturedProduct classCode="MANU">
              <!-- ** Medication information ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.23" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.23"/>
              <manufacturedMaterial>
                <code nullFlavor="OTH" codeSystem="2.16.840.1.113883.6.88">
                  <translation code="410942007" displayName="drug or medication"
											codeSystem="2.16.840.1.113883.6.96"
											codeSystemName="SNOMED-CT"/>
                </code>
              </manufacturedMaterial>
            </manufacturedProduct>
          </consumable>
          <precondition typeCode="PRCN">
            <!-- Precondition for Substance Administration MDHT library -->
            <templateId root="2.16.840.1.113883.10.20.22.4.25" extension="2014-06-09" />
            <criterion>
              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
              <value xsi:type="CD" code="56018004" codeSystem="2.16.840.1.113883.6.96" displayName="Wheezing" />
            </criterion>
          </precondition>
        </substanceAdministration>
      </entry>
    </section>
  </component>

  <!-- ***************** PROBLEM LIST *********************** -->
  <!-- edited as per test doc - all data relevant -db -->
  <component>
    <section>
      <!--  *** Problem Section (entries required) (V3) *** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.5.1" extension="2015-08-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.5.1"/>
      <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="PROBLEM LIST"/>
      <title>PROBLEMS</title>
      <text ID="Concern_1">
        <content ID="problems1">
          No known <content ID="problemType1">problems</content>
        </content>
      </text>
      <entry typeCode="DRIV">
        <!-- Problem Concern Act -->
        <act classCode="ACT" moodCode="EVN">
          <!-- ** Problem Concern Act (V3) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.3" extension="2015-08-01" />
          <templateId root="2.16.840.1.113883.10.20.22.4.3" />
          <id root="36e3e930-7b14-13db-9fe1-0800200c9a66"/>
          <!-- SDWG supports 48765-2 or CONC in the code element -->
          <code code="CONC" codeSystem="2.16.840.1.113883.5.6"/>
          <text>
            <reference value="#Concern_1"></reference>
          </text>
          <statusCode code="active"/>
          <!-- The concern is not active, in terms of there being an active condition to be managed.-->
          <effectiveTime>
            <low value="20150722"/>
            <!-- Time at which THIS concern began being tracked.-->
          </effectiveTime>
          <!-- status is active so high is not applicable. If high is present it should have nullFlavor of NA-->
          <entryRelationship typeCode="SUBJ">
            <!-- Model of Meaning for No Problems -->
            <!-- The use of negationInd corresponds with the newer Observation.ValueNegationInd -->
            <!-- The negationInd = true negates the value element. -->
            <!-- problem observation template -->
            <observation classCode="OBS" moodCode="EVN" negationInd="true">
              <!-- ** Problem observation  (V3)** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.4" extension="2015-08-01"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.4"/>
              <id root="4adc1021-7b15-14db-9fe1-0800200c9a67"/>
              <!-- updated for R2.1 -db -->
              <code code="55607006" displayName="Problem" codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
                <!-- This code SHALL contain at least one [1..*] translation, which SHOULD be selected from ValueSet Problem Type (LOINC) -->
                <translation code="75326-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem"/>
              </code>
              <text>
                <reference value="#problems1"></reference>
              </text>
              <statusCode code="completed"/>
              <!-- The time when this was biologically relevant ie True for the patient. -->
              <!-- As a minimum time interval over which this is true, populate the effectiveTime/low with the current time. -->
              <!-- It would be equally valid to have a longer range of time over which this statement was represented as being true. -->
              <!-- As a maximum, you would never indicate an effectiveTime/high that was greater than the current point in time. -->
              <effectiveTime>
                <low value="20150722"/>
              </effectiveTime>
              <!-- This idea assumes that the value element could come from the Problem value set, or-->
              <!-- when negationInd was true, is could also come from the ProblemType value set (and code would be ASSERTION). -->
              <value xsi:type="CD" code="55607006"
									displayName="Problem"
									codeSystem="2.16.840.1.113883.6.96"
									codeSystemName="SNOMED-CT">
                <originalText>
                  <reference value="#problems1"></reference>
                </originalText>
              </value>
            </observation>
          </entryRelationship>
        </act>
      </entry>
    </section>
  </component>

  <!-- added Encounters Section data as required by sample2 db -->
  <!-- ************************ ENCOUNTERS *********************** -->
  <!-- edited as per test doc - most of the data is directly relevant -db -->
  <!-- Although only EO is needed, ER was used due to the Yellow highlight/2015 certification requirements 
		in CCD for Encounters. This will of course work for all other cases as well so is more universal. -db -->
  <component>
    <section>
      <!-- *** Encounters section (entries required) (V3) *** -->
      <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>Location</th>
              <th>Date</th>
            </tr>
          </thead>
          <tbody>
            <tr>
              <td ID="Encounter1">Annual Health Maintenance, History and Physical</td>
              <td>Neighborhood Physicians Practice</td>
              <td>July 22, 2015 2pm EST</td>
            </tr>
          </tbody>
        </table>
      </text>
      <entry typeCode="DRIV">
        <encounter classCode="ENC" moodCode="EVN">
          <!-- ** Encounter Activity (V3) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.49" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.49"/>
          <id root="2a620155-9d11-449e-92b3-5d9815ff4de8"/>
          <code code="78318003" displayName="Annual Health Maintenance, History and Physical"
								codeSystemName="SNOMED-CT" codeSystem="2.16.840.1.113883.6.96">
            <originalText>
              <reference value="#Encounter1"/>
            </originalText>
          </code>
          <effectiveTime value="20150722"/>
          <participant typeCode="LOC">
            <participantRole classCode="SDLOC">
              <!-- this is the only version of this template -db -->
              <templateId root="2.16.840.1.113883.10.20.22.4.32"/>
              <!-- Service Delivery Location template -->
              <!-- the test data does not specify specific data for this code -db -->
              <code code="1160-1" codeSystem="2.16.840.1.113883.6.259" codeSystemName="HL7 HealthcareServiceLocation" displayName="Urgent Care Center"/>
              <addr>
                <streetAddressLine>2472 Rocky place</streetAddressLine>
                <city>Beaverton</city>
                <state>OR</state>
                <postalCode>97006</postalCode>
                <country>US</country>
              </addr>
              <telecom value="tel:+1(555)-555-1002" use="WP"/>
              <playingEntity classCode="PLC">
                <name>Neighborhood Physicians Practice</name>
              </playingEntity>
            </participantRole>
          </participant>
        </encounter>
      </entry>
    </section>
  </component>

  <!-- ******************** IMMUNIZATIONS ********************* -->
  <!-- edited as per test doc - NOT all data is relevant, but all entries themselves are relevant -db -->
  <component>
    <section>
      <!-- *** Immunizations Section (entries required) (V2) *** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.2.1" extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.2.1"/>
      <code code="11369-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="History of immunizations"/>
      <title>IMMUNIZATIONS</title>
      <text>No known immunization history</text>
      <entry typeCode="DRIV">
        <!-- using negationInd="true" to signify that there are no known immunizations -->
        <substanceAdministration classCode="SBADM" moodCode="EVN" negationInd="true">
          <!-- ** Immunization Activity (V3) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.52" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.52"/>
          <id root="de10790f-1496-4729-8fe6-f1b87b6219f7"/>
          <statusCode code="active"/>
          <effectiveTime nullFlavor="NA"/>
          <routeCode nullFlavor="NA"/>
          <consumable>
            <manufacturedProduct classCode="MANU">
              <!-- ** Immunization Medication Information (V2) ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.54" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.54"/>
              <manufacturedMaterial>
                <!-- there is no generic vaccine code and no known recommended way to do this - 
									leaving generic flu for now just as an example. Not sure if it makes more sense to apply a nullFlavor? -db -->
                <code nullFlavor="OTH">
                  <!-- Optional original text -->
                  <originalText>Vaccination</originalText>
                  <translation code="71181003" displayName="vaccine"
										codeSystem="2.16.840.1.113883.6.96"
										codeSystemName="SNOMED-CT"/>
                </code>
                <!-- NA since there is no immunization data -db -->
                <lotNumberText nullFlavor="NA"/>
              </manufacturedMaterial>
            </manufacturedProduct>
          </consumable>
          <precondition typeCode="PRCN">
            <!-- Precondition for Substance Administration MDHT library -->
            <templateId root="2.16.840.1.113883.10.20.22.4.25" extension="2014-06-09" />
            <criterion>
              <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4" />
              <value xsi:type="CD" code="56018004" codeSystem="2.16.840.1.113883.6.96" displayName="Wheezing" />
            </criterion>
          </precondition>
        </substanceAdministration>
      </entry>
    </section>
  </component>

  <!-- ************* VITAL SIGNS *************** -->
  <!-- edited as per test doc - most of this data is directly relevant -db -->
  <component>
    <section>
      <!-- ** Vital Signs Section (entries required) (V3) ** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.4.1" extension="2015-08-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.4.1"/>
      <code code="8716-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="VITAL SIGNS"/>
      <title>VITAL SIGNS</title>
      <text>
        <table border="1" width="100%">
          <thead>
            <tr>
              <th align="right">Date / Time: </th>
              <th>July 22, 2015</th>
            </tr>
          </thead>
          <tbody>
            <tr>
              <th align="left">Height</th>
              <td ID="vit1">177 cm</td>
            </tr>
            <tr>
              <th align="left">Weight</th>
              <td ID="vit2">88 kg</td>
            </tr>
            <tr>
              <th align="left">Blood Pressure</th>
              <td ID="vit3">145/88 mm[Hg]</td>
            </tr>
          </tbody>
        </table>
      </text>
      <entry typeCode="DRIV">
        <organizer classCode="CLUSTER" moodCode="EVN">
          <!-- ** Vital signs organizer (V3) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.26" extension="2015-08-01"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.26"/>
          <id root="31b73bd0-cffc-4599-903e-dbe54bc56cb4"/>
          <code code="46680005" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" displayName="Vital signs">
            <!-- A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation -->
            <translation code="74728-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Vital signs"/>
          </code>
          <statusCode code="completed"/>
          <effectiveTime>
            <low value="20150722"/>
            <high value="20150722"/>
          </effectiveTime>
          <component>
            <observation classCode="OBS" moodCode="EVN">
              <!-- ** Vital sign observation (V2) ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
              <id root="ed9589fd-fda0-42f7-a3d0-dc537554f5c2"/>
              <code code="8302-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Height"/>
              <statusCode code="completed"/>
              <effectiveTime value="201507221405-0500"/>
              <value xsi:type="PQ" value="177" unit="cm"/>
              <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
            </observation>
          </component>
          <component>
            <observation classCode="OBS" moodCode="EVN">
              <!-- ** Vital sign observation ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
              <id root="f4e729e2-a97f-4a7e-8e24-c92f9b6b55cf"/>
              <code code="29463-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Patient Body Weight"/>
              <statusCode code="completed"/>
              <effectiveTime value="201507221405-0500"/>
              <value xsi:type="PQ" value="88" unit="kg"/>
              <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
            </observation>
          </component>
          <component>
            <observation classCode="OBS" moodCode="EVN">
              <!-- ** Vital sign observation ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
              <id root="1c2748b7-e440-42ba-bc02-dde97d84a036"/>
              <code code="8462-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="BP Diastolic"/>
              <statusCode code="completed"/>
              <effectiveTime value="201507221410-0500"/>
              <value xsi:type="PQ" value="88" unit="mm[Hg]"/>
              <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
            </observation>
          </component>
          <component>
            <observation classCode="OBS" moodCode="EVN">
              <!-- ** Vital sign observation ** -->
              <templateId root="2.16.840.1.113883.10.20.22.4.27" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.27"/>
              <id root="a0e39c70-9675-4b2a-9837-cdf74200d8d5"/>
              <code code="8480-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Intravascular Systolic"/>
              <statusCode code="completed"/>
              <effectiveTime value="201507221410-0500"/>
              <value xsi:type="PQ" value="145" unit="mm[Hg]"/>
              <interpretationCode code="N" codeSystem="2.16.840.1.113883.5.83"/>
            </observation>
          </component>
        </organizer>
      </entry>
    </section>
  </component>

  <!-- ******************* SOCIAL HISTORY ********************* -->
  <!-- edited as per test doc - most of this data is directly relevant -db -->
  <component>
    <section>
      <!--  ** Social History Section (V3) ** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.17" extension="2015-08-01"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.17"/>
      <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</th>
              <th>Dates Observed</th>
            </tr>
          </thead>
          <tbody>
            <tr>
              <td>Current Smoking Status</td>
              <td>Current every day</td>
              <td>July 22, 2015</td>
            </tr>
            <tr>
              <td ID="BirthSexInfo">Birth Sex</td>
              <td>Male</td>
              <td>July 22, 2015</td>
            </tr>
          </tbody>
        </table>
      </text>
      <!-- Current Smoking Status - July 22, 2015 -db -->
      <entry typeCode="DRIV">
        <observation classCode="OBS" moodCode="EVN">
          <!-- ** Smoking Status - Meaningful Use (V2) ** -->
          <templateId root="2.16.840.1.113883.10.20.22.4.78" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.78"/>
          <id extension="123456789" root="2.16.840.1.113883.19"/>
          <!-- code SHALL be 72166-2 for Smoking Status - Meaningful Use (V2) -db -->
          <code code="72166-2" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Tobacco smoking status NHIS"/>
          <statusCode code="completed"/>
          <!-- The effectiveTime reflects when the current smoking status was observed. -->
          <effectiveTime value="20150722"/>
          <!-- The value represents the patient's smoking status currently observed. -->
          <!-- Consol Smoking Status Meaningful Use2 SHALL contain exactly one [1..1] value (CONF:1098-14810), which SHALL be selected from ValueSet Current Smoking Status 2.16.840.1.113883.11.20.9.38 STATIC 2014-09-01 (CONF:1098-14817) -db -->
          <value xsi:type="CD" code="449868002" displayName="Current every day smoker" codeSystem="2.16.840.1.113883.6.96"/>
        </observation>
      </entry>

      <!-- Add Birth Sex entry -->
      <entry>
        <observation classCode="OBS" moodCode="EVN">
          <templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2016-06-01"/>
          <code code="76689-9" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Sex Assigned At Birth"/>
          <text>
            <reference value="#BirthSexInfo"/>
          </text>
          <statusCode code="completed"/>
          <effectiveTime value="20150722"/>
          <value code="M" codeSystem="2.16.840.1.113883.5.1" xsi:type="CD" displayName="Male"/>
        </observation>
      </entry>

    </section>
  </component>

  <!-- ************** PROCEDURES and UDI ***************** -->
  <!-- edited as per test doc - all of this data is directly relevant -db -->
  <!-- based off of 
		https://github.com/brettmarquard/HL7-C-CDA-Task-Force-Examples/blob/master/No_Implanted_Devices.xml
		Fixed proc id in text element Proc->Proc1
		-db -->
  <component>
    <section>
      <!-- Procedures Section (entries required) (V2) -->
      <templateId root="2.16.840.1.113883.10.20.22.2.7.1" extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.7.1"/>
      <code code="47519-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="HISTORY OF PROCEDURES"/>
      <title>PROCEDURES</title>
      <text>
        <paragraph ID="Proc1">No Procedure information</paragraph>
      </text>
      <entry>
        <procedure classCode="PROC" moodCode="EVN" negationInd="true">
          <!-- Procedure Activity Procedure (V2)-->
          <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
          <id root="d5b614bd-01ce-410d-8727-e1fd01dcc72a" />
          <code code="71388002" codeSystem="2.16.840.1.113883.6.96"
							displayName="Procedure">
            <originalText>
              <reference value="#Proc1" />
            </originalText>
          </code>
          <statusCode code="completed" />
          <effectiveTime nullFlavor="NA" />
          <participant typeCode="DEV">
            <participantRole classCode="MANU">
              <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
              <id nullFlavor="NA" root="2.16.840.1.113883.3.3719"/>
              <playingDevice>
                <code code="40388003" codeSystem="2.16.840.1.113883.6.96"
										displayName="Implant"/>
              </playingDevice>
              <scopingEntity>
                <id root="2.16.840.1.113883.3.3719"/>
              </scopingEntity>
            </participantRole>
          </participant>
        </procedure>
      </entry>
    </section>
  </component>

  <!-- ************** No UDI ***************** -->
  <component>
    <section>
      <!-- Medical equipment section -->
      <templateId root="2.16.840.1.113883.10.20.22.2.23" extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.23" />
      <code code="46264-8" codeSystem="2.16.840.1.113883.6.1" />
      <title>MEDICAL EQUIPMENT</title>
      <!-- Alternative text: Patient has no history of procedures with implantable devices'-->
      <!-- Alternative text: Patient has no implanted devices'-->
      <text>
        <paragraph ID="Proc2">Patient has no history of implantable devices</paragraph>
      </text>
      <entry>
        <procedure classCode="PROC" moodCode="EVN" negationInd="true">
          <!-- Procedure Activity Procedure V2-->
          <templateId root="2.16.840.1.113883.10.20.22.4.14"/>
          <templateId root="2.16.840.1.113883.10.20.22.4.14" extension="2014-06-09"/>
          <id root="d5b614bd-01ce-410d-8728-e1fd01dcc72a" />
          <code code="71388002" codeSystem="2.16.840.1.113883.6.96"
            displayName="Procedure"/>
          <text>
            <reference value="#Proc2"/>
          </text>
          <statusCode code="completed" />
          <effectiveTime nullFlavor="NA" />
          <participant typeCode="DEV">
            <participantRole classCode="MANU">
              <templateId root="2.16.840.1.113883.10.20.22.4.37"/>
              <!-- UDI is 'not applicable' since no procedure -->
              <id nullFlavor="NA" root="2.16.840.1.113883.3.3719"/>
              <playingDevice>
                <code code="40388003" codeSystem="2.16.840.1.113883.6.96"
                  displayName="Implant"/>
              </playingDevice>
              <scopingEntity>
                <id root="2.16.840.1.113883.3.3719"/>
              </scopingEntity>
            </participantRole>
          </participant>
        </procedure>
      </entry>
    </section>
  </component>

  <!-- ******************** RESULTS ************************ -->
  <!-- edited as per test doc - all of this data is directly relevant -db -->
  <component>
    <section nullFlavor="NI">
      <!-- Results Section (entries required) (V3) -->
      <templateId root="2.16.840.1.113883.10.20.22.2.3.1" extension="2015-08-01"/>
      <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>No Lab Tests. No Lab results.</text>
    </section>
  </component>

  <!-- removed component Advance Directives as not required by test data -db -->

  <!-- removed component Family History as not required by test data -db -->

  <!-- added component Functional Status as required by test data -db -->
  <!-- 
		********************************************************
		FUNCTIONAL STATUS
		********************************************************
		-->
  <component>
    <section nullFlavor="NI">
      <!-- Functional Status Section (V2)-->
      <templateId root="2.16.840.1.113883.10.20.22.2.14" extension="2014-06-09"/>
      <!-- Functional Status Section -->
      <templateId root="2.16.840.1.113883.10.20.22.2.14"/>
      <code code="47420-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Functional Status"/>
      <title>FUNCTIONAL STATUS</title>
      <text>No Functional Status information</text>
    </section>
  </component>

  <!-- removed component Medical Equipment as not required by test data -db -->

  <!-- removed component Payers as not required by test data -db -->

  <!-- added Assessment -db -->
  <!-- 
		********************************************************
		Assessment
		********************************************************
		-->
  <!-- edited as per test doc - all of this data is directly relevant -db -->
  <component>
    <section>
      <!-- Assessment Section -db -->
      <!-- There is no R2.1 (or 2.0) version of Assessment Section, using R1.1 templateId only -db -->
      <templateId root="2.16.840.1.113883.10.20.22.2.8"/>
      <code codeSystem="2.16.840.1.113883.6.1"
					 codeSystemName="LOINC" code="51848-0"
					 displayName="ASSESSMENTS"/>
      <title>ASSESSMENTS</title>
      <text>The patient was found to be healthy and advised to follow his current routine of exercise, work, sleep and quality of life.</text>
    </section>
  </component>

  <!-- ******************* PLAN OF TREATMENT ********************** -->
  <!-- edited as per test doc - all of this data is directly relevant -db -->
  <component>
    <section>
      <!--  **** Plan of Treatment Section (V2) **** -->
      <templateId root="2.16.840.1.113883.10.20.22.2.10" extension="2014-06-09"/>
      <templateId root="2.16.840.1.113883.10.20.22.2.10"/>
      <code code="18776-5" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Treatment plan"/>
      <title>TREATMENT PLAN</title>
      <text>
        <content styleCode="Bold"> Hand-off Communication:</content>
        <br/>
        <br/>
        <table border="1" width="100%">
          <thead>
            <tr>
              <th>Planned Care</th>
              <th>Start Date</th>
            </tr>
          </thead>
          <tbody>
            <!-- Encounters -db -->
            <tr>
              <td>Schedule a visit for next year.</td>
              <td>July 22, 2016</td>
            </tr>
          </tbody>
        </table>
      </text>
      <!-- Encounters -db -->
      <!-- added the following planned encounters loosely based off of example here:
				https://github.com/gecole/HL7-Task-Force-Examples/blob/master/ReferralToC170.314b2Ambulatory.xml -db -->
      <entry>
        <!-- encounter with moodCode indicating Intent -->
        <encounter classCode="ENC" moodCode="INT">
          <!-- Planned Encounter (V2) templateId -->
          <templateId root="2.16.840.1.113883.10.20.22.4.40" extension="2014-06-09" />
          <templateId root="2.16.840.1.113883.10.20.22.4.40"/>
          <id root="1.3.6.1.42424242.4.99930.4.3.4"/>
          <!-- templateId and id are all that are required or specified in C-CDA R1.1; with C-CDA R2.0 the documentation changes quite a bit -->
          <!-- code from the Planned Encounter Type value set; 11429006 is reflective of the example data, but local policy and use may result in selection of a different code -->
          <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" code="11429006" displayName="consultation"/>
          <!-- statusCode added as per C-CDA R2.1 -db -->
          <statusCode code="active"/>
          <effectiveTime>
            <!-- represents latest time to go to appointment -db -->
            <low value="20160722"/>
          </effectiveTime>
          <!-- required for test data -db -->
          <performer>
            <assignedEntity>
              <id root="2.16.840.1.113883.19.5.9999.456" extension="2981823"/>
              <addr use="WP">
                <streetAddressLine>2472 Rocky place</streetAddressLine>
                <city>Beaverton</city>
                <state>OR</state>
                <postalCode>97006</postalCode>
                <country>US</country>
              </addr>
              <telecom value="tel:+1(555)-555-1002" use="WP"/>
              <representedOrganization>
                <id extension="99999999" root="2.16.840.1.113883.4.6"/>
                <name>Neighborhood Physicians Practice</name>
                <telecom value="tel:+1(555)-555-1002" use="WP"/>
                <addr use="WP">
                  <streetAddressLine>2472 Rocky place</streetAddressLine>
                  <city>Beaverton</city>
                  <state>OR</state>
                  <postalCode>97006</postalCode>
                  <country>US</country>
                </addr>
              </representedOrganization>
            </assignedEntity>
          </performer>
          <!-- this references the indication (reason) for the planned encounter -->
          <entryRelationship typeCode="RSON">
            <observation classCode="OBS" moodCode="EVN">
              <!-- PlannedEncounter (V2) -->
              <templateId root="2.16.840.1.113883.10.20.22.4.19" extension="2014-06-09"/>
              <templateId root="2.16.840.1.113883.10.20.22.4.19"/>
              <id root="1.3.6.1.4.1.42424242.4.12354.4.4.4.5.4"/>
              <code codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNOMED-CT" code="185349003" displayName="encounter for 'check-up' (procedure)"/>
              <text>Schedule a visit for next year.</text>
              <statusCode code="completed"/>
              <effectiveTime>
                <low value="20160722"/>
              </effectiveTime>
            </observation>
          </entryRelationship>
        </encounter>
      </entry>
    </section>
  </component>

  <!-- Added Goals - original version from C-CDA_R2_Care_Plan.xml from R2.0 IG package.
		     There are no duplicated template Ids with extensions -
			 as there is only one version in existence for each section and entry listed -db -->
  <!-- 
            ********************************************************
            Goals
            ********************************************************
        -->
  <!-- edited as per test doc -db -->
  <component>
    <section nullFlavor="NI">
      <!-- Goals Section -->
      <templateId root="2.16.840.1.113883.10.20.22.2.60"/>
      <code code="61146-7" displayName="Goals" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC"/>
      <title>Goals Section</title>
      <text>No Goals Information</text>
    </section>
  </component>

  <!-- added Health Concerns -db -->
  <!-- Note: There is no R1.1 version of Health Concerns Section or Health Concern Act -
			 so there is only one templateId per section (they're NEW) -db -->
  <!-- for VDT amb sample2, Changed from No Health concerns to No information. 
		It sounds like the same thing but it is not. 
		No health concerns requires a specific format with a valid entry. No information is just a nullFlavored section. -db -->
  <!-- 
		********************************************************
		Health Concerns
		********************************************************
		-->
  <component>
    <section nullFlavor="NI">
      <!-- Health Concerns Section (V2) (V1 was added as a NEW template in R2.0, V2 was updated in R2.1) -db -->
      <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>No Health Concerns Information</text>
    </section>
  </component>

  <!-- removed Reason for Referral -db -->

  <!-- added Mental Status Section (V2) (used to be NEW in R2.0) 2.16.840.1.113883.10.20.22.2.56 as required by VDT inp test data -db -->
  <!-- 
		********************************************************
		Mental Status Section
		********************************************************
		-->
  <component>
    <section nullFlavor="NI">
      <!-- note: the IG lists the wrong templateId in its example of this section, lists ...2,14 instead of 2.56 -db -->
      <!-- There is no R1.1 version of this template -db -->
      <templateId root="2.16.840.1.113883.10.20.22.2.56" extension="2015-08-01" />
      <!-- Mental Status Section -->
      <code code="10190-7" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="MENTAL STATUS" />
      <title>MENTAL STATUS</title>
      <text>No Mental Status information</text>
    </section>
  </component>

  <!-- added Reason for Referral as required by Referral Note document type 
			 However, there is no test data to support the section so recorded as NI -db -->
  <!-- 
		********************************************************
		Reason for Referral 
		********************************************************
		-->
  <!-- edited as per test doc - all of this data is directly relevant -db -->
  <component>
    <section nullFlavor="NI">
      <!-- Reason for Referral Section (V2) -->
      <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>No Reason for Referral information</text>
    </section>
  </component>

</structuredBody>

[tanvip15]

@swmuir I have added the sample file which has mock data (no PHI data) for preconditions.
Please check if you can duplicate the issue with this file.

I do not have sample data for AssignedAuthor right now.

[tanvip15]

@swmuir Any updates ?

[tanvip15]

@swmuir any updates ??

[kirti-ct]

@swmuir I am facing the same issue.