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For the remaining 2 unique errors, we had implemented the vocabulary as-provided (from the same download), which was either incomplete, or difficult to verify due the obscurity of the value sets.  The IG names the TNM value sets, which are presented incompletely in the guide.  The PHINVADS links are not valid.  A comprehensive list of codes (or iterations) is not readily accessible.

September 6 from Altarum:

We are in the habit of releasing changes/updates after we’ve completed development sprints.  This happens through a scheduled maintenance window, during which we apply the updates to the tool hosted by the MiHIN organization.  When we’ve posted the updates (perhaps in a few weeks?), I should be able to demonstrate clean validations.

September 25

Met with Altarum on September 25 and re-ran all of the test data that had failed validation in their tool previously: the demonstration showed the four test files to pass. Then, I sent a file that they did not have beforehand (that I purposely saved for this occasion) and that file failed basic validation; of note is that this same file passes the CDC validator. Altarum is to investigate and get back to us again--my subsequent analysis determined that the underlying schema for the Cancer Report format is "CDA R2.0", which is different than "C-CDA R2.1", and it appears that the validator used by Altarum is checking to the C-CDA schema; I asked them to get additional test data to run before the next demonstration. I also asked them to get additional test data to run before the next demonstration.    


Criteria

170.315 (f)(4) - Transmission to cancer registries

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