I'm getting the error above while trying to use the NIST validation tool on a CCD created by Healthshare.
Here is the full <patient> element:
<patient>
<name use="L">
<family>TESTPATIENT</family>
<given>ZZKIDJULY</given>
</name>
<administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender" displayName="Female" />
<birthTime value="20020102000000" />
<maritalStatusCode code="S" codeSystem="2.16.840.1.113883.5.2" codeSystemName="MaritalStatus" displayName="Single" />
<religiousAffiliationCode code="1034" codeSystem="2.16.840.1.113883.5.1076" codeSystemName="ReligiousAffiliation" displayName="1034" />
<raceCode nullFlavor="OTH">
<translation code="Declined_to_specify" codeSystem="2.16.840.1.113883.3.86.3.1" codeSystemName="ISC-NoCodeSystem" displayName="Declined to specify" />
</raceCode>
<sdtc:raceCode xmlns:sdtc="urn:hl7-org:sdtc" code="1002-5" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC" displayName="American Indian or Alaska Native" />
<sdtc:raceCode xmlns:sdtc="urn:hl7-org:sdtc" code="2106-3" codeSystem="2.16.840.1.113883.6.238" codeSystemName="Race & Ethnicity - CDC" displayName="White" />
<ethnicGroupCode nullFlavor="OTH">
<originalText>Declined to specify</originalText>
<translation code="Declined_to_specify" codeSystem="2.16.840.1.113883.3.86.3.1" codeSystemName="ISC-NoCodeSystem" displayName="Declined to specify" />
</ethnicGroupCode>
<languageCommunication>
<languageCode code="English" />
<preferenceInd value="true" />
</languageCommunication>
</patient> 