Which of the following indicates a validation issue with a Care Everywhere CCDA document?

• A. A non-CCDA document type
• B. A valid date format for all entries
• C. Missing required sections
• D. A perfectly formatted CCDA with complete data

Answer: (C)

Validation of a Care Everywhere CCDA document hinges on conformance to the required CCDA structure. When essential sections are missing, the document isn’t considered CCDA-compliant, so the validator flags it as an issue. Those required sections ensure critical patient information and clinical data are present in a predictable, processable way, and their absence means the document can’t be reliably interpreted or integrated.

In contrast, having a valid date format for all entries is a sign of proper formatting, supporting successful validation rather than signaling a problem. A perfectly formatted CCDA with complete data would similarly pass validation. A non-CCDA document type isn’t a CCDA at all, so it falls outside CCDA validation and would be rejected for not being the correct document type.