Clinical documents represented in CDA must carry an indication of custodianship. The custodian of a document represents the device or organization where the original copy of the document is stored and is used for data provenance. Figure 13 provides an example of a custodian node for a local clinical named "Good Health Clinic".
Figure 13 - Sample custodianship data
<custodian typeCode="CST">
<assignedCustodian classCode="ASSIGNED">
<representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE">
<id root="1.2.3.4.5.6.9.8" extension="1"/>
<name>Good Health Clinic</name>
<telecom nullFlavor="NI"/>
<addr nullFlavor="NI"/>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>
This rule applies to the OpenSHR on-demand document modules as well. Whenever an instance of OpenSHR composes an on-demand document it will represent itself as not only an author, but as the custodian of the data as well.
Overview
Content Tools