Clinical Document Architecture, published by Health Level 7. This guide is not an authorized publication; it is the continuous build for version 2.0.1-sd built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-core-sd/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON

Logical Model: Custodian (CDA Class)

Represents the organization that is in charge of maintaining the document. The custodian is the steward that is entrusted with the care of the document. Every CDA document has exactly one custodian.The custodian participation satisfies the CDA definition of Stewardship (see What is the CDA (§ 1.1 )). Because CDA is an exchange standard and may not represent the original form of the authenticated document, the custodian represents the steward of the original source document.

Usage:

• Use this Logical Model Profile: ClinicalDocument (CDA Class)

Formal Views of Template Content

Description of Template, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from InfrastructureRoot

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Custodian.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Custodian.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

• cs: Coded Simple Value (http://hl7.org/cda/stds/core/StructureDefinition/cs-simple)

Differential View

This structure is derived from InfrastructureRoot

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code	URI
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Custodian.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Custodian		1..1	InfrastructureRoot	XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class)
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
realmCode		0..*	CS
typeId	C	0..1	II	II-1: An II instance must have either a root or an nullFlavor.
@nullFlavor		0..1	cs	Binding: CDANullFlavor (required)
@assigningAuthorityName		0..1	st
@displayable		0..1	bl
@root		1..1	oid, uuid, ruid	Fixed Value: 2.16.840.1.113883.1.3
@extension		1..1	st
templateId		0..*	II
@typeCode		0..1	cs	Binding: CDAParticipationType (required) Fixed Value: CST
assignedCustodian		1..1	AssignedCustodian
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Custodian.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeId.nullFlavor	required	CDANullFlavor http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor from this IG
Custodian.typeCode	required	Fixed Value: CST http://hl7.org/cda/stds/core/ValueSet/CDAParticipationType from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
II-1	error	Custodian.typeId	An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists()

This structure is derived from InfrastructureRoot

Summary

Mandatory: 0 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

• cs: Coded Simple Value (http://hl7.org/cda/stds/core/StructureDefinition/cs-simple)

Other representations of profile: CSV, Excel