Specification - Extended

HL7 CDA® R2 IG: C-CDA Templates for Clinical Notes DSTU Release 2.1 - US Realm

Document Description

extended per extended per TSC tracker 12437, again with 14128 and jira.hl7.org/browse/TSC-38

Existing Wording

Currently the CDA R2.0 specification and the C-CDA IG don't provide a way to semantically convey that the patient or an individual (a relatedPerson) is the Custodian of the information. The modeling presupposes that only an organization can be the Custodian of the document. The 21st Century Cures Act drives changes is enabling patients to take control of their own health information. New Apps are empowering patients to generate their own health documentation which the person may be the custodian of, his or her self. We need a way to populate custodian information that is not an Organization. Also we need to clarify that just because a person uses an App to download their information, does that App necessarily become the Custodian? or Is the person the custodian of their own information and the App only serves some other role.