This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version. For a full list of available versions, see the Directory of published versions
This content is an example of the US Realm Header for Patient Generated Document Logical Model and is not a FHIR Resource
<custodian xmlns="urn:hl7-org:v3">
<assignedCustodian>
<representedCustodianOrganization>
<!-- id using HL7 example OID. -->
<id extension="999.3" root="2.16.840.1.113883.19" />
<name>MyPersonalHealthRecord.Com</name>
<telecom value="tel:(555)555-1212" use="WP" />
<addr use="WP">
<streetAddressLine>123 Boylston Street</streetAddressLine>
<city>Blue Hill</city>
<state>MA</state>
<postalCode>02368</postalCode>
<country>USA</country>
</addr>
</representedCustodianOrganization>
</assignedCustodian>
</custodian>