Statement of Disagreement Profile

Canonical	../StructureDefinition/nexus-statement-of-disagreement
Status	draft (experimental) · 1.26.0
Base	Communication Profile (constraint)
Source	FSH · JSON

The individual's own statement about information they asked to have corrected and the custodian refused to correct.

Examples

Nexus statement of disagreement ldl non fasting

Communication/nexus-statement-of-disagreement-ldl-non-fasting — claims conformance to Statement of Disagreement Profile

{
  "resourceType": "Communication",
  "id": "nexus-statement-of-disagreement-ldl-non-fasting",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-statement-of-disagreement"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Statement of disagreement - attached to the LDL result of 8 April 2026</b></p><p>Avery Linwood's own words, recorded after her correction request was refused. Disclosed as written: nobody summarises a statement of disagreement into a chart note.</p><p><strong>Note the two references on <code>about</code>.</strong> One pins the exact version she disputed, which is what an auditor needs. The other names the logical record with no version, so that the statement still travels when a current-state export is assembled - a version-pinned reference alone would silently stop being included the moment the record was edited for any unrelated reason.</p><p><strong>The obligation outlives the workflow.</strong> The correction task on <code>partOf</code> is closed. This statement is not: it must accompany the LDL result every time that result is disclosed, through the API, in a printed chart, in a referral packet or in a generated summary, for as long as the record exists. No release path in this estate reads it yet.</p></div>"
  },
  "status": "completed",
  "category": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/uv/patient-corrections/CodeSystem/PatientCorrectionCommunicationTypes",
          "code": "medRecCxDenialDisagree",
          "display": "Disagreement"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "about": [
    {
      "reference": "Observation/ldl-avery-20260408/_history/1",
      "display": "LDL cholesterol, 8 April 2026 (the version disputed)"
    },
    {
      "reference": "Observation/ldl-avery-20260408",
      "display": "LDL cholesterol, 8 April 2026 (current)"
    }
  ],
  "partOf": [
    {
      "reference": "Task/nexus-emr-clinical-task-correction-request-denied",
      "display": "Correction request, refused 28 June 2026"
    }
  ],
  "sender": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "recipient": [
    {
      "reference": "Organization/cedarbrook-clinic",
      "display": "Cedarbrook Clinic"
    }
  ],
  "sent": "2026-07-02T13:15:00-04:00",
  "payload": [
    {
      "contentString": "I did not fast before this blood test. I told the person taking the sample and I was told it did not matter. I do not accept this number as a fair record of my cholesterol and I want anyone reading it to know that it was taken after I had eaten."
    }
  ]
}