Record Severed Extension

Canonical	../StructureDefinition/nexus-record-severed
Status	draft (experimental) · 1.26.0
Base	Extension (constraint)
Context	Resource (element)
Source	FSH · JSON

Marks a record as SEVERED: retained and traceable, but removed from ordinary clinical view because it was found to be incorrect.

Elements / Details

Every element this profile touches, with its full definition. Element names in the tables link here.

Extension

Short	Record Severed Extension
Definition	Marks a record as SEVERED: retained and traceable, but removed from ordinary clinical view because it was found to be incorrect. Severing is what a custodian does when incorrect information cannot simply be overwritten -- it must remain retrievable, because a correction has to be auditable, while ceasing to be presented as though it were part of the patient's clinical picture. Distinct from deletion, and from an error status. A deleted record cannot be audited. A record marked entered-in-error is still returned by ordinary reads and is still rendered by clients that do not check status. Severing is an instruction about VISIBILITY, and it is carried separately for exactly that reason.
Cardinality	0..*
Invariants	ele-1, ext-1

Extension.id

Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	http://hl7.org/fhirpath/System.String

Extension.extension

Short	Additional content defined by implementations
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	1..*
Type	Extension
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:severedDate

Short	When the record was severed
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	1..1
Type	Extension
Must Support	yes
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:severedDate.id

Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	http://hl7.org/fhirpath/System.String

Extension.extension:severedDate.extension

Short	Additional content defined by implementations
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	0..0
Type	Extension
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:severedDate.url

Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality	1..1
Type	http://hl7.org/fhirpath/System.String
Fixed value	severedDate

Extension.extension:severedDate.value[x]

Short	Value of extension
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	1..1
Type	dateTime
Invariants	ele-1

Extension.extension:reason

Short	Why, in the words a reader needs
Definition	Free text. Uncoded deliberately: the reason a specific entry was found incorrect is particular to that entry, and a code set would either be uselessly generic or would grow without bound.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	0..1
Type	Extension
Must Support	yes
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:reason.id

Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	http://hl7.org/fhirpath/System.String

Extension.extension:reason.extension

Short	Additional content defined by implementations
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	0..0
Type	Extension
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:reason.url

Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality	1..1
Type	http://hl7.org/fhirpath/System.String
Fixed value	reason

Extension.extension:reason.value[x]

Short	Value of extension
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	1..1
Type	string
Invariants	ele-1

Extension.extension:retainedFor

Short	The basis on which the severed content is still kept
Definition	Why this content is retained despite being wrong -- the retention obligation, the open complaint, the correction audit it supports. Present because a severed record raises the obvious question of why it is still here, and the answer has to be on the record rather than in somebody's memory. It is also what tells a later retention sweep whether the content may now go.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	0..1
Type	Extension
Must Support	yes
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:retainedFor.id

Short	Unique id for inter-element referencing
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0..1
Type	http://hl7.org/fhirpath/System.String

Extension.extension:retainedFor.extension

Short	Additional content defined by implementations
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Cardinality	0..0
Type	Extension
Invariants	ele-1, ext-1
Also called	extensions, user content

Extension.extension:retainedFor.url

Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality	1..1
Type	http://hl7.org/fhirpath/System.String
Fixed value	retainedFor

Extension.extension:retainedFor.value[x]

Short	Value of extension
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	1..1
Type	string
Invariants	ele-1

Extension.url

Short	identifies the meaning of the extension
Definition	Source of the definition for the extension code - a logical name or a URL.
Comments	The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Cardinality	1..1
Type	http://hl7.org/fhirpath/System.String
Fixed value	../StructureDefinition/nexus-record-severed

Extension.value[x]

Short	Value of extension
Definition	Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).
Cardinality	0..0
Type	base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
Invariants	ele-1