DK MedCom Core Document
1.0.0 - release

DK MedCom Core Document, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk-medcom-core-document/ and changes regularly. See the Directory of published versions

Resource Profile: MedComCoreDocumentPatient

Official URL: http://medcomfhir.dk/ig/coredocument/StructureDefinition/medcom-core-document-patient Version: 1.0.0
Active as of 2025-12-11 Computable Name: MedComCoreDocumentPatient

A profile including requirements for a MedCom Core Document Patient.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* MedComCorePatient Information about an individual or animal receiving health care services
Constraints: marital-status-unknown-usage
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:cpr SΣ 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: official
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.208.176.1.2
..... value SΣC 1..1 string The value that is unique
Constraints: cpr
Example General: 123456
Max Length:10
.... identifier:x-ecpr SΣ 0..1 DkCoreXeCprIdentifier(3.4.0) An identifier intended for computation
.... identifier:d-ecpr SΣ 0..1 DkCoreDeCprIdentifier(3.4.0) An identifier intended for computation
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..1 HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:official SΣ 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Fixed Value: official
..... family SΣ 1..1 string Family name (often called 'Surname')
..... given SΣ 1..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SC 0..* MedComMessagingContactPoint Details of a Technology mediated contact point (phone, fax, email, etc.)
Constraints: cpt-2
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!SΣ 0..1 Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..* Address An address for the individual
.... Slices for extension Content/Rules for all slices
..... extension:municipalityCode 0..1 CodeableConcept [DA] Kommunekode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
..... extension:regionalSubDivisionCodes 0..1 CodeableConcept [DA] Regionskode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
... Slices for generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
Slice: Unordered, Open by value:identifier.system
.... generalPractitioner:referencedSORUnit 0..* Reference(Organization | Practitioner | PractitionerRole) [DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Danish Core Patient Profile(3.4.0) | Danish Core Related Person Profile(3.4.0)) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier:cpr.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.name:official.​use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpr error Patient.identifier:cpr.value Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n.
Requirements:

Requirement of danish civil registration numbers

 matches('^((((0[1-9]|1[0-9]|2[0-9]|3[0-1])(01|03|05|07|08|10|12))|((0[1-9]|1[0-9]|2[0-9]|30)(04|06|09|11))|((0[1-9]|1[0-9]|2[0-9])(02)))[0-9]{6})$')
cpt-2 error Patient.telecom A system is required if a value is provided. value.empty() or system.exists()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
marital-status-unknown-usage warning Patient Status in maritalStatus is unknown in a danish context. Consider mapping the value to UNK. See https://cpr.dk/borgere/hvad-staar-der-om-mig-i-cpr-registerindsigt/hvad-og-hvem-er-registreret-i-cpr-og-hvem-opdaterer-oplysninger-om-dig-i-cpr/
Requirements:

Marital status is legally unknown in Denmark

 maritalStatus.coding.where(code = 'P' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty() or maritalStatus.coding.where(code = 'A' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty()

This structure is derived from MedComCorePatient

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* MedComCorePatient Information about an individual or animal receiving health care services
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... identifier 1..1 Identifier An identifier for this patient
... Slices for identifier Content/Rules for all slices
.... identifier:cpr 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... Slices for name Content/Rules for all slices
.... name:official 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... given 1..* string Given names (not always 'first'). Includes middle names
... gender S 1..1 code male | female | other | unknown
... birthDate S 1..1 date The date of birth for the individual

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* MedComCorePatient Information about an individual or animal receiving health care services
Constraints: marital-status-unknown-usage
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..1 Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:cpr SΣ 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.208.176.1.2
..... value SΣC 1..1 string The value that is unique
Constraints: cpr
Example General: 123456
Max Length:10
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:x-ecpr SΣ 0..1 DkCoreXeCprIdentifier(3.4.0) An identifier intended for computation
.... identifier:d-ecpr SΣ 0..1 DkCoreDeCprIdentifier(3.4.0) An identifier intended for computation
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..1 HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:official SΣ 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Fixed Value: official
..... text Σ 0..1 string Text representation of the full name
..... family SΣ 1..1 string Family name (often called 'Surname')
..... given SΣ 1..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
... telecom SC 0..* MedComMessagingContactPoint Details of a Technology mediated contact point (phone, fax, email, etc.)
Constraints: cpt-2
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!SΣ 0..1 Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..* Address An address for the individual
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:municipalityCode 0..1 CodeableConcept [DA] Kommunekode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
..... extension:regionalSubDivisionCodes 0..1 CodeableConcept [DA] Regionskode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state Σ 0..1 string Sub-unit of country (abbreviations ok)
.... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: DK MaritalStatus (extensible)
... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: DK Related Person Relationship Types (extensible)
.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... Slices for generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
Slice: Unordered, Open by value:identifier.system
.... generalPractitioner:referencedSORUnit 0..* Reference(Organization | Practitioner | PractitionerRole) [DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier 0..1 SORIdentifier(3.4.0) An identifier intended for computation
..... display Σ 0..1 string Text alternative for the resource
... managingOrganization Σ 0..1 Reference(MedComCoreOrganization) {b} Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Danish Core Patient Profile(3.4.0) | Danish Core Related Person Profile(3.4.0)) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Patient.identifier:cpr.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:cpr.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Patient.name:official.​use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.address.type Base required AddressType 📍4.0.1 FHIR Std.
Patient.maritalStatus Base extensible DK MaritalStatus 📦3.4.0 HL7 FHIR Implementation Guide: DK Core v3.4
Patient.contact.relationship Base extensible DK Related Person Relationship Types 📦3.4.0 HL7 FHIR Implementation Guide: DK Core v3.4
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
Patient.generalPractitioner:referencedSORUnit.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpr error Patient.identifier:cpr.value Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n.
Requirements:

Requirement of danish civil registration numbers

 matches('^((((0[1-9]|1[0-9]|2[0-9]|3[0-1])(01|03|05|07|08|10|12))|((0[1-9]|1[0-9]|2[0-9]|30)(04|06|09|11))|((0[1-9]|1[0-9]|2[0-9])(02)))[0-9]{6})$')
cpt-2 error Patient.telecom A system is required if a value is provided. value.empty() or system.exists()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
marital-status-unknown-usage warning Patient Status in maritalStatus is unknown in a danish context. Consider mapping the value to UNK. See https://cpr.dk/borgere/hvad-staar-der-om-mig-i-cpr-registerindsigt/hvad-og-hvem-er-registreret-i-cpr-og-hvem-opdaterer-oplysninger-om-dig-i-cpr/
Requirements:

Marital status is legally unknown in Denmark

 maritalStatus.coding.where(code = 'P' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty() or maritalStatus.coding.where(code = 'A' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty()
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from MedComCorePatient

Summary

Mandatory: 4 elements
Must-Support: 5 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* MedComCorePatient Information about an individual or animal receiving health care services
Constraints: marital-status-unknown-usage
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
.... identifier:cpr SΣ 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: official
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.208.176.1.2
..... value SΣC 1..1 string The value that is unique
Constraints: cpr
Example General: 123456
Max Length:10
.... identifier:x-ecpr SΣ 0..1 DkCoreXeCprIdentifier(3.4.0) An identifier intended for computation
.... identifier:d-ecpr SΣ 0..1 DkCoreDeCprIdentifier(3.4.0) An identifier intended for computation
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..1 HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:official SΣ 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Fixed Value: official
..... family SΣ 1..1 string Family name (often called 'Surname')
..... given SΣ 1..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
... telecom SC 0..* MedComMessagingContactPoint Details of a Technology mediated contact point (phone, fax, email, etc.)
Constraints: cpt-2
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!SΣ 0..1 Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..* Address An address for the individual
.... Slices for extension Content/Rules for all slices
..... extension:municipalityCode 0..1 CodeableConcept [DA] Kommunekode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
..... extension:regionalSubDivisionCodes 0..1 CodeableConcept [DA] Regionskode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
... Slices for generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
Slice: Unordered, Open by value:identifier.system
.... generalPractitioner:referencedSORUnit 0..* Reference(Organization | Practitioner | PractitionerRole) [DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Danish Core Patient Profile(3.4.0) | Danish Core Related Person Profile(3.4.0)) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.identifier:cpr.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.name:official.​use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpr error Patient.identifier:cpr.value Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n.
Requirements:

Requirement of danish civil registration numbers

 matches('^((((0[1-9]|1[0-9]|2[0-9]|3[0-1])(01|03|05|07|08|10|12))|((0[1-9]|1[0-9]|2[0-9]|30)(04|06|09|11))|((0[1-9]|1[0-9]|2[0-9])(02)))[0-9]{6})$')
cpt-2 error Patient.telecom A system is required if a value is provided. value.empty() or system.exists()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
marital-status-unknown-usage warning Patient Status in maritalStatus is unknown in a danish context. Consider mapping the value to UNK. See https://cpr.dk/borgere/hvad-staar-der-om-mig-i-cpr-registerindsigt/hvad-og-hvem-er-registreret-i-cpr-og-hvem-opdaterer-oplysninger-om-dig-i-cpr/
Requirements:

Marital status is legally unknown in Denmark

 maritalStatus.coding.where(code = 'P' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty() or maritalStatus.coding.where(code = 'A' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty()

Differential View

This structure is derived from MedComCorePatient

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient 0..* MedComCorePatient Information about an individual or animal receiving health care services
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... identifier 1..1 Identifier An identifier for this patient
... Slices for identifier Content/Rules for all slices
.... identifier:cpr 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... system S 1..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
... Slices for name Content/Rules for all slices
.... name:official 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... given 1..* string Given names (not always 'first'). Includes middle names
... gender S 1..1 code male | female | other | unknown
... birthDate S 1..1 date The date of birth for the individual

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Patient C 0..* MedComCorePatient Information about an individual or animal receiving health care services
Constraints: marital-status-unknown-usage
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 1..1 Identifier An identifier for this patient
Slice: Unordered, Open by value:system
.... identifier:cpr SΣ 1..1 DkCoreCprIdentifier(3.4.0) Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Fixed Value: official
..... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:1.2.208.176.1.2
..... value SΣC 1..1 string The value that is unique
Constraints: cpr
Example General: 123456
Max Length:10
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:x-ecpr SΣ 0..1 DkCoreXeCprIdentifier(3.4.0) An identifier intended for computation
.... identifier:d-ecpr SΣ 0..1 DkCoreDeCprIdentifier(3.4.0) An identifier intended for computation
... active ?!Σ 0..1 boolean Whether this patient's record is in active use
... Slices for name SΣ 1..1 HumanName A name associated with the patient
Slice: Unordered, Open by value:use
.... name:official SΣ 1..1 HumanName [DA] Officielt navn, som det fremgår af CPR registeret
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!Σ 1..1 code usual | official | temp | nickname | anonymous | old | maiden
Binding: NameUse (required): The use of a human name.
Fixed Value: official
..... text Σ 0..1 string Text representation of the full name
..... family SΣ 1..1 string Family name (often called 'Surname')
..... given SΣ 1..* string Given names (not always 'first'). Includes middle names
This repeating element order: Given Names appear in the correct order for presenting the name
..... prefix Σ 0..* string Parts that come before the name
This repeating element order: Prefixes appear in the correct order for presenting the name
..... suffix Σ 0..* string Parts that come after the name
This repeating element order: Suffixes appear in the correct order for presenting the name
..... period Σ 0..1 Period Time period when name was/is in use
... telecom SC 0..* MedComMessagingContactPoint Details of a Technology mediated contact point (phone, fax, email, etc.)
Constraints: cpt-2
... gender SΣ 1..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate SΣ 1..1 date The date of birth for the individual
... deceased[x] ?!SΣ 0..1 Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
.... deceasedBoolean boolean
.... deceasedDateTime dateTime
... address SΣ 0..* Address An address for the individual
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:municipalityCode 0..1 CodeableConcept [DA] Kommunekode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
..... extension:regionalSubDivisionCodes 0..1 CodeableConcept [DA] Regionskode
URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
.... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
Binding: AddressUse (required): The use of an address.
Example General: home
.... type Σ 0..1 code postal | physical | both
Binding: AddressType (required): The type of an address (physical / postal).
Example General: both
.... text Σ 0..1 string Text representation of the address
Example General: 137 Nowhere Street, Erewhon 9132
.... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
This repeating element order: The order in which lines should appear in an address label
Example General: 137 Nowhere Street
.... city SΣ 0..1 string Name of city, town etc.
Example General: Erewhon
.... district Σ 0..1 string District name (aka county)
Example General: Madison
.... state Σ 0..1 string Sub-unit of country (abbreviations ok)
.... postalCode SΣ 0..1 string Postal code for area
Example General: 9132
.... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
.... period Σ 0..1 Period Time period when address was/is in use
Example General: {"start":"2010-03-23","end":"2010-07-01"}
... maritalStatus 0..1 CodeableConcept Marital (civil) status of a patient
Binding: DK MaritalStatus (extensible)
... multipleBirth[x] 0..1 Whether patient is part of a multiple birth
.... multipleBirthBoolean boolean
.... multipleBirthInteger integer
... photo 0..* Attachment Image of the patient
... contact C 0..* BackboneElement A contact party (e.g. guardian, partner, friend) for the patient
Constraints: pat-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... relationship 0..* CodeableConcept The kind of relationship
Binding: DK Related Person Relationship Types (extensible)
.... name 0..1 HumanName A name associated with the contact person
.... telecom 0..* ContactPoint A contact detail for the person
.... address 0..1 Address Address for the contact person
.... gender 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
.... organization C 0..1 Reference(Organization) Organization that is associated with the contact
.... period 0..1 Period The period during which this contact person or organization is valid to be contacted relating to this patient
... communication 0..* BackboneElement A language which may be used to communicate with the patient about his or her health
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... language 1..1 CodeableConcept The language which can be used to communicate with the patient about his or her health
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
.... preferred 0..1 boolean Language preference indicator
... Slices for generalPractitioner 0..* Reference(Organization | Practitioner | PractitionerRole) Patient's nominated primary care provider
Slice: Unordered, Open by value:identifier.system
.... generalPractitioner:referencedSORUnit 0..* Reference(Organization | Practitioner | PractitionerRole) [DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier 0..1 SORIdentifier(3.4.0) An identifier intended for computation
..... display Σ 0..1 string Text alternative for the resource
... managingOrganization Σ 0..1 Reference(MedComCoreOrganization) {b} Organization that is the custodian of the patient record
... link ?!Σ 0..* BackboneElement Link to another patient resource that concerns the same actual person
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... other Σ 1..1 Reference(Danish Core Patient Profile(3.4.0) | Danish Core Related Person Profile(3.4.0)) The other patient or related person resource that the link refers to
.... type Σ 1..1 code replaced-by | replaces | refer | seealso
Binding: LinkType (required): The type of link between this patient resource and another patient resource.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Patient.language Base preferred Common Languages 📦4.0.1 FHIR Std.
Patient.identifier:cpr.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
Patient.identifier:cpr.​type Base extensible IdentifierType 📦4.0.1 FHIR Std.
Patient.name:official.​use Base required NameUse 📍4.0.1 FHIR Std.
Patient.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.address.use Base required AddressUse 📍4.0.1 FHIR Std.
Patient.address.type Base required AddressType 📍4.0.1 FHIR Std.
Patient.maritalStatus Base extensible DK MaritalStatus 📦3.4.0 HL7 FHIR Implementation Guide: DK Core v3.4
Patient.contact.relationship Base extensible DK Related Person Relationship Types 📦3.4.0 HL7 FHIR Implementation Guide: DK Core v3.4
Patient.contact.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Patient.communication.​language Base preferred Common Languages 📦4.0.1 FHIR Std.
Patient.generalPractitioner:referencedSORUnit.​type Base extensible ResourceType 📦4.0.1 FHIR Std.
Patient.link.type Base required LinkType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
cpr error Patient.identifier:cpr.value Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n.
Requirements:

Requirement of danish civil registration numbers

 matches('^((((0[1-9]|1[0-9]|2[0-9]|3[0-1])(01|03|05|07|08|10|12))|((0[1-9]|1[0-9]|2[0-9]|30)(04|06|09|11))|((0[1-9]|1[0-9]|2[0-9])(02)))[0-9]{6})$')
cpt-2 error Patient.telecom A system is required if a value is provided. value.empty() or system.exists()
dom-2 error Patient If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Patient If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Patient If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Patient If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Patient A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
marital-status-unknown-usage warning Patient Status in maritalStatus is unknown in a danish context. Consider mapping the value to UNK. See https://cpr.dk/borgere/hvad-staar-der-om-mig-i-cpr-registerindsigt/hvad-og-hvem-er-registreret-i-cpr-og-hvem-opdaterer-oplysninger-om-dig-i-cpr/
Requirements:

Marital status is legally unknown in Denmark

 maritalStatus.coding.where(code = 'P' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty() or maritalStatus.coding.where(code = 'A' and system = 'http://terminology.hl7.org/CodeSystem/v3-MaritalStatus').empty()
pat-1 error Patient.contact SHALL at least contain a contact's details or a reference to an organization name.exists() or telecom.exists() or address.exists() or organization.exists()

This structure is derived from MedComCorePatient

Summary

Mandatory: 4 elements
Must-Support: 5 elements

 

Other representations of profile: CSV, Excel, Schematron