Scope and usage

The MedComDocumentPatient profile describes information about a patient or citizen used in a MedComs Document standard. The MedComDocumentPatient is inherited from the DkCorePatient profile defined by HL7 Denmark. It does not inherit from MedComCorePatient, as more elements, than desired for this purpose, are marked with MustSupport.

Required information

There are certain requirements to which data must be present in a FHIR document. These requirements come from the IHE XDS metadata standard (sourcePatientInfo attribute) that requires for a Danish CPR-number (unique identifier), given and family name, birthdate and gender to be present. Therefore, this information has a minimum cardinality of 1.

It is not allowed to add a replacement-CPR (Danish: erstatningsCPR), as this is not supported in the infrastructure.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient			DkCorePatient
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
identifier	S	1..1	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:cpr	S	1..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
value	S	1..1	string	The value that is unique
name		1..1	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:official	S	1..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
family	S	1..1	string	Family name (often called 'Surname')
given	S	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
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services marital-status-unknown-usage: 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/
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
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	S	1..1	DkCoreCprIdentifier	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	Σ	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 cpr: 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. Example General: 123456 Max Length: 10
identifier:x-ecpr		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	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
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]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
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 | Danish Core Related Person Profile)	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:cpr.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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. : 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})$')	Requirement of danish civil registration numbers
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/ : 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()	Marital status is legally unknown in Denmark

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services marital-status-unknown-usage: 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/
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
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	S	1..1	DkCoreCprIdentifier	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	Σ	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 cpr: 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. 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		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	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	Σ	0..*	ContactPoint	A contact detail for the individual
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]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	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
municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
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	Σ	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	Σ	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	Σ	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 pat-1: SHALL at least contain a contact's details or a reference to an organization
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 Bindings Purpose 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	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
managingOrganization	Σ	0..1	Reference(Organization)	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 | Danish Core Related Person Profile)	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier:cpr.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:cpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.generalPractitioner:referencedSORUnit.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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. : 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})$')	Requirement of danish civil registration numbers
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/ : 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()	Marital status is legally unknown in Denmark
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()

Differential View

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient			DkCorePatient
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
identifier	S	1..1	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:cpr	S	1..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
value	S	1..1	string	The value that is unique
name		1..1	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:official	S	1..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
family	S	1..1	string	Family name (often called 'Surname')
given	S	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
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services marital-status-unknown-usage: 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/
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
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	S	1..1	DkCoreCprIdentifier	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	Σ	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 cpr: 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. Example General: 123456 Max Length: 10
identifier:x-ecpr		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	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
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]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
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 | Danish Core Related Person Profile)	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.identifier:cpr.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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. : 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})$')	Requirement of danish civil registration numbers
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/ : 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()	Marital status is legally unknown in Denmark

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services marital-status-unknown-usage: 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/
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	0..1	Narrative	Text summary of the resource, for human interpretation
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	S	1..1	DkCoreCprIdentifier	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	Σ	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 cpr: 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. 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		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	Σ	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	Σ	0..*	ContactPoint	A contact detail for the individual
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]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	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
municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
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	Σ	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	Σ	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	Σ	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 pat-1: SHALL at least contain a contact's details or a reference to an organization
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 Bindings Purpose 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	An identifier intended for computation
display	Σ	0..1	string	Text alternative for the resource
managingOrganization	Σ	0..1	Reference(Organization)	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 | Danish Core Related Person Profile)	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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.identifier:cpr.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Patient.identifier:cpr.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
Patient.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.address.use	required	AddressUse http://hl7.org/fhir/ValueSet/address-use|4.0.1 from the FHIR Standard
Patient.address.type	required	AddressType http://hl7.org/fhir/ValueSet/address-type|4.0.1 from the FHIR Standard
Patient.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.generalPractitioner:referencedSORUnit.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Patient.link.type	required	LinkType http://hl7.org/fhir/ValueSet/link-type|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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. : 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})$')	Requirement of danish civil registration numbers
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/ : 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()	Marital status is legally unknown in Denmark
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 DkCorePatient

Summary

Mandatory: 6 elements
Must-Support: 9 elements