Dk Terminology for XDS Metadata
2.0.0 - release

Dk Terminology for XDS Metadata, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk-medcom-xds-metadata/ and changes regularly. See the Directory of published versions

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Official URL: http://medcomfhir.dk/ig/xdsmetadata/ImplementationGuide/medcom.fhir.dk.xdsmetadata Version: 2.0.0
Active as of 2026-01-05 Computable Name: TerminologyforXDSMetadata

Terminology for XDS Metadata

This Implementation Guide (IG) is a FHIR representation of the ValueSets in defined in the IHE-XDS metadata. The ValueSets are used to define the allowed codes for a coded element in the metadata standard. A FHIR representation of the submission of IHE-XDS metadata standard has also been developed using the FHIR resource DocumentReference. The profile MedComDocumentReference includes bindings to the ValueSets in this IG.

The IHE-XDS metadata standard and IHE-XDS metadata ValueSets are currently the officially valid representations of the Danish XDS MetaData Standard and its allowed metadata and codes, respectively.

Please notice: This IG is published as trial use. This version is published to support metadata of the document standard ConditionList. Therefore, only generic ValueSets and specific ValueSets for that standard is included, and more ValueSets should be expected to be included.

Content

This IG includes ValueSets used in the MedComDocumentReference profile. Further, it includes relevant CodeSystems defined by MedCom.

ValueSets

Codes represented in the ValueSets comes from more CodeSystems, intended for use in a particular context. For each coded element in the DocumentReference profile, a ValueSet is included. The included ValueSet can either be generic across metadata for all standards, e.g. HealthCareFacilityTypeCode, or specific for the individual standard, e.g. formatcode. Therefore, several ValueSets for representing e.g. formatCode can be found, one for each type of MedCom document standard.

CodeSystems

CodeSystems define which codes exist and how they should be understood in order to avoid ambiguities. As mentioned, this IG includes only the relevant CodeSystems defined by MedCom or SDS, whereas CodeSystems defined by other organizations can be found elsewhere. In the latter case,references to the relevant CodeSystems are listed in the table below. The FHIR validator can validate the codes in these CodeSystems only when the references are correct. For this reason, some of the references are not OIDs, as seen in the IHE-XDS metadata ValueSets, but the references.

The codes in the ValueSet originate from different CodeSystems that are owned by various organizations. In the table below, these CodeSystems are presented with an OID, name, description from the OID-repository, owner of the CodeSystem, and a reference to the CodeSystem if it is different from the OID listed below.

OID Name Description from OID-registry Owner CodeSystem reference
2.16.840.1.113883.6.96 SCT Systematized Nomenclature Of MEDicine (SNOMED) Clinical Terms (CT) IHTSDO http://snomed.info/sct|http://snomed.info/sct/554471000005108
2.16.840.1.113883.6.1 LOINC Logical Observation Identifier Names and Codes (LOINC) Regenstrief Institute http://loinc.org
2.16.840.1.113883.5.79 mediaType mediaType HL7 urn:ietf:bcp:13
2.16.840.1.113883.6.121 ieft3066 Tags for the Identification of Languages HL7 urn:ietf:bcp:47
2.16.840.1.113883.5.25 Confidentiality Confidentiality HL7 http://terminology.hl7.org/CodeSystem/v3-Confidentiality
1.2.208.176.2.4 SKS Danish collection of code systems in national health reporting (in Danish, Sundhedsvæsenets Klassifikations System (SKS)) Danish Health Data Authority
1.2.208.176.2.1 NPU Nomenclature for Properties and Units (NPU) terminology in Danish Danish Health Data Authority
1.2.208.176.7.3.1 schema-list Questionnaires used in the Danish Patient Reported Outcome (PRO) Danish Health Data Authority
1.2.208.176.8.1 ihe Integrating the Healthcare Enterprise (IHE) cross[X]-enterprise Document Sharing (XDS) domain Danish Health Data Authority
1.2.208.184.100.9 classcode Danish Integrating the Healthcare Enterprise (IHE) metadata class codes MedCom
1.2.208.184.100.1 message-codes Message codes administered by MedCom MedCom
1.2.208.184.100.10 formatcode Danish Integrating the Healthcare Enterprise (IHE) metadata format codes MedCom

Usage

​Currently it is possible to download the ValueSets and CodeSystems in different formats. The vendor of the system is responsible for using updated terminologies.

The date of the recent update can be seen in the bottom of this page, but to see if a specific CodeSystem, ValueSet or ConceptMap is updated, you’ll have to look at the specific terminology and see if the version has been changed. In the ‘History’-tab the history of the IG can be seen.

Contact

MedCom is responsible for this site. If you have any questions, please contact fhir@medcom.dk or write to MedCom’s stream in Zulip.