Scope and usage

The Danish Core Practitioner profile is intended to encapsulate the most common and basic data model of practitioners in Danish healthcare systems covering both primary sector, secondary sector (medical specialists ([DA] speciallæger) and hospitals) and municipality cases. As such the profile should be usable in most Danish contexts. Practitioner is broardly defined (just as it is in the original FHIR ressource), and may be used to define all the professionals involvel directly or indirectly in citizen and patient care.

Be especially aware that the Practitioner profile is only used for describing persons and their qualifications, independent of their current or previous professional roles. Use the international PractitionerRole ressource, if roles of a practitioner needs to be described. This also means that Practitioners are not classified as “Chief Physician” or other titles that denotes their prosition. The profile is simple and focuses on personal qualifications.

The qualification.code has an extendable ValueSet that includes all official authorizations as defined by https://www.retsinformation.dk/eli/lta/2019/731, and derived from http://autregwebservice.sst.dk/autregservice.asmx/GetAllProfessionGroups. In the original set, Code (5176) was not uniqe, and have been converted to 5176a and 5176b respectively. However, the official codes should not limit the use of the practioner profile. E.g. if you need to represent another professional group e.g. social worker OR if you need to represent a qualification, important for a local context e.g. that someone has completed advanced pressure ulcer care training you have different options. You may for example extend the valueSet, add the qualification as plain text, slice the qualification attribute or choose not to represent the qualification.

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

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner			Practitioner
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
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		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
identifier	Σ	0..*	Identifier	An identifier for the person as this agent
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:All Slices				Content/Rules for all slices
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
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
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
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.gender	required	AdministrativeGender
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

Differential View

This structure is derived from Practitioner

Name	Flags	Card.	Type	Description & Constraints
Practitioner			Practitioner
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Practitioner		0..*	Practitioner	A person with a formal responsibility in the provisioning of healthcare or related services
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		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
identifier	Σ	0..*	Identifier	An identifier for the person as this agent
active	Σ	0..1	boolean	Whether this practitioner's record is in active use
name	Σ	0..*	HumanName	The name(s) associated with the practitioner
telecom	Σ	0..*	ContactPoint	A contact detail for the practitioner (that apply to all roles)
address	Σ	0..*	Address	Address(es) of the practitioner that are not role specific (typically home address)
gender	Σ	0..1	code	male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
birthDate	Σ	0..1	date	The date on which the practitioner was born
photo		0..*	Attachment	Image of the person
Slices for qualification		0..*	BackboneElement	Certification, licenses, or training pertaining to the provision of care Slice: Unordered, Open by value:identifier.system
qualification:All Slices				Content/Rules for all slices
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
identifier		0..*	Identifier	An identifier for this qualification for the practitioner
code		1..1	CodeableConcept	Coded representation of the qualification Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
qualification:officialHealthAuthorization		0..1	BackboneElement	Certification, licenses, or training pertaining to the provision of care
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
identifier		0..*	AuthorizationIdentifier	[DA] Autorisationskode, som specificeret af autorisationsregisteret
code		1..1	CodeableConcept	[DA] Kode for kvalifikation, som specificeret af autorisationsregisteret Binding: DK Profession Group (extensible)
period		0..1	Period	Period during which the qualification is valid
issuer		0..1	Reference(Organization)	Organization that regulates and issues the qualification
communication		0..*	CodeableConcept	A language the practitioner can use in patient communication Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Practitioner.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Practitioner.gender	required	AdministrativeGender
Practitioner.qualification.code	example	v2.0360.2.7 (a valid code from http://terminology.hl7.org/CodeSystem/v2-0360|2.7)
Practitioner.qualification:officialHealthAuthorization.code	extensible	DkCoreProfessionGroupValueSet (a valid code from DK Profession Group Codes)
Practitioner.communication	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

This structure is derived from Practitioner

Summary

Structures

This structure refers to these other structures:

• Danish Health Professionals Authorization Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-authorization-identifier)

Slices

This structure defines the following Slices:

• The element Practitioner.qualification is sliced based on the value of value:identifier.system