Scope and usage

The Danish Core Patient profile is intended to encapsulate the most common and basic data model of patients in Danish healthcare systems covering both primary sector, secondary sector (specialty doctors and hospitals) and municipality cases. As such the profile should be usable in most Danish contexts. Note that the profile is usable for those that receive health and social care in municipalities, even in contexts where they are more commonly known as citizens ([DA] borgere).

Patient identifiers

This patient profile currently only reflects the use of the established national danish patient identifiers called CPR and (for patients without or with unknown CPR number) the use of replacement CPR numbers ([DA] Erstatnings-CPR-numre eller eCPR). Both national X-eCPR numbers issued by the Danish Health Data Authority ([DA] Sundhedsdatastyrelsen) and D-eCPR numbers primarily issued locally by one of the five danish regions are supported by this profile. More official identifiers are expected to be used and profiled in the future, eg:

• eID
• catastrophe CPR numbers.

CPR-identifier

The element identifier.type describes the specific purpose of an identifier. It is desired to use the code 'NNDNK' from the CodeSystem IdentifierType as the type for DkCoreCprIdentifier. Due to known problems with the validation tool when validating the code 'NNDNK', including this type will cause an error. Therefore, it is currently not recommended to use this code.

eCPR-identifier

The element Patient.identifier includes two slices to represent eCPR. Each slice includes an identifier with requirements for the specific eCPR:

• For X-eCPR, the DkCoreXeCprIdentifier must be used, which includes an OID as system and an invariant describing the requirements for the structure of the identifier, based on guidelines from Danish Health Data Authority. An example of usage can be seen in here.
• For D-eCPR, the DkCoreDeCprIdentifier must be used, which includes a ValueSet of OID's that may be used as system. The OIDs represent the D-eCPR in general and D-eCPR for each of the five regions. Further, the identifier includes an invariant describing the requirements for the structure of the identifier, based on guidelines from Danish Health Data Authority. An example of usage can be seen in here.

In case it is necessary to include an eCPR which is not an X-eCPR or a D-eCPR, it is recommended to add a new slice with the relevant other system and the eCPR identifier from that system. This may be necessary for small practices or due to legacy reasons. An example of this can be seen here.

Handling CPR registry civilstand and status values

In the Danish CPR registry, a civilstand and a status attribute exist. The civilstand attribute contains information about marital status as well as deceased status. The status value contains information about a persons whereabouts e.g. living in Denmark or Greenland with known or unknown address, disappearance, and death. Most of the status values are used to inform about the reason for a CPR identifier being inactive.

In FHIR, this information is separated into different attributes. As a consequence the following decisions have been made:

• CPR status values except for deceased status are not represented. Data in the health sector is typically not communicated, relating to inactive CPR-identifiers. If information about whether people live in Denmark or Greenland is important, this can be represented in the Patient.addresss attribute. Deceased status is represented in Patient.deceased
• Civilstand values are represented in Patient.maritalStatus except for the value 'D' død (dead). Death is registered in Patient.deceased. Patient.maritalStatus uses a standard FHIR ValueSet. However a few of the Danish civilstatus values cannot be converted (P and O). Here the FHIR ValueSet is extended with the CPR-registry values.

The tabel below shows how to convert between CPR-registry civilstand/status and FHIR representation.

Linking records

In Denmark it is possible to get a new CPR-number when a person e.g. changes his or her legal gender. Linking of the old and new patient records can handled using the Patient.link element, which asserts that patient resources refer to the same patient. In this case the old record should have the link type 'replaced-by' where the new record may have the link type 'replaces', both with a reference to the other record. This way of linking record can be considered in the case of legal gender. Other types of linking is described on the page for the patient resource.

Use of security label on patients

In case an implementation project needs to support name and address protection (Navne- og adressebeskyttelse) of a danish citizen, it is recommended to support this with the security label as follows:

 <Patient xmlns="http://hl7.org/fhir">
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="R"/>
      <display value="Restricted"/>
    </security>
  </meta>
...  [snip] ...
</Patient>

Use of this label should be interpreted according to the law, roughly meaning that only personnel using systems in public/official affairs are allowed to see name and address for the patient/citizen.

Unknown values or Absent values

There may be scenarios where it is not possible to supply all values as required by this profile. For such cases it is possible to specify a Data Absent Reason (DAR) extension which enables data fields to be supplied where data is not available. An example of this can be seen here. The use of DAR is not restricted to the patient profile.

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

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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/
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Slices for name		0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official		0..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family		1..1	string	Family name (often called 'Surname')
address		0..*	Address	An address for the individual
Slices for extension				Content/Rules for all slices
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
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: DK MaritalStatus (extensible)
contact
relationship		0..*	CodeableConcept	The kind of relationship Binding: DK Related Person Relationship Types (extensible)
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
identifier		0..1	SORIdentifier	An identifier intended for computation
link
other		1..1	Reference(Danish Core Patient Profile | Danish Core Related Person Profile)	The other patient or related person resource that the link refers to
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status from this IG
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret ele-1: All FHIR elements must have a @value or children
identifier:x-ecpr		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service ele-1: All FHIR elements must have a @value or children
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR ele-1: All FHIR elements must have a @value or children
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:official	Σ	0..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret ele-1: All FHIR elements must have a @value or children
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Fixed Value: official
family	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: DK MaritalStatus (extensible) ele-1: All FHIR elements must have a @value or children
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by value:identifier.system ele-1: All FHIR elements must have a @value or children
generalPractitioner:referencedSORUnit		0..*	Reference(Organization | Practitioner | PractitionerRole)	[DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau ele-1: All FHIR elements must have a @value or children
identifier		0..1	SORIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|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.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status from this IG
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
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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..*	Patient	Information about an individual or animal receiving health care services marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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		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	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	Σ	0..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	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	0..*	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	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 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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 from this IG
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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

Differential View

This structure is derived from Patient

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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/
Slices for identifier		1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Slices for name		0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official		0..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
use		1..1	code	usual | official | temp | nickname | anonymous | old | maiden Fixed Value: official
family		1..1	string	Family name (often called 'Surname')
address		0..*	Address	An address for the individual
Slices for extension				Content/Rules for all slices
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
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: DK MaritalStatus (extensible)
contact
relationship		0..*	CodeableConcept	The kind of relationship Binding: DK Related Person Relationship Types (extensible)
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
identifier		0..1	SORIdentifier	An identifier intended for computation
link
other		1..1	Reference(Danish Core Patient Profile | Danish Core Related Person Profile)	The other patient or related person resource that the link refers to
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Patient.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status from this IG
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	Patient	Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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 ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret ele-1: All FHIR elements must have a @value or children
identifier:x-ecpr		0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service ele-1: All FHIR elements must have a @value or children
identifier:d-ecpr		0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR ele-1: All FHIR elements must have a @value or children
active	?!Σ	0..1	boolean	Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children
name:official	Σ	0..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret ele-1: All FHIR elements must have a @value or children
use	?!Σ	1..1	code	usual | official | temp | nickname | anonymous | old | maiden Binding: NameUse (required): The use of a human name. ele-1: All FHIR elements must have a @value or children Fixed Value: official
family	Σ	1..1	string	Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	Σ	0..*	Address	An address for the individual ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
use	?!Σ	0..1	code	home | work | temp | old | billing - purpose of this address Binding: AddressUse (required): The use of an address. ele-1: All FHIR elements must have a @value or children Example General: home
maritalStatus		0..1	CodeableConcept	Marital (civil) status of a patient Binding: DK MaritalStatus (extensible) ele-1: All FHIR elements must have a @value or children
Slices for generalPractitioner		0..*	Reference(Organization | Practitioner | PractitionerRole)	Patient's nominated primary care provider Slice: Unordered, Open by value:identifier.system ele-1: All FHIR elements must have a @value or children
generalPractitioner:referencedSORUnit		0..*	Reference(Organization | Practitioner | PractitionerRole)	[DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau ele-1: All FHIR elements must have a @value or children
identifier		0..1	SORIdentifier	An identifier intended for computation ele-1: All FHIR elements must have a @value or children
link	?!Σ	0..*	BackboneElement	Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Patient.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|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.maritalStatus	extensible	http://hl7.dk/fhir/core/ValueSet/dk-marital-status from this IG
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
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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..*	Patient	Information about an individual or animal receiving health care services marital-status-unknown-usage: The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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		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	Σ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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	0..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	Σ	0..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	Σ	1..1	string	Family name (often called 'Surname')
given	Σ	0..*	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	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 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 http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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 from this IG
Patient.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
Patient.contact.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
Patient.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
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
marital-status-unknown-usage	warning	Patient	The constraint ensures that only permitted forms of marriage can be used in the Danish context, as there will be no authority for other forms. 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

This structure is derived from Patient

Summary

Mandatory: 1 element(2 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

• Danish Central Person Register (CPR) Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-cpr-identifier)
• National eCPR service, called X-eCPR (http://hl7.dk/fhir/core/StructureDefinition/dk-core-x-ecpr-identifier)
• Decentralised eCPR, called D-eCPR (http://hl7.dk/fhir/core/StructureDefinition/dk-core-d-ecpr-identifier)
• SOR Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-sor-identifier)
• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)
• Danish Core Related Person Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-related-person)

Extensions

This structure refers to these extensions:

• http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
• http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Patient.identifier
• The element 1 is sliced based on the value of Patient.name
• The element 1 is sliced based on the value of Patient.generalPractitioner

Note: feedback is most welcome and should be directed to the danish affiliate's github repository (https://github.com/hl7dk/dk-core/).