Scope and usage

The Danish Core Related Person profile is intended to encapsulate the most common and basic data model of persons related to patients/persons 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 related persons to those that receive health and social care in municipalities, even in contexts where receivers of care are more commonly known as citizens ([DA] borgere).

Note, that professional relationships between a patient and a healthcare professional are expressed by other means e.g. through Patient.generalPractitioner.

Note also, that the intended use of Related Person is to describe a relationship, where privileges which might be associated to the relationship should be expressed by other means, e.g.the actual rights associated with being power of attorney, should be described in a legally binding document, and that document can be represented with the Consent resource.

Note furthermore, that a patients primary contact when possible should be expressed through Patient.contact. However, when this is not feasible Related Person may be used.

Identifiers for related persons

This related person profile currently reflects the use of the established national Danish citizen identifiers called CPR and (where relevant) the use of replacement CPR numbers ([DA] Erstatnings-CPR-numre eller eCPR).

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. However, it is currently not recommended to use this code, due to known problems with the validation tool when validating the code 'NNDNK'.

eCPR-identifier

The element RelatedPerson.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.
• 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.

Relationship codes

The relationships in DK Core Related Person Relationship Types are intended to cover the most common use cases within the Danish healthcare sector. For the relationship codes that are included from the general relationship codes danish translations are provided. In cases when other relationships need to be expressed, codes from the general Related Person Relationship Type or HL7 Role Code System should be used when possible. In the latter system is e.g. the code 'CCO', which is a clinical companion (DA: Servicehund).

Use of security label on related persons

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:

 <RelatedPerson 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] ...
</RelatedPerson>

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 related person/citizen.

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

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson			RelatedPerson
Slices for identifier		0..*	Identifier	A human identifier for this person 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
patient		1..1	Reference(Danish Core Patient Profile)	The patient this person is related to
relationship		0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible)
Slices for name		0..*	HumanName	A name associated with the person 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')
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care 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
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	0..*	Identifier	A human identifier for this person 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 related person's record is in active use ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Danish Core Patient Profile)	The patient this person is related to ele-1: All FHIR elements must have a @value or children
relationship	Σ	0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible) ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	A name associated with the person 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
RelatedPerson.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
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	0..*	Identifier	A human identifier for this person 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 related person's record is in active use
patient	Σ	1..1	Reference(Danish Core Patient Profile)	The patient this person is related to
relationship	Σ	0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible)
Slices for name	Σ	0..*	HumanName	A name associated with the person 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 person
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 related person was born
address	Σ	0..*	Address	Address where the related person can be contacted or visited
photo		0..*	Attachment	Image of the person
period		0..1	Period	Period of time that this relationship is considered valid
communication		0..*	BackboneElement	A language which may be used to communicate with about the patient's 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RelatedPerson.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
RelatedPerson.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
RelatedPerson.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
RelatedPerson.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

Differential View

This structure is derived from RelatedPerson

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson			RelatedPerson
Slices for identifier		0..*	Identifier	A human identifier for this person 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
patient		1..1	Reference(Danish Core Patient Profile)	The patient this person is related to
relationship		0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible)
Slices for name		0..*	HumanName	A name associated with the person 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')
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care 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
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	0..*	Identifier	A human identifier for this person 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 related person's record is in active use ele-1: All FHIR elements must have a @value or children
patient	Σ	1..1	Reference(Danish Core Patient Profile)	The patient this person is related to ele-1: All FHIR elements must have a @value or children
relationship	Σ	0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible) ele-1: All FHIR elements must have a @value or children
Slices for name	Σ	0..*	HumanName	A name associated with the person 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
RelatedPerson.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
RelatedPerson		0..*	RelatedPerson	A person that is related to a patient, but who is not a direct target of care
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	0..*	Identifier	A human identifier for this person 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 related person's record is in active use
patient	Σ	1..1	Reference(Danish Core Patient Profile)	The patient this person is related to
relationship	Σ	0..*	CodeableConcept	The nature of the relationship Binding: DK Related Person Relationship Types (extensible)
Slices for name	Σ	0..*	HumanName	A name associated with the person 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 person
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 related person was born
address	Σ	0..*	Address	Address where the related person can be contacted or visited
photo		0..*	Attachment	Image of the person
period		0..1	Period	Period of time that this relationship is considered valid
communication		0..*	BackboneElement	A language which may be used to communicate with about the patient's 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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RelatedPerson.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
RelatedPerson.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes from this IG
RelatedPerson.name:official.use	required	Fixed Value: official http://hl7.org/fhir/ValueSet/name-use|4.0.1 from the FHIR Standard
RelatedPerson.gender	required	AdministrativeGender http://hl7.org/fhir/ValueSet/administrative-gender|4.0.1 from the FHIR Standard
RelatedPerson.communication.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding

This structure is derived from RelatedPerson

Summary

Mandatory: 0 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)
• Danish Core Patient Profile (http://hl7.dk/fhir/core/StructureDefinition/dk-core-patient)

Slices

This structure defines the following Slices:

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