Scope and usage

MedComCorePatient profile describes information about a patient or citizen in a MedCom standard. The MedComCorePatient is inherited from the DkCorePatient profile defined by HL7 Denmark. An identifier and the patients official family name (‘efternavn’ in Danish) shall both be present, when exchanging patient related information.

Please refer to the tab “Snapshot Table(Must support)” below for the definition of the required content of a MedComCorePatient.

Patient identifiers

A MedComCorePatient shall include an identifier, containing a value which is the actual id and a system which is used to identify a set of unique values.

When a patient has an official civil person register (CPR)-number this shall be used. To represent a CPR-number, the identifier DkCoreCprIdentifier shall be used. In the identifier the system is used to describes that value is an official CPR-number, as described on cpr.dk.

Only in cases where the patient does not have an official CPR-number, a replacement person identifier (Danish: Erstatningspersonnummer) (eCPR)-number shall be used. To represent an eCPR-number the identifier MedComCoreECprIdentifier shall be used. The identifier shall include a value of maximum 10 values and a system. Currently, it is possible to use the national eCPR register defined by the Danish health Data Authority as system. However, the list of possible systems for eCPR-numbers may be extended if there is consensus between stakeholder to add another system to the ValueSet.

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

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient			DkCorePatient
identifier	S	1..*	Identifier	An identifier for this patient
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	S	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
name	S	1..*	HumanName	A name associated with the patient
name:official	S	1..1	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
deceased[x]	S	0..1	boolean, dateTime	Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
address	S	0..*	Address	An address for the individual
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
postalCode	S	0..1	string	Postal code for area
managingOrganization		0..1	Reference(MedComCoreOrganization) {b}	Organization that is the custodian of the patient record
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care 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 identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	SΣ	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	SΣ	1..1	HumanName	A name associated with the patient
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	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
telecom	SC	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
deceased[x]	?!SΣ	0..1		Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
municipalityCode		0..1	CodeableConcept	Danish Core Municipality codes URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
regionalSubDivisionCodes		0..1	CodeableConcept	Danish Core Regional Sub Division Codes Extension 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
line	SΣ	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	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
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)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(MedComCoreOrganization) {b}	Organization that is the custodian of the patient record
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(Patient | RelatedPerson)	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.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.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
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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 : 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
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	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	SΣ	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	SΣ	1..1	HumanName	A name associated with the patient
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	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	SC	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
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]	?!SΣ	0..1		Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	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	Danish Core Municipality codes URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
regionalSubDivisionCodes		0..1	CodeableConcept	Danish Core Regional Sub Division Codes Extension 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	SΣ	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	SΣ	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	SΣ	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
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: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
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)	Patient's nominated primary care provider
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(MedComCoreOrganization) {b}	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(Patient | RelatedPerson)	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.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	DK Marital Status Codes http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
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
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
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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 : 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
identifier	S	1..*	Identifier	An identifier for this patient
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	S	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
name	S	1..*	HumanName	A name associated with the patient
name:official	S	1..1	HumanName	A name associated with the patient
family	S	1..1	string	Family name (often called 'Surname')
given	S	0..*	string	Given names (not always 'first'). Includes middle names
telecom	S	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
deceased[x]	S	0..1	boolean, dateTime	Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
address	S	0..*	Address	An address for the individual
line	S	0..*	string	Street name, number, direction & P.O. Box etc.
city	S	0..1	string	Name of city, town etc.
postalCode	S	0..1	string	Postal code for area
managingOrganization		0..1	Reference(MedComCoreOrganization) {b}	Organization that is the custodian of the patient record
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
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 identifier	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	SΣ	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	SΣ	1..1	HumanName	A name associated with the patient
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	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
telecom	SC	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
deceased[x]	?!SΣ	0..1		Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
municipalityCode		0..1	CodeableConcept	Danish Core Municipality codes URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
regionalSubDivisionCodes		0..1	CodeableConcept	Danish Core Regional Sub Division Codes Extension 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
line	SΣ	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	SΣ	0..1	string	Name of city, town etc. Example General: Erewhon
postalCode	SΣ	0..1	string	Postal code for area Example General: 9132
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)	Patient's nominated primary care provider
managingOrganization	Σ	0..1	Reference(MedComCoreOrganization) {b}	Organization that is the custodian of the patient record
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(Patient | RelatedPerson)	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.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.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
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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 : 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
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	SΣ	1..*	Identifier	An identifier for this patient Slice: Unordered, Open by value:system
identifier:cpr	SΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number).
identifier:ecpr	SΣ	0..1	MedComCoreECprIdentifier	Replacement person identifier (E-CPR). This identifier must only be used in cases where a person does not have an official CPR-number.
active	?!Σ	0..1	boolean	Whether this patient's record is in active use
Slices for name	SΣ	1..*	HumanName	A name associated with the patient Slice: Unordered, Open by value:use
name:official	SΣ	1..1	HumanName	A name associated with the patient
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	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	SC	0..*	MedComMessagingContactPoint	Details of a Technology mediated contact point (phone, fax, email, etc.)
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]	?!SΣ	0..1		Shall only be sent if the patient is deceased or the status change from deceased to non-deceased
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	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	Danish Core Municipality codes URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
regionalSubDivisionCodes		0..1	CodeableConcept	Danish Core Regional Sub Division Codes Extension 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	SΣ	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	SΣ	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	SΣ	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
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: PatientContactRelationship (extensible): The nature of the relationship between a patient and a contact person for that patient.
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)	Patient's nominated primary care provider
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(MedComCoreOrganization) {b}	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(Patient | RelatedPerson)	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.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	DK Marital Status Codes http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	PatientContactRelationship http://hl7.org/fhir/ValueSet/patient-contactrelationship from the FHIR Standard
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
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
cpt-2	error	Patient.telecom	A system is required if a value is provided. : value.empty() or system.exists()
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 : 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: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• Danish Replacement Person Identifier (E-CPR) (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-ecpr-identifier)
• MedComMessagingContactPoint (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-messaging-contactpoint)
• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)