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. More information concerning the use of eCPR-numbers can be found on DkCorePatient.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services Constraints: marital-status-unknown-usage
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SOΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SOΣ	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SOΣ	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	[DA] Officielt navn, som det fremgår af CPR registeret
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	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
telecom	SOΣ	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
Slices for extension				Content/Rules for all slices
extension:municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
extension:regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
extension:address-official		0..1	boolean	Indicate that this address is meant to be the 'official' address for that person. This can be indicated by setting the boolean to 'true' or adding a code for the country, e.g. 'DK'. In Denmark the official is the address registered in the CPR-register, see: https://www.retsinformation.dk/eli/lta/2023/1010. URL: http://hl7.org/fhir/StructureDefinition/address-official
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	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SOΣ	0..1	string	Name of city, town etc. Example General: Erewhon Obligations Actor SHALL:in-narrative Producer of FHIR resources
postalCode	SOΣ	0..1	string	Postal code for area Example General: 9132 Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for generalPractitioner		0..*	Reference(Danish Core Organization Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile)	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
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(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.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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.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
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	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
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	DkCorePatient	Information about an individual or animal receiving health care services
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
identifier	S	1..*	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:cpr	SO	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SO	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SO	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
name	S	1..*	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:official	S	1..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
family	SO	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SO	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:in-narrative Producer of FHIR resources
telecom	SO	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
address	S	0..*	Address	An address for the individual
line	SO	0..*	string	Street name, number, direction & P.O. Box etc. Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SO	0..1	string	Name of city, town etc. Obligations Actor SHALL:in-narrative Producer of FHIR resources
postalCode	SO	0..1	string	Postal code for area Obligations Actor SHALL:in-narrative Producer of FHIR resources
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    Filter: Bindings Constraints Obligations
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services Constraints: marital-status-unknown-usage
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SOΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SOΣ	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SOΣ	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	[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	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	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
extension:municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
extension:regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
extension:address-official		0..1	boolean	Indicate that this address is meant to be the 'official' address for that person. This can be indicated by setting the boolean to 'true' or adding a code for the country, e.g. 'DK'. In Denmark the official is the address registered in the CPR-register, see: https://www.retsinformation.dk/eli/lta/2023/1010. URL: http://hl7.org/fhir/StructureDefinition/address-official
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	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SOΣ	0..1	string	Name of city, town etc. Example General: Erewhon Obligations Actor SHALL:in-narrative Producer of FHIR resources
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SOΣ	0..1	string	Postal code for area Example General: 9132 Obligations Actor SHALL:in-narrative Producer of FHIR resources
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 Constraints: pat-1
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 Extended Patient Contact Relationship (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(Danish Core Organization Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile)	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	Σ	0..1	SORIdentifier	Logical reference, when literal reference is not known
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(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.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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	http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	extended-patient-contactrelationship http://hl7.dk/fhir/core/ValueSet/extended-patient-contactrelationship
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
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	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
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()
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services Constraints: marital-status-unknown-usage
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SOΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SOΣ	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SOΣ	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	[DA] Officielt navn, som det fremgår af CPR registeret
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	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
telecom	SOΣ	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
deceased[x]	?!Σ	0..1		Indicates if the individual is deceased or not
deceasedBoolean			boolean
deceasedDateTime			dateTime
address	SΣ	0..*	Address	An address for the individual
Slices for extension				Content/Rules for all slices
extension:municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
extension:regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
extension:address-official		0..1	boolean	Indicate that this address is meant to be the 'official' address for that person. This can be indicated by setting the boolean to 'true' or adding a code for the country, e.g. 'DK'. In Denmark the official is the address registered in the CPR-register, see: https://www.retsinformation.dk/eli/lta/2023/1010. URL: http://hl7.org/fhir/StructureDefinition/address-official
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	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SOΣ	0..1	string	Name of city, town etc. Example General: Erewhon Obligations Actor SHALL:in-narrative Producer of FHIR resources
postalCode	SOΣ	0..1	string	Postal code for area Example General: 9132 Obligations Actor SHALL:in-narrative Producer of FHIR resources
Slices for generalPractitioner		0..*	Reference(Danish Core Organization Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile)	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
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(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.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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.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
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	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
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Differential View

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient		0..*	DkCorePatient	Information about an individual or animal receiving health care services
id	SO	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle.
status	S	1..1	code	generated | extensions | additional | empty
div	S	1..1	xhtml	Limited xhtml content
identifier	S	1..*	Identifier	An identifier for this patient
Slices for identifier				Content/Rules for all slices
identifier:cpr	SO	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SO	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SO	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
name	S	1..*	HumanName	A name associated with the patient
Slices for name				Content/Rules for all slices
name:official	S	1..1	HumanName	[DA] Officielt navn, som det fremgår af CPR registeret
family	SO	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SO	0..*	string	Given names (not always 'first'). Includes middle names Obligations Actor SHALL:in-narrative Producer of FHIR resources
telecom	SO	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
address	S	0..*	Address	An address for the individual
line	SO	0..*	string	Street name, number, direction & P.O. Box etc. Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SO	0..1	string	Name of city, town etc. Obligations Actor SHALL:in-narrative Producer of FHIR resources
postalCode	SO	0..1	string	Postal code for area Obligations Actor SHALL:in-narrative Producer of FHIR resources
managingOrganization		0..1	Reference(MedComCoreOrganization) {b}	Organization that is the custodian of the patient record
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services Constraints: marital-status-unknown-usage
id	SOΣ	0..1	id	Logical id of this artifact Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
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	SOΣ	0..1	DkCoreCprIdentifier	Unique identification number for all citizens in Denmark, called civil person register (CPR-number). Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:x-ecpr	SOΣ	0..1	DkCoreXeCprIdentifier	[DA] X-eCPR, tildelt fra den nationale eCPR service Obligations Actor SHALL:in-narrative Producer of FHIR resources
identifier:d-ecpr	SOΣ	0..1	DkCoreDeCprIdentifier	[DA] D-eCPR, decentral eCPR Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	[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	SOΣ	1..1	string	Family name (often called 'Surname') Obligations Actor SHALL:in-narrative Producer of FHIR resources
given	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	SOΣ	0..*	MedComMessagingContactPoint	A contact detail for the individual Obligations Actor SHALL:in-narrative Producer of FHIR resources
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	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
extension:municipalityCode		0..1	CodeableConcept	[DA] Kommunekode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-municipalityCodes
extension:regionalSubDivisionCodes		0..1	CodeableConcept	[DA] Regionskode URL: http://hl7.dk/fhir/core/StructureDefinition/dk-core-RegionalSubDivisionCodes
extension:address-official		0..1	boolean	Indicate that this address is meant to be the 'official' address for that person. This can be indicated by setting the boolean to 'true' or adding a code for the country, e.g. 'DK'. In Denmark the official is the address registered in the CPR-register, see: https://www.retsinformation.dk/eli/lta/2023/1010. URL: http://hl7.org/fhir/StructureDefinition/address-official
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	SOΣ	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 Obligations Actor SHALL:in-narrative Producer of FHIR resources
city	SOΣ	0..1	string	Name of city, town etc. Example General: Erewhon Obligations Actor SHALL:in-narrative Producer of FHIR resources
district	Σ	0..1	string	District name (aka county) Example General: Madison
state	Σ	0..1	string	Sub-unit of country (abbreviations ok)
postalCode	SOΣ	0..1	string	Postal code for area Example General: 9132 Obligations Actor SHALL:in-narrative Producer of FHIR resources
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 Constraints: pat-1
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 Extended Patient Contact Relationship (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(Danish Core Organization Profile | Danish Core Practitioner Profile | Danish Core PractitionerRole Profile)	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	Σ	0..1	SORIdentifier	Logical reference, when literal reference is not known
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(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.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 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	http://hl7.dk/fhir/core/ValueSet/dk-marital-status
Patient.contact.relationship	extensible	extended-patient-contactrelationship http://hl7.dk/fhir/core/ValueSet/extended-patient-contactrelationship
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
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	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
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()
txt-1	error	Patient.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Patient.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from DkCorePatient

Summary

Mandatory: 2 elements
Must-Support: 17 elements

Structures

This structure refers to these other structures:

• MedComMessagingContactPoint (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-messaging-contactpoint)
• MedComCoreOrganization (http://medcomfhir.dk/ig/core/StructureDefinition/medcom-core-organization)