DK MedCom Document
1.0.1 - release
DK MedCom Document
1.0.1 - release
This page is part of the DK MedCom Document (v1.0.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://medcomfhir.dk/ig/document/StructureDefinition/medcom-document-patient | Version: 1.0.1 | |||
| Active as of 2025-05-12 | Computable Name: MedComDocumentPatient | |||
A profile including requirements for a MedCom Document Patient.
The MedComDocumentPatient profile describes information about a patient or citizen used in a MedComs Document standard. The MedComDocumentPatient is inherited from the DkCorePatient profile defined by HL7 Denmark. It does not inherit from MedComCorePatient, as more elements, than desired for this purpose, are marked with MustSupport.
There are certain requirements to which data must be present in a FHIR document. These requirements come from the IHE XDS metadata standard (sourcePatientInfo attribute) that requires for a Danish CPR-number (unique identifier), given and family name, birthdate and gender to be present. Therefore, this information has a minimum cardinality of 1.
It is not allowed to add a replacement-CPR (Danish: erstatningsCPR), as this is not supported in the infrastructure.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Patient |
C | 0..* | DkCorePatient | Information about an individual or animal receiving health care services dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management marital-status-unknown-usage: Status in maritalStatus is unknown in a danish context. Consider mapping the value to UNK. See https://cpr.dk/borgere/hvad-staar-der-om-mig-i-cpr-registerindsigt/hvad-og-hvem-er-registreret-i-cpr-og-hvem-opdaterer-oplysninger-om-dig-i-cpr/ |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 text |
S | 0..1 | Narrative | Text summary of the resource, for human interpretation 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 |
SΣ | 1..1 | Identifier | An identifier for this patient Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children |
   identifier:cpr |
S | 1..1 | DkCoreCprIdentifier | Unique identification number for all citizens in Denmark, called civil person register (CPR-number). ele-1: All FHIR elements must have a @value or children |
  use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children Fixed Value: official |
| system |
SΣ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:1.2.208.176.1.2 |
 value |
SΣC | 1..1 | string | The value that is unique ele-1: All FHIR elements must have a @value or children cpr: Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n. Example General: 123456 Max Length:10 |
 identifier:x-ecpr |
0..1 | DkCoreXeCprIdentifier | [DA] X-eCPR, tildelt fra den nationale eCPR service ele-1: All FHIR elements must have a @value or children | |
 identifier:d-ecpr |
0..1 | DkCoreDeCprIdentifier | [DA] D-eCPR, decentral eCPR ele-1: All FHIR elements must have a @value or children | |
| active |
?!Σ | 0..1 | boolean | Whether this patient's record is in active use ele-1: All FHIR elements must have a @value or children |
| Slices for name |
SΣ | 1..1 | HumanName | A name associated with the patient Slice: Unordered, Open by value:use ele-1: All FHIR elements must have a @value or children |
 name:official |
SΣ | 1..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 |
SΣ | 1..1 | string | Family name (often called 'Surname') ele-1: All FHIR elements must have a @value or children |
| given |
SΣ | 1..* | string | Given names (not always 'first'). Includes middle names ele-1: All FHIR elements must have a @value or children This repeating element order: Given Names appear in the correct order for presenting the name |
| gender |
SΣ | 1..1 | code | male | female | other | unknown Binding: AdministrativeGender (required): The gender of a person used for administrative purposes. ele-1: All FHIR elements must have a @value or children |
| birthDate |
SΣ | 1..1 | date | The date of birth for the individual ele-1: All FHIR elements must have a @value or children |
 deceased[x] |
?!Σ | 0..1 | Indicates if the individual is deceased or not ele-1: All FHIR elements must have a @value or children | |
| deceasedBoolean |
boolean | |||
 deceasedDateTime |
dateTime | |||
| Slices for generalPractitioner |
0..* | Reference(Organization | Practitioner | PractitionerRole) | Patient's nominated primary care provider Slice: Unordered, Open by value:identifier.system ele-1: All FHIR elements must have a @value or children | |
| generalPractitioner:referencedSORUnit |
0..* | Reference(Organization | Practitioner | PractitionerRole) | [DA] Praktiserende læges SOR-id på sundhedsinstistutionsniveau ele-1: All FHIR elements must have a @value or children | |
 link |
?!Σ | 0..* | BackboneElement | Link to another patient resource that concerns the same actual person ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 other |
Σ | 1..1 | Reference(Danish Core Patient Profile | Danish Core Related Person Profile) | The other patient or related person resource that the link refers to ele-1: All FHIR elements must have a @value or children |
| type |
Σ | 1..1 | code | replaced-by | replaces | refer | seealso Binding: LinkType (required): The type of link between this patient resource and another patient resource. ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Patient.identifier:cpr.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| Patient.name:official.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/name-use|4.0.1from the FHIR Standard | |
| Patient.gender | required | AdministrativeGenderhttp://hl7.org/fhir/ValueSet/administrative-gender|4.0.1from the FHIR Standard | |
| Patient.link.type | required | LinkTypehttp://hl7.org/fhir/ValueSet/link-type|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cpr | error | Patient.identifier:cpr.value | Requirement of danish civil registration numbers. See https://cpr.dk/cpr-systemet/opbygning-af-cpr-nummeret/#:~:text=5%20%2D%206%20position%20angiver%20personens,i%20personnummeret%20angiver%20personens%20k%C3%B8n. : matches('^((((0[1-9]|1[0-9]|2[0-9]|3[0-1])(01|03|05|07|08|10|12))|((0[1-9]|1[0-9]|2[0-9]|30)(04|06|09|11))|((0[1-9]|1[0-9]|2[0-9])(02)))[0-9]{6})$') | Requirement of danish civil registration numbers |
| 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. 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 |
Other representations of profile: CSV, Excel, Schematron
