Scope and usage

KLGatewayChildrenCitizen is used to identify the subject of a delivery report by the personal id number (CPR-nummer), which should go into Patient.identifier. The personal id number must be an official Danish CPR-nummer without hyphen.

The model also identifies the managing organization that acts as the custodian of the reported data. The managing organization is identified by its official SOR code. The SOR codes should be documented in Patient.managingOrganization.identifier.

For most municipalities the SOR code will be the code for the municipality, but if a municipality delivers services in different departments using different record systems (thus having multiple custodians) the SOR codes of the department that acts as custodian is used.

Citizen resources can be used to identify both child and parents. However, the parents should only be includes when and if, they are relevant for the child reporting e.g. when reporting the mental state of the mother. In this case, a relatedPerson resource should also be included and referenced using Patient.link.

Patient.link is a reference to a relatedPerson object. In the context of the childrens database, it is used to link a grown-up citizen with the relatedPerson resource. The relatedPerson resource defines that this grown-up is actually the child’s parent. In other words, a citizen object cannot hold information about relationships between citizens, for that we use the relatedPerson resource.

Patient.active is optional and assumed true, if not given. Patient.active = false is used to report entered-in-error. However, this option should only be used, if the patient is fully unknown to the municipality system, and should never have been in the system at all.

Conversions between Danish information model and FHIR-profile

Nedenstående tabel oversætter mellem de attributter, der er defineret i den fælleskommunale informationsmodel (FKI), definerer kort den enkelte attribut på dansk og specificerer, hvilke af FHIR-profilens atributter der skal bruges til specifikation af indholdet.

• 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		1..1	Identifier	[DK] cpr
Slices for identifier				Content/Rules for all slices
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
identifier:x-ecpr		0..0
identifier:d-ecpr		0..0
active		0..1	boolean	[DK] harAktivJournal
name		0..0
Slices for name				Content/Rules for all slices
name:official		0..0
telecom		0..0
gender		0..0
birthDate		0..0
deceased[x]		0..0
address		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
Slices for generalPractitioner				Content/Rules for all slices
generalPractitioner:referencedSORUnit		0..0
managingOrganization		1..1	Reference(Organization)	[DK] journalførendeOrganisation
reference		0..0
type		0..0
identifier		1..1	SORIdentifier	An identifier intended for computation
display		0..0
link	S	0..*	BackboneElement	[DK] erSammePersonSom
other		1..1	Reference(KLGatewayChildrenRelatedParent) {b}	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso Required Pattern: seealso
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
active	?!Σ	0..1	boolean	[DK] harAktivJournal
managingOrganization	Σ	1..1	Reference(Organization)	[DK] journalførendeOrganisation
identifier		1..1	SORIdentifier	An identifier intended for computation
link	?!SΣ	0..*	BackboneElement	[DK] erSammePersonSom
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(KLGatewayChildrenRelatedParent) {b}	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. Required Pattern: seealso
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.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	Pattern: seealso 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	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

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services 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/
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
active	?!Σ	0..1	boolean	[DK] harAktivJournal
managingOrganization	Σ	1..1	Reference(Organization)	[DK] journalførendeOrganisation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		1..1	SORIdentifier	An identifier intended for computation
link	?!SΣ	0..*	BackboneElement	[DK] erSammePersonSom
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(KLGatewayChildrenRelatedParent) {b}	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. Required Pattern: seealso
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.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.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes
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 from the FHIR Standard
Patient.link.type	required	Pattern: seealso 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	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

Differential View

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient			DkCorePatient
identifier		1..1	Identifier	[DK] cpr
Slices for identifier				Content/Rules for all slices
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
identifier:x-ecpr		0..0
identifier:d-ecpr		0..0
active		0..1	boolean	[DK] harAktivJournal
name		0..0
Slices for name				Content/Rules for all slices
name:official		0..0
telecom		0..0
gender		0..0
birthDate		0..0
deceased[x]		0..0
address		0..0
maritalStatus		0..0
multipleBirth[x]		0..0
photo		0..0
contact		0..0
communication		0..0
generalPractitioner		0..0
Slices for generalPractitioner				Content/Rules for all slices
generalPractitioner:referencedSORUnit		0..0
managingOrganization		1..1	Reference(Organization)	[DK] journalførendeOrganisation
reference		0..0
type		0..0
identifier		1..1	SORIdentifier	An identifier intended for computation
display		0..0
link	S	0..*	BackboneElement	[DK] erSammePersonSom
other		1..1	Reference(KLGatewayChildrenRelatedParent) {b}	The other patient or related person resource that the link refers to
type		1..1	code	replaced-by | replaces | refer | seealso Required Pattern: seealso
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 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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
active	?!Σ	0..1	boolean	[DK] harAktivJournal
managingOrganization	Σ	1..1	Reference(Organization)	[DK] journalførendeOrganisation
identifier		1..1	SORIdentifier	An identifier intended for computation
link	?!SΣ	0..*	BackboneElement	[DK] erSammePersonSom
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
other	Σ	1..1	Reference(KLGatewayChildrenRelatedParent) {b}	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. Required Pattern: seealso
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.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Patient.link.type	required	Pattern: seealso 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	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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Patient	C	0..*	DkCorePatient	Information about an individual or animal receiving health care services 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/
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	1..1	Identifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		1..1	DkCoreCprIdentifier	An identifier intended for computation
active	?!Σ	0..1	boolean	[DK] harAktivJournal
managingOrganization	Σ	1..1	Reference(Organization)	[DK] journalførendeOrganisation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		1..1	SORIdentifier	An identifier intended for computation
link	?!SΣ	0..*	BackboneElement	[DK] erSammePersonSom
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(KLGatewayChildrenRelatedParent) {b}	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. Required Pattern: seealso
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.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.contact.relationship	extensible	RelatedPersonRelationshipTypes http://hl7.dk/fhir/core/ValueSet/dk-core-RelatedPersonRelationshipTypes
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 from the FHIR Standard
Patient.link.type	required	Pattern: seealso 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	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

This structure is derived from DkCorePatient

Summary

Mandatory: 3 elements
Must-Support: 1 element
Prohibited: 19 elements

Structures

This structure refers to these other structures:

• SOR Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-sor-identifier)
• KLGatewayChildrenRelatedParent (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-related-parent)