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 organisation 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 mulitple 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 ressource should also be included and referes 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 ressource. The relatedPerson ressource 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 ressource.

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	DkCoreCprIdentifier	[DK] cpr
active		0..0
name		0..0
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
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
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	DkCoreCprIdentifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Patient.name:official.use	required	Fixed Value: official
Patient.address.use	required	AddressUse
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	Pattern: seealso

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 : 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()

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	Σ	1..1	DkCoreCprIdentifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.name:official.use	required	Fixed Value: official
Patient.address.use	required	AddressUse
Patient.address.type	required	AddressType
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.generalPractitioner:referencedSORUnit.type	extensible	ResourceType
Patient.link.type	required	Pattern: seealso

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 : 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()

Differential View

This structure is derived from DkCorePatient

Name	Flags	Card.	Type	Description & Constraints
Patient			DkCorePatient
identifier		1..1	DkCoreCprIdentifier	[DK] cpr
active		0..0
name		0..0
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
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
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	DkCoreCprIdentifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Patient.name:official.use	required	Fixed Value: official
Patient.address.use	required	AddressUse
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.link.type	required	Pattern: seealso

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 : 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()

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	Σ	1..1	DkCoreCprIdentifier	[DK] cpr Slice: Unordered, Open by value:system
identifier:cpr		0..1	DkCoreCprIdentifier	[DA] cpr-nummer, som det fremgår af CPR registeret
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
Patient.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.name:official.use	required	Fixed Value: official
Patient.address.use	required	AddressUse
Patient.address.type	required	AddressType
Patient.contact.relationship	extensible	PatientContactRelationship
Patient.contact.gender	required	AdministrativeGender
Patient.communication.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Patient.generalPractitioner:referencedSORUnit.type	extensible	ResourceType
Patient.link.type	required	Pattern: seealso

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 : 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()

This structure is derived from DkCorePatient

Summary

Mandatory: 2 elements
Must-Support: 1 element
Prohibited: 18 elements

Structures

This structure refers to these other structures:

• Danish Central Person Register (CPR) Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-cpr-identifier)
• SOR Identifier (http://hl7.dk/fhir/core/StructureDefinition/dk-core-sor-identifier)
• KLGatewayChildrenRelatedParent (http://fhir.kl.dk/children/StructureDefinition/klgateway-children-related-parent)