eHealth Infrastructure
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This page is part of the FUT Infrastructure (v10.0.0: 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

Resource Profile: ehealth-practitioner

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-practitioner Version: 10.0.0
Active as of 2026-08-06 Computable Name: ehealth-practitioner

Introduction

A person who is directly or indirectly involved in the provisioning of healthcare.

Practitioner covers all individuals who are engaged in the healthcare process and healthcare-related services as part of their formal responsibilities and this resource is used for attribution of activities and responsibilities to these individuals.

Scope and Usage

Creation

The create operation on Practitioner is for internal use only and will be protected by privileges.

Qualifications and Competencies

The qualification element holds the qualifications and competences of a practitioner, such as authorization identifier, education, and decentrally administered competences. Each qualification carries a code identifying the qualification, the issuing organization, and the registration period.

These values are maintained solely by the eHealth Infrastructure: they are synchronized from the security ticket each time the practitioner logs in, and direct updates to qualification through the FHIR API are rejected. Solutions can read the qualifications — for example to differentiate access to functionality based on competences — but cannot modify them.

Note that synchronization of decentralized competences only happen at login. The recorded qualifications reflect the practitioner's competences as of their most recent login, not a real-time view. Other qualifications such as authorization identifiers are synchronized once a day as part of nightly import jobs against national registries.

Decentralized competences

Decentrally administered competences (e.g. supplementary courses or diploma educations) are received as OIO-BPP privileges from the municipal or regional identity provider during login and stored as their eHealth competence code equivalent (see Practitioner Competences and the mapping in OIO-BPP competences to eHealth Practitioner competences). These qualifications are identified by having an identifier with the system http://ehealth.sundhed.dk/fhir/system/decentralized-competence.

A decentralized competence is only valid within the context of the organization which issued it, recorded in qualification.issuer. The same competence may therefore appear more than once with different issuers, e.g. when granted independently by two municipalities.

At each login, the practitioner's decentralized competences from the login organization are updated. A previously registered competence which is no longer received during login is not removed; instead its qualification.period.end is set. Consumers must therefore inspect qualification.period to distinguish active competences from expired ones.

Only competences known by the eHealth Infrastructure are stored in the Practitioner resource. Receiving an unknown competence privilege does not cause the login to fail, and the unknown privilege is not stored in the Practitioner resource. Unknown privileges are instead exposed through an API in the authentication service (Keycloak) for troubleshooting purposes.

The eHealth Infrastructure does not validate combinations of competences (for instance, that a supplementary course may only be held by certain professions). Enforcement of such business rules is the responsibility of the consuming solutions.

Municipalities and Regions can request new competences to be added to the eHealth Infrastructure by sending in a request (see Requesting new competences).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
Slice: Unordered, Open by value:identifier.system
.... qualification:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
..... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:officialHealthAuthorization 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept [DA] Kode for kvalifikation, som specificeret af autorisationsregisteret
Binding: DK Profession Group (extensible)
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Practitioner.qualification.​code Base example v2 table 0360, Version 2.7 📦0360 FHIR Std.
Practitioner.qualification:officialHealthAuthorization.​code Base extensible DK Profession Group 📦3.6.0 HL7 FHIR Implementation Guide: DK Core v3.6
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DkCorePractitioner

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related services
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... name 1..1 HumanName The name(s) associated with the practitioner
... qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
.... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... identifier
...... system 1..1 uri The namespace for the identifier value
Fixed Value: http://ehealth.sundhed.dk/fhir/system/decentralized-competence
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for the person as this agent
... active Σ 0..1 boolean Whether this practitioner's record is in active use
... name Σ 1..1 HumanName The name(s) associated with the practitioner
... telecom Σ 0..* ContactPoint A contact detail for the practitioner (that apply to all roles)
... address Σ 0..* Address Address(es) of the practitioner that are not role specific (typically home address)
... 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 on which the practitioner was born
... photo 0..* Attachment Image of the person
... Slices for qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
Slice: Unordered, Open by value:identifier.system
.... qualification:All Slices Content/Rules for all slices
..... 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
..... identifier 0..* Identifier An identifier for this qualification for the practitioner
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:officialHealthAuthorization 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... 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
..... identifier 0..* AuthorizationIdentifier [DA] Autorisationskode, som specificeret af autorisationsregisteret
..... code 1..1 CodeableConcept [DA] Kode for kvalifikation, som specificeret af autorisationsregisteret
Binding: DK Profession Group (extensible)
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(Organization) Organization that regulates and issues the qualification
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... 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
..... identifier 0..* Identifier An identifier for this qualification for the practitioner
...... 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 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://ehealth.sundhed.dk/fhir/system/decentralized-competence
...... value Σ 0..1 string The value that is unique
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(Organization) Organization that regulates and issues the qualification
... communication 0..* CodeableConcept A language the practitioner can use in patient communication
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding


doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Practitioner.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Practitioner.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Practitioner.qualification.​code Base example v2 table 0360, Version 2.7 📦0360 FHIR Std.
Practitioner.qualification:officialHealthAuthorization.​code Base extensible DK Profession Group 📦3.6.0 HL7 FHIR Implementation Guide: DK Core v3.6
Practitioner.qualification:decentralizedCompetence.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Practitioner.qualification:decentralizedCompetence.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG
Practitioner.communication Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DkCorePractitioner

Summary

Mandatory: 1 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related services
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
Slice: Unordered, Open by value:identifier.system
.... qualification:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
..... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:officialHealthAuthorization 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept [DA] Kode for kvalifikation, som specificeret af autorisationsregisteret
Binding: DK Profession Group (extensible)
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Practitioner.qualification.​code Base example v2 table 0360, Version 2.7 📦0360 FHIR Std.
Practitioner.qualification:officialHealthAuthorization.​code Base extensible DK Profession Group 📦3.6.0 HL7 FHIR Implementation Guide: DK Core v3.6
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG

Constraints

Id Grade Path(s) Description Expression

Differential View

This structure is derived from DkCorePractitioner

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related services
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... name 1..1 HumanName The name(s) associated with the practitioner
... qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
.... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... identifier
...... system 1..1 uri The namespace for the identifier value
Fixed Value: http://ehealth.sundhed.dk/fhir/system/decentralized-competence
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Practitioner 0..* DkCorePractitioner A person with a formal responsibility in the provisioning of healthcare or related 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:providerAffiliation 0..* (Complex) Provider identifier affiliation.
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provider-affiliation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier An identifier for the person as this agent
... active Σ 0..1 boolean Whether this practitioner's record is in active use
... name Σ 1..1 HumanName The name(s) associated with the practitioner
... telecom Σ 0..* ContactPoint A contact detail for the practitioner (that apply to all roles)
... address Σ 0..* Address Address(es) of the practitioner that are not role specific (typically home address)
... 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 on which the practitioner was born
... photo 0..* Attachment Image of the person
... Slices for qualification 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
Slice: Unordered, Open by value:identifier.system
.... qualification:All Slices Content/Rules for all slices
..... 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
..... identifier 0..* Identifier An identifier for this qualification for the practitioner
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: v2 table 0360, Version 2.7 (example): Specific qualification the practitioner has to provide a service.
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(ehealth-organization) {r} Organization that regulates and issues the qualification
.... qualification:officialHealthAuthorization 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... 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
..... identifier 0..* AuthorizationIdentifier [DA] Autorisationskode, som specificeret af autorisationsregisteret
..... code 1..1 CodeableConcept [DA] Kode for kvalifikation, som specificeret af autorisationsregisteret
Binding: DK Profession Group (extensible)
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(Organization) Organization that regulates and issues the qualification
.... qualification:decentralizedCompetence 0..* BackboneElement Certification, licenses, or training pertaining to the provision of care
..... 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
..... identifier 0..* Identifier An identifier for this qualification for the practitioner
...... 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 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
...... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: http://ehealth.sundhed.dk/fhir/system/decentralized-competence
...... value Σ 0..1 string The value that is unique
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... code 1..1 CodeableConcept Coded representation of the qualification
Binding: Practitioner Competences (required)
..... period 0..1 Period Period during which the qualification is valid
..... issuer 0..1 Reference(Organization) Organization that regulates and issues the qualification
... communication 0..* CodeableConcept A language the practitioner can use in patient communication
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding


doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Practitioner.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Practitioner.gender Base required AdministrativeGender 📍4.0.1 FHIR Std.
Practitioner.qualification.​code Base example v2 table 0360, Version 2.7 📦0360 FHIR Std.
Practitioner.qualification:officialHealthAuthorization.​code Base extensible DK Profession Group 📦3.6.0 HL7 FHIR Implementation Guide: DK Core v3.6
Practitioner.qualification:decentralizedCompetence.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Practitioner.qualification:decentralizedCompetence.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Practitioner.qualification:decentralizedCompetence.​code Base required Practitioner Competences 📦10.0.0 This IG
Practitioner.communication Base preferred Common Languages 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression

This structure is derived from DkCorePractitioner

Summary

Mandatory: 1 element(1 nested mandatory element)
Fixed: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron