hl7dk · jkiddo · Jun 3, 2026 · Jun 3, 2026 · Jun 3, 2026 · Jun 4, 2026
diff --git a/.gitignore b/.gitignore
@@ -7,3 +7,6 @@ publisher.jar
 fsh-generated
 *.DS_Store
 .idea
+.sks-cache
+sks-icd10-out
+.icpc-cache
diff --git a/input/fsh/DkCoreCondition.fsh b/input/fsh/DkCoreCondition.fsh
@@ -20,7 +20,8 @@ Description: "HL7 Denmark core profile for professionally asserted conditions, a
     FSIIIConditionCode 0..1 and
     SCTConditionCode 0..1 and
     FFBConditionCode 0..1 and
-    SKS-D 0..1 and
+    ICD10Diagnosis 0..1 and
+    SKSDeviationDiagnosis 0..1 and
     ICPC2code 0..1
 * code.coding[FSIIIConditionCode] ^short = "[DA] FSIII tilstandskode"
   * system 1..
@@ -32,9 +33,14 @@ Description: "HL7 Denmark core profile for professionally asserted conditions, a
 * code.coding[FFBConditionCode] ^short = "[DA] FFB undertemakode"
   * system 1..
   * system = "urn:oid:1.2.208.176.2.22"
-* code.coding[SKS-D] ^short = "[DA] Kode fra D-hierarkiet i SKS"
+* code.coding[ICD10Diagnosis] from DkCoreDiagnosisCodes (required)
+  * ^short = "ICD-10 diagnosis code"
   * system 1..
-  * system = "urn:oid:1.2.208.176.2.4.12"
+  * system = $icd10
+* code.coding[SKSDeviationDiagnosis] from DkCoreDiagnosisCodes (required)
+  * ^short = "[DA] Dansk SKS-specifik diagnosekode (afvigelse/tilføjelse ift. ICD-10)"
+  * system 1..
+  * system = $sks-icd10-deviations
 * code.coding[ICPC2code] ^short = "ICPC2 code"
   * system 1..
   * system = "urn:oid:1.2.208.176.2.31"
@@ -62,7 +68,7 @@ InstanceOf: DkCoreCondition
 Title: "Else Graviditet"
 Description: "Else Graviditet, tilstandskode som indberettes ifm Elses ambulante forløb (fx jordemoder), og ved eventuel indlæggelse i graviditeten"
 Usage: #example
-* code = urn:oid:1.2.208.176.2.4.12#DZ340 "Graviditet, førstegangsfødende"
+* code.coding[ICD10Diagnosis] = $icd10#Z34.0 "Graviditet, førstegangsfødende"
 * subject.reference = "Patient/else"
 * category = $condition-category#encounter-diagnosis
 * recordedDate = "2021-07-03"
@@ -74,7 +80,7 @@ InstanceOf: DkCoreCondition
 Title: "John diabetes"
 Description: "Johns diabetes-diagnose, udskrivningsdiagnose fra hospitalet fx til brug i indberetning og epikrise"
 Usage: #example
-* code = urn:oid:1.2.208.176.2.4.12#DE11 "Type 2-diabetes"
+* code.coding[ICD10Diagnosis] = $icd10#E11 "Type 2-diabetes"
 * subject.reference = "Patient/john"
 * asserter.reference = "Practitioner/AbrahamLaege"
 * recorder.reference = "Practitioner/AbrahamLaege"
@@ -89,7 +95,8 @@ InstanceOf: DkCoreCondition
 Title: "John fraktur"
 Description: "Johns fraktur-diagnose, udskrivningsdiagnose fra hospitalet med tillægskode"
 Usage: #example
-* code.coding[SKS-D] = urn:oid:1.2.208.176.2.4.12#DS721+TUL1 "Pertrokantær femurfraktur, højresidig"
+* code.coding[ICD10Diagnosis] = $icd10#S72.1 "Pertrokantær femurfraktur"
+* code.text = "Pertrokantær femurfraktur, højresidig"
 * subject.reference = "Patient/john"
 * asserter.reference = "Practitioner/AbrahamLaege"
 * recorder.reference = "Practitioner/AbrahamLaege"
@@ -105,7 +112,7 @@ InstanceOf: DkCoreCondition
 Title: "John mistanke om Modermærkekræft"
 Description: "Johns mistanke om modermærkekræft i huden, kan fx bruges som henvisningsdiagnosese"
 Usage: #example
-* code = urn:oid:1.2.208.176.2.4.12#DC43 "Modermærkekræft i huden"
+* code.coding[ICD10Diagnosis] = $icd10#C43 "Modermærkekræft i huden"
 * subject.reference = "Patient/john"
 * asserter.reference = "Practitioner/AbrahamLaege"
 * recorder.reference = "Practitioner/AbrahamLaege"

diff --git a/input/fsh/DkCoreMinimalDocumentReference.fsh b/input/fsh/DkCoreMinimalDocumentReference.fsh
@@ -7,7 +7,7 @@ Description: "HL7 Denmark core profile for a Minimal DocumentReference inherited
 * extension[versionid] ^short = "Specifies the version of the DocumentReference profile for a standard."
 * context.facilityType from SorOrganizationType (extensible)
 * context.practiceSetting from SorPracticeSettingCode (extensible)
-* context.event from $v3-ActCode3.0.0 (example)
+* context.event from DkCoreDocumentEventCodes (extensible)
 * author 1..*
 * author only Reference(DkCorePatient or DkCorePractitioner or DkCorePractitionerRole or DkCoreRelatedPerson or DkCoreOrganization or Device)
 * authenticator only Reference(DkCorePractitioner or DkCorePractitionerRole or DkCoreOrganization)

diff --git a/input/fsh/DkCoreObservation.fsh b/input/fsh/DkCoreObservation.fsh
@@ -39,7 +39,7 @@ Description: "HL7 Denmark core profile for observations"
   * system 1..
   * system = $IEEEx73 (exactly)
   * code 1..
-* code.coding[SKS] 
+* code.coding[SKS] from DkCoreSksObservationCodes (required)
   * ^short = "SKS code for the observation"
   * system 1..
   * system = $SKS (exactly)
@@ -84,7 +84,7 @@ Description: "HL7 Denmark core profile for observations"
   * system 1..
   * system = $IEEEx73 (exactly)
   * code 1..
-* component.code.coding[SKS] 
+* component.code.coding[SKS] from DkCoreSksObservationCodes (required)
   * ^short = "SKS code for the observation."
   * system 1..
   * system = $SKS (exactly)

diff --git a/input/fsh/DkCoreServiceRequest.fsh b/input/fsh/DkCoreServiceRequest.fsh
@@ -19,7 +19,8 @@ Description: "HL7 Denmark core profile for requesting a service, such as diagnos
     FSIIIConditionCode 0..1 and
     SCTCode 0..1 and
     FFBConditionCode 0..1 and
-    SKS 0..1 and
+    ICD10Diagnosis 0..1 and
+    SKSDeviationDiagnosis 0..1 and
     ICPC2code 0..1
 * reasonCode.coding[FSIIIConditionCode] ^short = "[DA] FSIII tilstandskode"
   * system 1..
@@ -31,9 +32,14 @@ Description: "HL7 Denmark core profile for requesting a service, such as diagnos
 * reasonCode.coding[FFBConditionCode] ^short = "[DA] FFB undertemakode"
   * system 1..
   * system = "urn:oid:1.2.208.176.2.22"
-* reasonCode.coding[SKS] ^short = "[DA] Kode fra SKS, typisk diagnose eller procedure"
+* reasonCode.coding[ICD10Diagnosis] from DkCoreDiagnosisCodes (required)
+  * ^short = "ICD-10 diagnosis code"
   * system 1..
-  * system = "urn:oid:1.2.208.176.2.4.12"
+  * system = $icd10
+* reasonCode.coding[SKSDeviationDiagnosis] from DkCoreDiagnosisCodes (required)
+  * ^short = "[DA] Dansk SKS-specifik diagnosekode (afvigelse/tilføjelse ift. ICD-10)"
+  * system 1..
+  * system = $sks-icd10-deviations
 * reasonCode.coding[ICPC2code] ^short = "ICPC2 code"
   * system 1..
   * system = "urn:oid:1.2.208.176.2.31"

diff --git a/input/fsh/aliases.fsh b/input/fsh/aliases.fsh
@@ -18,6 +18,9 @@ Alias: $ucum = http://unitsofmeasure.org
 Alias: $NPU = http://npu-terminology.org
 Alias: $Medcom = http://medcomfhir.dk/ig/terminology/CodeSystem/medcom-observation-codes
 Alias: $SKS = urn:oid:1.2.208.176.2.4
+Alias: $icd10 = http://hl7.org/fhir/sid/icd-10
+Alias: $icpc2 = http://hl7.org/fhir/sid/icpc-2
+Alias: $sks-icd10-deviations = http://hl7.dk/fhir/core/CodeSystem/sks-icd10-deviations
 Alias: $LOINC = http://loinc.org
 Alias: $IEEEx73 = urn:iso:std:iso:11073:10101
 Alias: $observation-category = http://terminology.hl7.org/CodeSystem/observation-category

diff --git a/input/fsh/valueSets.fsh b/input/fsh/valueSets.fsh
@@ -956,4 +956,33 @@ Description: "Values used for Practice Setting, as described in the SOR registry
 * ^experimental = false
 * ^copyright = "This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement"
 * include codes from valueset SorPracticeSettingCode
-* exclude codes from valueset SCTLaboratorySpecialities
+* exclude codes from valueset SCTLaboratorySpecialities
+
+ValueSet: DkCoreDiagnosisCodes
+Id: dk-core-diagnosis-codes
+Title: "DK Core Diagnosis Codes"
+Description: "Diagnosis codes usable in Denmark: international ICD-10 together with the Danish SKS-specific deviations and extensions to ICD-10 (codes that are not part of plain ICD-10). Excludes the non-codable ICD-10 grouping concepts (chapters and blocks)."
+* ^status = #active
+* ^experimental = false
+* include codes from system $icd10
+* exclude codes from system $icd10 where kind = #chapter
+* exclude codes from system $icd10 where kind = #block
+* include codes from system $sks-icd10-deviations
+
+ValueSet: DkCoreSksObservationCodes
+Id: dk-core-sks-observation-codes
+Title: "DK Core SKS Observation Codes"
+Description: "SKS codes usable as observation/investigation codes: the procedure (pro), investigation (und) and result (res) registers of the Danish SKS classification. Diagnosis (dia) and ATC registers are deliberately excluded."
+* ^status = #active
+* ^experimental = false
+* include codes from system $SKS where register = #pro
+* include codes from system $SKS where register = #und
+* include codes from system $SKS where register = #res
+
+ValueSet: DkCoreDocumentEventCodes
+Id: dk-core-document-event-codes
+Title: "DK Core Document Event Codes"
+Description: "SKS 'Forløbselement label' codes (the ALAL hierarchy) identifying the clinical area / care pathway a document relates to, for use in DocumentReference.context.event."
+* ^status = #active
+* ^experimental = false
+* include codes from system $SKS where concept is-a #ALAL
diff --git a/input/pagecontent/terminology.xml b/input/pagecontent/terminology.xml
@@ -1,6 +1,17 @@
 <div xmlns="http://www.w3.org/1999/xhtml" 
   xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../input-cache/schemas-r5/fhir-single.xsd">
 
+  <h3>SKS terminology</h3>
+  <div>
+    <p>
+      The Danish health classification system SKS (Sundhedsvæsenets Klassifikations System) is now
+      available as FHIR resources, hosted on the Nordic terminology server
+      (<a href="https://tx-nordics.fhir.org/fhir">https://tx-nordics.fhir.org/fhir</a>), which serves
+      the SKS CodeSystem and its associated ValueSets. Resources in this guide that need to reference
+      SKS concepts should bind to and resolve them against the Nordic terminology server.
+    </p>
+  </div>
+
   <h3>ValueSets</h3>
   <div>
     {% include list-simple-valuesets.xhtml %}