HL7 Norway
FHIR Implementation Guide for the Norwegian Municipal Sector
Shared starting point for understanding and consistent use of FHIR in municipal health and care services.
Norwegian

FHIR Implementation Guide for the Norwegian Municipal Sector
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: Example municipal follow-up plan - JSON Representation

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{
  "resourceType" : "CarePlan",
  "id" : "example-careplan",
  "meta" : {
    "profile" : [
      🔗 "https://kommune.conteir.no/StructureDefinition/kommune-careplan"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan example-careplan</b></p><a name=\"example-careplan\"> </a><a name=\"hcexample-careplan\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-kommune-careplan.html\">no-kommune-CarePlan</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:\">Municipal follow-up</span></p><p><b>title</b>: Follow-up plan after discharge - Grünerløkka district</p><p><b>subject</b>: <a href=\"Patient-example-patient.html\">Kari Hansen  Female, DoB: 1948-09-12 ( urn:oid:2.16.578.1.12.4.1.4.1#Foedselsnummer#12094812345)</a></p><p><b>period</b>: 2026-01-13 --&gt; 2026-03-31</p><p><b>author</b>: <a href=\"PractitionerRole-example-practitionerrole.html\">PractitionerRole</a></p><p><b>careTeam</b>: <a href=\"CareTeam-example-careteam.html\">CareTeam Multidisciplinary follow-up team, Grünerløkka district</a></p><p><b>addresses</b>: <a href=\"Condition-example-health-concern.html\">Health concern after hip fracture</a></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"Condition-example-health-concern.html\">Health concern after hip fracture</a></li><li><a href=\"Observation-example-observation.html\">Observation </a></li><li><a href=\"DocumentReference-example-documentreference.html\">DocumentReference: status = current; type = Clinical note; date = 2026-01-12 09:00:00+0100; description = Decision on home nursing and practical assistance after discharge</a></li><li><a href=\"Goal-example-goal.html\">Goal: lifecycleStatus = active; description = ; start[x] = 2026-01-20</a></li></ul><p><b>goal</b>: <a href=\"Goal-example-goal.html\">Goal: lifecycleStatus = active; description = ; start[x] = 2026-01-20</a></p><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: </p><ul><li><a href=\"Encounter-example-encounter.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = ; serviceType = ; period = 2026-01-15 10:00:00+0100 --&gt; 2026-01-15 10:45:00+0100</a></li><li><a href=\"Encounter-example-encounter-followup.html\">Encounter: status = finished; class = virtual (ActCode#VR); type = ; serviceType = ; period = 2026-01-22 11:00:00+0100 --&gt; 2026-01-22 11:20:00+0100</a></li><li><a href=\"Encounter-example-encounter-phone.html\">Encounter: status = finished; class = virtual (ActCode#VR); type = ; serviceType = ; period = 2026-01-29 09:00:00+0100 --&gt; 2026-01-29 09:10:00+0100</a></li><li><a href=\"Encounter-example-encounter-evaluation.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = ; serviceType = ; period = 2026-02-05 13:00:00+0100 --&gt; 2026-02-05 13:40:00+0100</a></li><li><a href=\"Encounter-example-short-term-stay.html\">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = ; serviceType = ; period = 2026-01-13 15:00:00+0100 --&gt; 2026-01-15 09:30:00+0100</a></li></ul><p><b>reference</b>: <a href=\"ServiceRequest-example-servicerequest.html\">ServiceRequest </a></p></blockquote><blockquote><p><b>activity</b></p><p><b>reference</b>: <a href=\"Appointment-example-appointment.html\">Appointment: status = booked; serviceType = ; appointmentType = ; description = Planned home visit for medication follow-up and function assessment; start = 2026-01-22 11:00:00+0100; end = 2026-01-22 11:30:00+0100; created = 2026-01-13 12:00:00+0100</a></p></blockquote><blockquote><p><b>activity</b></p><p><b>outcomeReference</b>: <a href=\"Encounter-example-encounter-evaluation.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = ; serviceType = ; period = 2026-02-05 13:00:00+0100 --&gt; 2026-02-05 13:40:00+0100</a></p><p><b>reference</b>: <a href=\"ServiceRequest-example-rehabilitation-servicerequest.html\">ServiceRequest </a></p></blockquote></div>"
  },
  "status" : "active",
  "intent" : "plan",
  "category" : [
    {
      "text" : "Municipal follow-up"
    }
  ],
  "title" : "Follow-up plan after discharge - Grünerløkka district",
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "period" : {
    "start" : "2026-01-13",
    "end" : "2026-03-31"
  },
  "author" : {
    🔗 "reference" : "PractitionerRole/example-practitionerrole"
  },
  "careTeam" : [
    {
      🔗 "reference" : "CareTeam/example-careteam"
    }
  ],
  "addresses" : [
    {
      🔗 "reference" : "Condition/example-health-concern",
      "display" : "Health concern after hip fracture"
    }
  ],
  "supportingInfo" : [
    {
      🔗 "reference" : "Condition/example-health-concern",
      "display" : "Health concern after hip fracture"
    },
    {
      🔗 "reference" : "Observation/example-observation"
    },
    {
      🔗 "reference" : "DocumentReference/example-documentreference"
    },
    {
      🔗 "reference" : "Goal/example-goal"
    }
  ],
  "goal" : [
    {
      🔗 "reference" : "Goal/example-goal"
    }
  ],
  "activity" : [
    {
      "outcomeReference" : [
        {
          🔗 "reference" : "Encounter/example-encounter"
        },
        {
          🔗 "reference" : "Encounter/example-encounter-followup"
        },
        {
          🔗 "reference" : "Encounter/example-encounter-phone"
        },
        {
          🔗 "reference" : "Encounter/example-encounter-evaluation"
        },
        {
          🔗 "reference" : "Encounter/example-short-term-stay"
        }
      ],
      "reference" : {
        🔗 "reference" : "ServiceRequest/example-servicerequest"
      }
    },
    {
      "reference" : {
        🔗 "reference" : "Appointment/example-appointment"
      }
    },
    {
      "outcomeReference" : [
        {
          🔗 "reference" : "Encounter/example-encounter-evaluation"
        }
      ],
      "reference" : {
        🔗 "reference" : "ServiceRequest/example-rehabilitation-servicerequest"
      }
    }
  ]
}