FHIR Implementation Guide for the Norwegian Municipal Sector
0.3.0 -
FHIR Implementation Guide for the Norwegian Municipal Sector - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Profile: no-kommune-CarePlan
status: Active
intent: Plan
title: Self-care and functional follow-up at home
description: The plan is based on the 17 August assessment and updated after the 31 August home visit. Changes to services require a separate assessment and are not inferred automatically from scores.
subject: Kari Hansen Female, DoB: 1948-09-12 ( urn:oid:2.16.578.1.12.4.1.4.1#Foedselsnummer#12094812345)
period: 2026-08-18 --> (ongoing)
created: 2026-08-17 11:30:00+0200
author: PractitionerRole
supportingInfo:
goal: Goal: lifecycleStatus = active; description = ; start[x] = 2026-08-18
activity
outcomeReference:
- Encounter: status = finished; class = home health (ActCode#HH); type = ; serviceType = Helsetjenester i hjemmet; period = 2026-08-31 09:30:00+0200 --> 2026-08-31 10:30:00+0200
- Observation Personlig hygiene
progress: @2026-08-31 11:30:00+0200
Reassessment shows a change from score 3 to 2 for personal hygiene. Review further assistance with Kari. The first assessment and original request basis are retained.
reference: ServiceRequest Helsetjenester i hjemmet