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

: KPR functional assessment: reassessment of personal hygiene

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{
  "resourceType" : "Observation",
  "id" : "example-kpr-followup",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Observation example-kpr-followup</b></p><a name=\"example-kpr-followup\"> </a><a name=\"hcexample-kpr-followup\"> </a><p><b>identifier</b>: <code>https://example.org/fhir/identifier/functional-assessment</code>/example-kpr-followup-2026-08-31</p><p><b>basedOn</b>: <a href=\"ServiceRequest-example-kpr-service.html\">ServiceRequest Helsetjenester i hjemmet</a></p><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{urn:oid:2.16.578.1.12.4.1.1.9111 7}\">Personlig hygiene</span></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>encounter</b>: <a href=\"Encounter-example-kpr-followup-encounter.html\">Encounter: status = finished; class = home health (ActCode#HH); type = ; serviceType = Helsetjenester i hjemmet; period = 2026-08-31 09:30:00+0200 --&gt; 2026-08-31 10:30:00+0200</a></p><p><b>effective</b>: 2026-08-31 10:00:00+0200</p><p><b>issued</b>: 2026-08-31 11:00:00+0200</p><p><b>performer</b>: </p><ul><li><a href=\"PractitionerRole-example-practitionerrole.html\">PractitionerRole</a></li><li><a href=\"Organization-example-organization.html\">Organization Oslo municipality, Grünerløkka district, Home Care Service</a></li></ul><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.578.1.12.4.1.1.9165 2}\">Score 2 – manages independently, possibly with aids (general scale, 9165).</span></p><p><b>note</b>: </p><blockquote><div><p>At reassessment, Kari performs personal care herself with adaptations and aids, without personal assistance. She still takes longer than before. The assessment from 17 August is retained.</p>\n</div></blockquote></div>"
  },
  "identifier" : [
    {
      "system" : "https://example.org/fhir/identifier/functional-assessment",
      "value" : "example-kpr-followup-2026-08-31"
    }
  ],
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/example-kpr-service"
    }
  ],
  "status" : "final",
  "code" : {
    "coding" : [
      {
        "system" : "urn:oid:2.16.578.1.12.4.1.1.9111",
        "code" : "7",
        "display" : "Personlig hygiene"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/example-patient"
  },
  "encounter" : {
    🔗 "reference" : "Encounter/example-kpr-followup-encounter"
  },
  "effectiveDateTime" : "2026-08-31T10:00:00+02:00",
  "issued" : "2026-08-31T11:00:00+02:00",
  "performer" : [
    {
      🔗 "reference" : "PractitionerRole/example-practitionerrole"
    },
    {
      🔗 "reference" : "Organization/example-organization"
    }
  ],
  "valueCodeableConcept" : {
    "coding" : [
      {
        "system" : "urn:oid:2.16.578.1.12.4.1.1.9165",
        "code" : "2",
        "display" : "Ikke behov for bistand/assistanse/helsehjelp"
      }
    ],
    "text" : "Score 2 – manages independently, possibly with aids (general scale, 9165)."
  },
  "note" : [
    {
      "text" : "At reassessment, Kari performs personal care herself with adaptations and aids, without personal assistance. She still takes longer than before. The assessment from 17 August is retained."
    }
  ]
}