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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: KPR functional assessment: reassessment of personal hygiene

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<Observation xmlns="http://hl7.org/fhir">
  <id value="example-kpr-followup"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
</div></blockquote></div>
  </text>
  <identifier>
    <system
            value="https://example.org/fhir/identifier/functional-assessment"/>
    <value value="example-kpr-followup-2026-08-31"/>
  </identifier>
  <basedOn>🔗 
    <reference value="ServiceRequest/example-kpr-service"/>
  </basedOn>
  <status value="final"/>
  <code>
    <coding>
      <system value="urn:oid:2.16.578.1.12.4.1.1.9111"/>
      <code value="7"/>
      <display value="Personlig hygiene"/>
    </coding>
  </code>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/example-kpr-followup-encounter"/>
  </encounter>
  <effectiveDateTime value="2026-08-31T10:00:00+02:00"/>
  <issued value="2026-08-31T11:00:00+02:00"/>
  <performer>🔗 
    <reference value="PractitionerRole/example-practitionerrole"/>
  </performer>
  <performer>🔗 
    <reference value="Organization/example-organization"/>
  </performer>
  <valueCodeableConcept>
    <coding>
      <system value="urn:oid:2.16.578.1.12.4.1.1.9165"/>
      <code value="2"/>
      <display value="Ikke behov for bistand/assistanse/helsehjelp"/>
    </coding>
    <text
          value="Score 2 – manages independently, possibly with aids (general scale, 9165)."/>
  </valueCodeableConcept>
  <note>
    <text
          value="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."/>
  </note>
</Observation>