HL7 Norway
FHIR implementasjonsguide for norsk kommunesektor
Felles startpunkt for forståelse og omforent bruk av FHIR i kommunal helse- og omsorgstjeneste.

FHIR implementasjonsguide for norsk kommunesektor
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: Eksempel kommunal oppfølgingsplan - XML Representation

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="example-careplan"/>
  <meta>
    <profile
             value="https://hl7.no/fhir/kommune/StructureDefinition/kommune-careplan"/>
  </meta>
  <text>
    <status value="generated"/>
    <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">KommuneOppfølgingsplan</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title="Codes:">Kommunal oppfølging</span></p><p><b>title</b>: Oppfølgingsplan etter utskrivning - Bydel Grünerløkka</p><p><b>subject</b>: <a href="Patient-example-patient.html">Kari Hansen  Female, DoB: 1948-09-12</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 Tverrfaglig oppfølgingsteam Bydel Grünerløkka</a></p><p><b>addresses</b>: <a href="Condition-example-health-concern.html">Helseutfordring etter hoftebrudd</a></p><p><b>supportingInfo</b>: </p><ul><li><a href="Condition-example-health-concern.html">Helseutfordring etter hoftebrudd</a></li><li><a href="Observation-example-observation.html">Observation </a></li><li><a href="DocumentReference-example-documentreference.html">DocumentReference: status = current; type = Journalnotat; date = 2026-01-12 09:00:00+0100; description = Vedtak om hjemmesykepleie og praktisk bistand etter utskrivning</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></ul><p><b>reference</b>: <a href="ServiceRequest-example-servicerequest.html">ServiceRequest </a></p></blockquote></div>
  </text>
  <status value="active"/>
  <intent value="plan"/>
  <category>
    <text value="Kommunal oppfølging"/>
  </category>
  <title value="Oppfølgingsplan etter utskrivning - Bydel Grünerløkka"/>
  <subject>🔗 
    <reference value="Patient/example-patient"/>
  </subject>
  <period>
    <start value="2026-01-13"/>
    <end value="2026-03-31"/>
  </period>
  <author>🔗 
    <reference value="PractitionerRole/example-practitionerrole"/>
  </author>
  <careTeam>🔗 
    <reference value="CareTeam/example-careteam"/>
  </careTeam>
  <addresses>🔗 
    <reference value="Condition/example-health-concern"/>
    <display value="Helseutfordring etter hoftebrudd"/>
  </addresses>
  <supportingInfo>🔗 
    <reference value="Condition/example-health-concern"/>
    <display value="Helseutfordring etter hoftebrudd"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference value="Observation/example-observation"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference value="DocumentReference/example-documentreference"/>
  </supportingInfo>
  <supportingInfo>🔗 
    <reference value="Goal/example-goal"/>
  </supportingInfo>
  <goal>🔗 
    <reference value="Goal/example-goal"/>
  </goal>
  <activity>
    <outcomeReference>🔗 
      <reference value="Encounter/example-encounter"/>
    </outcomeReference>
    <outcomeReference>🔗 
      <reference value="Encounter/example-encounter-followup"/>
    </outcomeReference>
    <outcomeReference>🔗 
      <reference value="Encounter/example-encounter-phone"/>
    </outcomeReference>
    <outcomeReference>🔗 
      <reference value="Encounter/example-encounter-evaluation"/>
    </outcomeReference>
    <reference>🔗 
      <reference value="ServiceRequest/example-servicerequest"/>
    </reference>
  </activity>
</CarePlan>