Publisert - 13.05.2026

KjConsentBehandlingsavklaring profile

The KjConsentBehandlingsavklaring profile is for registration treatment clarification for do not resuscitate (HLR minus).

Note! This profile replace the KjConsent profile for registration of the consent the patient has given regarding treatment (Avgrensning Av Livsforlengende Behandling).

Note! This profile is under development and is not yet released to test or production.

Profile elements

Note that for all FHIR elements which has coding, e.g. code.coding and policyRule.coding, we prefer coding.display to always be set for completeness sake as well as coding.code and coding.system.

https://simplifier.net/kjernejournalr4/kjconsentbehandlingsavklaring

Element Norwegian Text Description Comment
id Record id. Id + meta.versionId is the unique identifier.
meta.versionId Record version id.
status See below Used for Status, see below. Values can be active | inactive | entered-in-error
category.coding.code HLR-minus og behandlingsavklaringer 11=HLR-minus og behandlingsavklaringer Type of critical information.
policyRule.coding Consent policy code. The code must always be '2', see example below.
scope.coding Which area this resource covers
treatment - Consent to undergo a specific treatment.		 The code must always be 'treatment', see example below.
patient Pasient Who the consent applies to.
dateTime Opprettet dato When this Consent was issued / created.
performer Hvem som gjorde første registrering. Who recorded this consent first. Must always reference the original recorder of the resource. Use PractitionerRole contained reference.
provision.code Kode for varighet av behandlingsavklaring. Code for duration for this treament clarification. Valid codes for 7655 on finnkode.no
extension.behandlingsavklaring-hlr-minus-reason Faglig begrunnelse for HLR‑minus. Clinical reason for HRL minus. Max 80 characters, inclusive lineshifts.
extension.behandlingsavklaring-treatment-goal Behandlingsmål Treatment goal. Valid codes for 7653 on finnkode.no
extension.behandlingsavklaring-treatment-goal-text Behandlingsmål utfyllende Treatment goal description. Max 700 characters, inclusive lineshifts.
extension.behandlingsavklaring-decision-basis Hvem har vært med å beslutte. Who was involved in the treament clarification. Valid codes for 7654 on finnkode.no
extension.behandlingsavklaring-info-given-patient Om pasienten er informert. Was the patient informed?
extension.behandlingsavklaring-info-text-patient Fritekst begrunnelse dersom pasient ikke er informert. Reason if patient not informed. Max 80 characters, inclusive lineshifts.
extension.behandlingsavklaring-info-given-relatives Om pårørende er informert. Was the relatives informed?
extension.behandlingsavklaring-info-text-relatives Fritekst begrunnelse dersom pårørende ikke er informert. Reason if relatives not informed. Max 80 characters, inclusive lineshifts.
extension.behandlingsavklaring-has-other-plans Om pasient har andre planer. If patient has other careplans?
extension.behandlingsavklaring-other-plan Kommentar til andre planer. Note regarding other plans. Max 80 characters, inclusive lineshifts.
extension.updater Hvem som gjorde endring. Who changed this version of the resource. Use PractitionerRole contained reference.
extension.updatedDateTime Tidspunkt endring. When this version of the resource was changed.
extension.validUntil Gyldig til Required valid until date.
extension.note Kommentar Note. Max 700 characters, inclusive lineshifts.

Status

The status which the critical information record is in.

Status Norwegian Text Element Values Comment
Active Aktiv status=active Use when the treatment clarification is to be followed and enforced.
Inactive Inaktiv status=inactive Use when this consent for treatment clarification is terminated or replaced.
Deleted Slettet status=entered-in-error When an erroneous registration. Use the REST delete endpoint.

Coding systems

Consent (Behandlingsavklaring) can be registered on the following coding systems.

FHIR coding system url Code
http://nhn.no/kj/fhir/CodeSystem/ConsentPolicies 2

Example

{
  "resourceType": "Consent",
  "meta": {
    "profile": [
      "http://nhn.no/kj/fhir/StructureDefinition/KjConsentBehandlingsavklaring"
    ]
  },
  "contained": [
    {
      "resourceType": "PractitionerRole",
      "id": "recorderRef",
      "practitioner": {
        "identifier": {
          "system": "urn:oid:2.16.578.1.12.4.1.4.4",
          "value": "222200063"
        },
        "display": "Lillehagen, Rolf Fos"
      },
      "organization": {
        "identifier": {
          "system": "urn:oid:2.16.578.1.12.4.1.4.101",
          "value": "993187178"
        },
        "display": "Legevakta i Trondheim"
      },
      "code": [
        {
          "coding": [
            {
              "system": "http://nhn.no/kj/fhir/CodeSystem/CategoriesOfHealthProfessionals",
              "code": "LE",
              "display": "Lege"
            }
          ]
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-hlr-minus-reason",
      "valueString": "For stor spredning av kreft."
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-treatment-goal",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://nhn.no/kj/fhir/CodeSystem/KjBehandlingsavklaring",
            "code": "B3",
            "display": "Fokus på livskvalitet og lindring når livet går mot slutten"
          }
        ]
      }
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-treatment-goal-text",
      "valueString": "Antibiotika kan gis på lindrende indikasjon"
    },
    {
      "url": "http://nhn.no/kj/fhir/CodeSystem/KjBeslutningsgrunnlag",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://finnkode.helsedirektoratet.no/adm/collections/7654",
            "code": "KB",
            "display": "Klinisk beslutning"
          }
        ]
      }
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-info-given-patient",
      "valueBoolean": false
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-info-text-patient",
      "valueString": "Alvorlig kognitiv svikt."
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-info-given-relatives",
      "valueBoolean": false
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-info-text-relatives",
      "valueString": "Har ikke nær familie."
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-has-other-plans",
      "valueBoolean": true
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/behandlingsavklaring-other-plan",
      "valueString": "Palliativ plan i lokal journal."
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/KjText",
      "valueString": "En kommentar"
    },
    {
      "url": "http://nhn.no/kj/fhir/StructureDefinition/KjValidUntil",
      "valueDateTime": "2027-02-01T00:00:00+00:00"
    }
  ],
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "treatment",
        "display": "Treatment"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation",
          "code": "11",
          "display": "HLR-minus og behandlingsavklaringer"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/04098605660"
  },
  "dateTime": "2026-05-04T09:58:59+00:00",
  "performer": [
    {
      "reference": "#recorderRef"
    }
  ],
  "policyRule": {
    "coding": [
      {
        "system": "http://nhn.no/kj/fhir/CodeSystem/ConsentPolicies",
        "code": "2",
        "display": "HLR-minus og behandlingsavklaringer"
      }
    ]
  },
  "provision": {
    "code": [
      {
        "coding": [
          {
            "system": "http://nhn.no/kj/fhir/CodeSystem/KjVarighetBehandlingsavklaring",
            "code": "B",
            "display": "Begrenset"
          }
        ]
      }
    ]
  }
}

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