Publisert - 20.05.2026

KjConsentBehandlingsavklaring profile

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

NOTE!

  • This profile is under development and is not yet released to production.
  • This profile replace the KJConsentAvgrensningAvLivsforlengendeBehandling profile (registration of the consent the patient has given for limitation of life-prolonging treatment).
  • In a transitional phase it will not be allowed for a patient to have both KJConsentBehandlingsavklaring and KJConsentAvgrensningAvLivsforlengendeBehandling.
  • Any existing KJConsentAvgrensningAvLivsforlengendeBehandling must therefore be inactivated (or expire) before a new KJConsentBehandlingsavklaring can be registered.

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 11=HLR-minus og behandlingsavklaringer 11=HLR-minus og behandlingsavklaringer Type of critical information. Cannot be changed on update.
policyRule.coding Consent policy code. The code must always be '2', see example below. Cannot be changed on update.
scope.coding Which area this resource covers
treatment - Consent to undergo a specific treatment.		 The code must always be 'treatment', see example below. Cannot be changed on update.
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, påkrevd. Code for duration for this treament clarification, required. Valid codes for 7655 on finnkode.no.
If 'B' (Begrenset) then extension.KjValidUntil must be set.
extension.behandlingsavklaring-hlr-minus-reason Faglig begrunnelse for HLR‑minus, påkrevd. Clinical reason for HLR minus, required. Max 80, min 2 characters, inclusive lineshifts.
extension.behandlingsavklaring-treatment-goal Behandlingsmål Treatment goal. Valid codes for 7653 on finnkode.no.
extension.behandlingsavklaring-treatment-goal-text Behandlingsmål utfyllende, valigfri Treatment goal description, not required. Max 700, min 2 characters, inclusive lineshifts.
extension.behandlingsavklaring-decision-basis Beslutningsgrunnlag. En, flere, eller alle koder tillatt. Basis for decision-making. One, more, or all codes allowed. Valid codes for 7654 on finnkode.no.
extension.behandlingsavklaring-info-given-patient Om pasienten er informert, påkrevd. Was the patient informed? Required. If behandlingsavklaring-info-given-patient = false then reason must be set in behandlingsavklaring-info-text-patient
extension.behandlingsavklaring-info-text-patient Fritekst begrunnelse dersom pasient ikke er informert. Påkrevd hvis ikke, ellers valgfri. Free text reason if the patient is not informed. Required if not, or else optional. Max 80, min 2 characters, inclusive lineshifts.
extension.behandlingsavklaring-info-given-relatives Om pårørende er informert, påkrevd. Was the relatives informed? Required. If behandlingsavklaring-info-given-relatives = false then reason must be set in behandlingsavklaring-info-text-relatives
extension.behandlingsavklaring-info-text-relatives Fritekst begrunnelse dersom pårørende ikke er informert. Påkrevd hvis ikke, ellers valgfri. Free text reason if the relatives are not informed. Required if not, or else optional. Max 80, min 2 characters, inclusive lineshifts.
extension.behandlingsavklaring-has-other-plans Om pasient har andre planer, valgfri. If patient has other careplans, optional?
extension.behandlingsavklaring-other-plan-text Kommentar til andre planer. Ikke tillatt hvis pasient ikke har andre planer. Note regarding other plans. Not allowed if patient has no other careplan. Max 80, min 2 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.KjValidUntil Gyldig til. Må være etter opprettet dato (Consent.dateTime). Valid until date. Must be after created date (Consent.dateTime). Required for Consent.provision code 'B' (Begrenset). For Consent.provision code 'V' (Varig) it cannot be present.
extension.KjText Kommentar, valgfri. Note, optional. Max 700, min 2 characters, inclusive lineshifts.

Status

The status which the critical information record is in.

Note that when reading deleted resources clinical data is filtered away for privacy reasons.

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.

Element FHIR coding system url Code Display Coding system in the Coding System Service
category.coding.code http://nhn.no/kj/fhir/CodeSystem/SubcategoriesOfCriticalInformation 11 HLR-minus og behandlingsavklaringer KJ_KRITISK_INFO_UNDERKATEGORI
scope.coding http://terminology.hl7.org/CodeSystem/consentscope treatment Treatment
policyRule.coding http://nhn.no/kj/fhir/CodeSystem/ConsentPolicies 2 HLR-minus og behandlingsavklaringer
provision.code http://nhn.no/kj/fhir/CodeSystem/KjVarighetBehandlingsavklaring KJ_VARIGHET_BEHANDLINGSAVKLARING
extension.behandlingsavklaring-treatment-goal http://nhn.no/kj/fhir/CodeSystem/KjBehandlingsavklaring KJ_BEHANDLINGSAVKLARING
extension.behandlingsavklaring-decision-basis http://nhn.no/kj/fhir/CodeSystem/KjBeslutningsgrunnlag KJ_BESLUTNINGSGRUNNLAG

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/StructureDefinition/behandlingsavklaring-decision-basis",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "http://nhn.no/kj/fhir/CodeSystem/KjBeslutningsgrunnlag",
            "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-text",
      "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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