Patsiendi elulõpu tahteavaldus
0.1.0 - trial-use

Patsiendi elulõpu tahteavaldus, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-pet/ and changes regularly. See the Directory of published versions

Resource Profile: PET nõustamise otsus

Official URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling-result Version: 0.1.0
Draft as of 2026-06-10 Computable Name: AHDCounselingResult

Nõustamise otsus: kas patsiendil on lubatud PET kinnitada, ja kui ei ole, siis põhjus.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, ahd-counseling-reason
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject Σ 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
.... effective[x]:effectiveInstant Σ 1..1 instant Clinically relevant time/time-period for observation
... performer Σ 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] ΣC 1..1 boolean Actual result
... note C 0..1 Annotation Comments about the observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: ahd-counseling-reason
... meta
.... profile 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... text 0..0 Text summary of the resource, for human interpretation
... contained 0..0 Contained, inline Resources
... extension 0..0 Extension
... modifierExtension 0..0 Extension
... identifier 0..0 Business Identifier for observation
... instantiates[x] 0..0 Instantiates FHIR ObservationDefinition
... basedOn 0..0 Fulfills plan, proposal or order
... triggeredBy 0..0 Triggering observation(s)
... partOf 0..0 Part of referenced event
... status 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
... category 0..0 Classification of type of observation
... code
.... text 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... Slices for effective[x] 1..1 instant Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveInstant 1..1 instant Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... performer 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] 1..1 boolean Actual result
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc
... note C 0..1 Annotation Comments about the observation
... bodySite 0..0 Observed body part
... bodyStructure 0..0 Observed body structure
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 A reference to the device that generates the measurements or the device settings for the device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 0..0 Related resource from which the observation is made
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, ahd-counseling-reason
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject Σ 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 instant Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveInstant Σ 1..1 instant Clinically relevant time/time-period for observation
... performer Σ 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] ΣC 1..1 boolean Actual result
... note C 0..1 Annotation Comments about the observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Observation.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()

This structure is derived from Observation

Summary

Mandatory: 5 elements(1 nested mandatory element)
Prohibited: 25 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.effective[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, ahd-counseling-reason
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
... code ΣC 1..1 CodeableConcept Type of observation (code / type)
Binding: LOINCCodes (example): Codes identifying names of simple observations.
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject Σ 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
.... effective[x]:effectiveInstant Σ 1..1 instant Clinically relevant time/time-period for observation
... performer Σ 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] ΣC 1..1 boolean Actual result
... note C 0..1 Annotation Comments about the observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: ahd-counseling-reason
... meta
.... profile 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules 0..0 A set of rules under which this content was created
... language 0..0 Language of the resource content
... text 0..0 Text summary of the resource, for human interpretation
... contained 0..0 Contained, inline Resources
... extension 0..0 Extension
... modifierExtension 0..0 Extension
... identifier 0..0 Business Identifier for observation
... instantiates[x] 0..0 Instantiates FHIR ObservationDefinition
... basedOn 0..0 Fulfills plan, proposal or order
... triggeredBy 0..0 Triggering observation(s)
... partOf 0..0 Part of referenced event
... status 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
... category 0..0 Classification of type of observation
... code
.... text 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
... focus 0..0 What the observation is about, when it is not about the subject of record
... Slices for effective[x] 1..1 instant Clinically relevant time/time-period for observation
Slice: Unordered, Open by type:$this
.... effective[x]:effectiveInstant 1..1 instant Clinically relevant time/time-period for observation
... issued 0..0 Date/Time this version was made available
... performer 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] 1..1 boolean Actual result
... dataAbsentReason 0..0 Why the result is missing
... interpretation 0..0 High, low, normal, etc
... note C 0..1 Annotation Comments about the observation
... bodySite 0..0 Observed body part
... bodyStructure 0..0 Observed body structure
... method 0..0 How it was done
... specimen 0..0 Specimen used for this observation
... device 0..0 A reference to the device that generates the measurements or the device settings for the device
... referenceRange 0..0 Provides guide for interpretation
... hasMember 0..0 Related resource that belongs to the Observation group
... derivedFrom 0..0 Related resource from which the observation is made
... component 0..0 Component results

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Observation C 0..* Observation Measurements and simple assertions
Constraints: obs-6, obs-7, obs-8, ahd-counseling-reason
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..1 canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: PET nõustamise otsuse staatus (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 0..1 string Plain text representation of the concept
Required Pattern: Luba kinnitada PET
... subject Σ 1..1 Reference(EE MPI Patient Verified) Who and/or what the observation is about
... encounter Σ 0..1 Reference(Encounter) Healthcare event during which this observation is made
... Slices for effective[x] Σ 1..1 instant Clinically relevant time/time-period for observation
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveInstant Σ 1..1 instant Clinically relevant time/time-period for observation
... performer Σ 1..1 Reference(https://fhir.ee/spd/StructureDefinition/ee-spd-practitioner-role) Who is responsible for the observation
... value[x] ΣC 1..1 boolean Actual result
... note C 0..1 Annotation Comments about the observation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Observation.meta.security Base extensible All Security Labels 📍5.0.0 FHIR Std.
Observation.meta.tag Base example Common Tags 📍5.0.0 FHIR Std.
Observation.triggeredBy.​type Base required triggered Bytype 📍5.0.0 FHIR Std.
Observation.status Base required PET nõustamise otsuse staatus 📦0.1.0 This IG
Observation.code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​normalValue Base extensible Observation Reference Range Normal Value Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​type Base preferred Observation Reference Range Meaning Codes 📍5.0.0 FHIR Std.
Observation.referenceRange.​appliesTo Base example Observation Reference Range Applies To Codes 📍5.0.0 FHIR Std.
Observation.component.​code Base example LOINC Codes 📍5.0.0 FHIR Std.
Observation.component.​dataAbsentReason Base extensible Data Absent Reason 📍5.0.0 FHIR Std.
Observation.component.​interpretation Base extensible Observation Interpretation Codes 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
ahd-counseling-reason error Observation Kui valueBoolean=false, siis põhjus (note) peab olema esitatud. Kui valueBoolean = true, siis põhjendust vaja ei ole (valueBoolean = false implies note.exists()) and (valueBoolean = true implies note.empty())
dom-2 error Observation If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Observation If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Observation If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Observation If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Observation A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
obs-6 error Observation dataAbsentReason SHALL only be present if Observation.value[x] is not present dataAbsentReason.empty() or value.empty()
obs-7 error Observation If Observation.component.code is the same as Observation.code, then Observation.value SHALL NOT be present (the Observation.component.value[x] holds the value). value.empty() or component.code.where(coding.intersect(%resource.code.coding).exists()).empty()
obs-8 error Observation bodyStructure SHALL only be present if Observation.bodySite is not present bodySite.exists() implies bodyStructure.empty()

This structure is derived from Observation

Summary

Mandatory: 5 elements(1 nested mandatory element)
Prohibited: 25 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Observation.effective[x]

 

Other representations of profile: CSV, Excel, Schematron