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 fakt
| Official URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling | Version: 0.1.0 | |||
| Draft as of 2026-03-12 | Computable Name: AHDCounseling | |||
Kirjeldab, kas patsient sai elulõpu tahteavalduse raames nõustatud ja kas on luba kinnitada PET.
Usages:
- Refer to this Profile: Patsiendi elulõpu tahteavaldus
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Communication |
0..* | Communication | A clinical or business level record of information being transmitted or shared | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
  Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:allowedToSign |
1..1 | boolean | Luba PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-allowed-to-sign | |
| extension:notAllowedReason |
0..1 | string | Tekstiline kirjeldus, miks ei või PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-not-allowed-reason | |
 extension:counselingOrganization |
1..1 | Reference(EEBase Organization) | PET Nõustamise asutus URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling-organization | |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Required Pattern: completed |
 subject |
Σ | 1..1 | Reference(PET patsient) | Focus of message |
 sender |
1..1 | Reference(PractitionerRole) | Who shares the information | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | 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()
|
This structure is derived from Communication
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication | A clinical or business level record of information being transmitted or shared | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
 meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:allowedToSign |
1..1 | boolean | Luba PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-allowed-to-sign | |||||
| extension:notAllowedReason |
0..1 | string | Tekstiline kirjeldus, miks ei või PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-not-allowed-reason | |||||
| extension:counselingOrganization |
1..1 | Reference(EEBase Organization) | PET Nõustamise asutus URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling-organization | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of referenced event (e.g. Communication, Procedure) | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Required Pattern: completed | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 1..1 | Reference(PET patsient) | Focus of message | ||||
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. | |||||
| about |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this Communication was created | ||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) | Who the information is shared with | |||||
| sender |
1..1 | Reference(PractitionerRole) | Who shares the information | |||||
| reason |
Σ | 0..* | CodeableReference(Resource) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| payload |
0..* | BackboneElement | Message payload | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
  content[x] |
1..1 | Message part content | ||||||
 contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Communication.statusReason | Base | example | Communication Not Done Reason | 📍5.0.0 | FHIR Std. |
| Communication.category | Base | example | Communication Category | 📍5.0.0 | FHIR Std. |
| Communication.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.1 |
| Communication.topic | Base | example | Communication Topic | 📍5.0.0 | FHIR Std. |
| Communication.reason | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | 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()
|
This structure is derived from Communication
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Communication |
0..* | Communication | A clinical or business level record of information being transmitted or shared | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained |
0..* | Resource | Contained, inline Resources | |
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:allowedToSign |
1..1 | boolean | Luba PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-allowed-to-sign | |
| extension:notAllowedReason |
0..1 | string | Tekstiline kirjeldus, miks ei või PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-not-allowed-reason | |
| extension:counselingOrganization |
1..1 | Reference(EEBase Organization) | PET Nõustamise asutus URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling-organization | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Required Pattern: completed |
| subject |
Σ | 1..1 | Reference(PET patsient) | Focus of message |
| sender |
1..1 | Reference(PractitionerRole) | Who shares the information | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | 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()
|
Differential View
This structure is derived from Communication
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Communication |
0..* | Communication | A clinical or business level record of information being transmitted or shared | |||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:allowedToSign |
1..1 | boolean | Luba PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-allowed-to-sign | |||||
| extension:notAllowedReason |
0..1 | string | Tekstiline kirjeldus, miks ei või PET teha URL: https://fhir.ee/ahd/StructureDefinition/ahd-not-allowed-reason | |||||
| extension:counselingOrganization |
1..1 | Reference(EEBase Organization) | PET Nõustamise asutus URL: https://fhir.ee/ahd/StructureDefinition/ahd-counseling-organization | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
Σ | 0..* | Identifier | Unique identifier | ||||
| instantiatesCanonical |
Σ | 0..* | canonical(PlanDefinition | ActivityDefinition | Measure | OperationDefinition | Questionnaire) | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(Resource) | Request fulfilled by this communication | ||||
| partOf |
Σ | 0..* | Reference(Resource) | Part of referenced event (e.g. Communication, Procedure) | ||||
| inResponseTo |
0..* | Reference(Communication) | Reply to | |||||
| status |
?!Σ | 1..1 | code | preparation | in-progress | not-done | on-hold | stopped | completed | entered-in-error | unknown Binding: EventStatus (required): The status of the communication. Required Pattern: completed | ||||
| statusReason |
Σ | 0..1 | CodeableConcept | Reason for current status Binding: CommunicationNotDoneReason (example): Codes for the reason why a communication did not happen. | ||||
| category |
0..* | CodeableConcept | Message category Binding: CommunicationCategory (example): Codes for general categories of communications such as alerts, instructions, etc. | |||||
| priority |
Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Codes indicating the relative importance of a communication. | ||||
| medium |
0..* | CodeableConcept | A channel of communication Binding: ParticipationMode (example): Codes for communication mediums such as phone, fax, email, in person, etc. | |||||
| subject |
Σ | 1..1 | Reference(PET patsient) | Focus of message | ||||
| topic |
0..1 | CodeableConcept | Description of the purpose/content Binding: CommunicationTopic (example): Codes describing the purpose or content of the communication. | |||||
| about |
0..* | Reference(Resource) | Resources that pertain to this communication | |||||
| encounter |
Σ | 0..1 | Reference(Encounter) | The Encounter during which this Communication was created | ||||
| sent |
0..1 | dateTime | When sent | |||||
| received |
0..1 | dateTime | When received | |||||
| recipient |
0..* | Reference(CareTeam | Device | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson | Endpoint) | Who the information is shared with | |||||
| sender |
1..1 | Reference(PractitionerRole) | Who shares the information | |||||
| reason |
Σ | 0..* | CodeableReference(Resource) | Indication for message Binding: SNOMEDCTClinicalFindings (example): Codes for describing reasons for the occurrence of a communication. | ||||
| payload |
0..* | BackboneElement | Message payload | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| content[x] |
1..1 | Message part content | ||||||
| contentAttachment |
Attachment | |||||||
| contentReference |
Reference(Resource) | |||||||
| note |
0..* | Annotation | Comments made about the communication | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Communication.language | Base | required | All Languages | 📍5.0.0 | FHIR Std. |
| Communication.status | Base | required | EventStatus | 📍5.0.0 | FHIR Std. |
| Communication.statusReason | Base | example | Communication Not Done Reason | 📍5.0.0 | FHIR Std. |
| Communication.category | Base | example | Communication Category | 📍5.0.0 | FHIR Std. |
| Communication.priority | Base | required | RequestPriority | 📍5.0.0 | FHIR Std. |
| Communication.medium | Base | example | ParticipationMode | 📦3.0.0 | THO v7.1 |
| Communication.topic | Base | example | Communication Topic | 📍5.0.0 | FHIR Std. |
| Communication.reason | Base | example | SNOMED CT Clinical Findings | 📍5.0.0 | FHIR Std. |
Constraints
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | Communication | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | Communication | 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 | Communication | 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 | Communication | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | Communication | 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()
|
This structure is derived from Communication
Other representations of profile: CSV, Excel, Schematron