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 provenance

Official URL: https://fhir.ee/ahd/StructureDefinition/ahd-signature-provenance Version: 0.1.0
Draft as of 2026-04-22 Computable Name: AHDSignatureProvenance

Allkirjastamise provenance profiil, mille target on nii PET vorm (QuestionnaireResponse) kui ka Binary artifakt

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
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... target:nativeContent Σ 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact Σ 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... recorded Σ 1..1 instant When the activity was recorded / updated
... agent ΣC 1..* BackboneElement Actor involved
Constraints: prov-1, prov-2, prov-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who ΣC 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 Provenance 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 Provenance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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()
prov-1 error Provenance.agent Who and onBehalfOf cannot be the same who.resolve().exists() and onBehalfOf.resolve().exists() implies who.resolve() != onBehalfOf.resolve()
prov-2 error Provenance.agent If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner who.resolve().ofType(PractitionerRole).practitioner.resolve().exists() and onBehalfOf.resolve().ofType(Practitioner).exists() implies who.resolve().practitioner.resolve() != onBehalfOf.resolve()
prov-3 error Provenance.agent If who is an organization, onBehalfOf can't be a PractitionerRole within that organization who.resolve().ofType(Organization).exists() and onBehalfOf.resolve().ofType(PractitionerRole).organization.resolve().exists() implies who.resolve() != onBehalfOf.resolve().organization.resolve()

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... Slices for target 2..* Reference(Resource) Target Reference(s) (usually version specific)
Slice: Unordered, Open by profile:$this
.... target:nativeContent 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... recorded 1..1 instant When the activity was recorded / updated
... agent
.... who 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for target Σ 2..* Reference(Resource) Target Reference(s) (usually version specific)
Slice: Unordered, Open by profile:$this
.... target:nativeContent Σ 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact Σ 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... authorization 0..* CodeableReference() Authorization (purposeOfUse) related to the event
Binding: PurposeOfUse (example): The authorized purposeOfUse for the activity.
... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (example): The activity that took place.
... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task) Workflow authorization within which this event occurred
... patient 0..1 Reference(Patient) The patient is the subject of the data created/updated (.target) by the activity
... encounter 0..1 Reference(Encounter) Encounter within which this event occurred or which the event is tightly associated
... agent ΣC 1..* BackboneElement Actor involved
Constraints: prov-1, prov-2, prov-3
.... 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
.... type Σ 0..1 CodeableConcept How the agent participated
Binding: ParticipationRoleType (example): The type of participation that a provenance agent played with respect to the activity.
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who ΣC 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... entity Σ 0..* BackboneElement An entity used in this activity
.... 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
.... role Σ 1..1 code revision | quotation | source | instantiates | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base required All Languages 📍5.0.0 FHIR Std.
Provenance.authorization Base example PurposeOfUse 📦3.1.0 THO v7.1
Provenance.activity Base example ValueSet of sample of representative activity type codes. 📍5.0.0 FHIR Std.
Provenance.agent.type Base example Participation Role Type 📍5.0.0 FHIR Std.
Provenance.agent.role Base example Security Role Type 📍5.0.0 FHIR Std.
Provenance.entity.role Base required Provenance Entity Role 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 Provenance 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 Provenance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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()
prov-1 error Provenance.agent Who and onBehalfOf cannot be the same who.resolve().exists() and onBehalfOf.resolve().exists() implies who.resolve() != onBehalfOf.resolve()
prov-2 error Provenance.agent If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner who.resolve().ofType(PractitionerRole).practitioner.resolve().exists() and onBehalfOf.resolve().ofType(Practitioner).exists() implies who.resolve().practitioner.resolve() != onBehalfOf.resolve()
prov-3 error Provenance.agent If who is an organization, onBehalfOf can't be a PractitionerRole within that organization who.resolve().ofType(Organization).exists() and onBehalfOf.resolve().ofType(PractitionerRole).organization.resolve().exists() implies who.resolve() != onBehalfOf.resolve().organization.resolve()

This structure is derived from Provenance

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... target:nativeContent Σ 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact Σ 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... recorded Σ 1..1 instant When the activity was recorded / updated
... agent ΣC 1..* BackboneElement Actor involved
Constraints: prov-1, prov-2, prov-3
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who ΣC 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 Provenance 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 Provenance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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()
prov-1 error Provenance.agent Who and onBehalfOf cannot be the same who.resolve().exists() and onBehalfOf.resolve().exists() implies who.resolve() != onBehalfOf.resolve()
prov-2 error Provenance.agent If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner who.resolve().ofType(PractitionerRole).practitioner.resolve().exists() and onBehalfOf.resolve().ofType(Practitioner).exists() implies who.resolve().practitioner.resolve() != onBehalfOf.resolve()
prov-3 error Provenance.agent If who is an organization, onBehalfOf can't be a PractitionerRole within that organization who.resolve().ofType(Organization).exists() and onBehalfOf.resolve().ofType(PractitionerRole).organization.resolve().exists() implies who.resolve() != onBehalfOf.resolve().organization.resolve()

Differential View

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... Slices for target 2..* Reference(Resource) Target Reference(s) (usually version specific)
Slice: Unordered, Open by profile:$this
.... target:nativeContent 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... recorded 1..1 instant When the activity was recorded / updated
... agent
.... who 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... 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
... 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... Slices for target Σ 2..* Reference(Resource) Target Reference(s) (usually version specific)
Slice: Unordered, Open by profile:$this
.... target:nativeContent Σ 1..1 Reference(Patsiendi elulõpu tahteavaldus) Target Reference(s) (usually version specific)
.... target:signedArtifact Σ 1..1 Reference(Allkirjastatud PET vorm) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... authorization 0..* CodeableReference() Authorization (purposeOfUse) related to the event
Binding: PurposeOfUse (example): The authorized purposeOfUse for the activity.
... activity 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (example): The activity that took place.
... basedOn 0..* Reference(CarePlan | DeviceRequest | ImmunizationRecommendation | MedicationRequest | NutritionOrder | ServiceRequest | Task) Workflow authorization within which this event occurred
... patient 0..1 Reference(Patient) The patient is the subject of the data created/updated (.target) by the activity
... encounter 0..1 Reference(Encounter) Encounter within which this event occurred or which the event is tightly associated
... agent ΣC 1..* BackboneElement Actor involved
Constraints: prov-1, prov-2, prov-3
.... 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
.... type Σ 0..1 CodeableConcept How the agent participated
Binding: ParticipationRoleType (example): The type of participation that a provenance agent played with respect to the activity.
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who ΣC 1..1 Reference(PET patsient | Tunnistaja | PractitionerRole) The agent that participated in the event
.... onBehalfOf C 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient) The agent that delegated
... entity Σ 0..* BackboneElement An entity used in this activity
.... 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
.... role Σ 1..1 code revision | quotation | source | instantiates | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base required All Languages 📍5.0.0 FHIR Std.
Provenance.authorization Base example PurposeOfUse 📦3.1.0 THO v7.1
Provenance.activity Base example ValueSet of sample of representative activity type codes. 📍5.0.0 FHIR Std.
Provenance.agent.type Base example Participation Role Type 📍5.0.0 FHIR Std.
Provenance.agent.role Base example Security Role Type 📍5.0.0 FHIR Std.
Provenance.entity.role Base required Provenance Entity Role 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 Provenance 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 Provenance If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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()
prov-1 error Provenance.agent Who and onBehalfOf cannot be the same who.resolve().exists() and onBehalfOf.resolve().exists() implies who.resolve() != onBehalfOf.resolve()
prov-2 error Provenance.agent If who is a PractitionerRole, onBehalfOf can't reference the same Practitioner who.resolve().ofType(PractitionerRole).practitioner.resolve().exists() and onBehalfOf.resolve().ofType(Practitioner).exists() implies who.resolve().practitioner.resolve() != onBehalfOf.resolve()
prov-3 error Provenance.agent If who is an organization, onBehalfOf can't be a PractitionerRole within that organization who.resolve().ofType(Organization).exists() and onBehalfOf.resolve().ofType(PractitionerRole).organization.resolve().exists() implies who.resolve() != onBehalfOf.resolve().organization.resolve()

This structure is derived from Provenance

 

Other representations of profile: CSV, Excel, Schematron