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: Tunnistaja

Official URL: https://fhir.ee/ahd/StructureDefinition/ahd-witness Version: 0.1.0
Draft as of 2026-03-12 Computable Name: AHDWitness

Patsiendi poolt määratud tunnistaja (RelatedPerson) PET tahteavalduse kontekstis.

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
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... 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
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patsiendi identifikaatorite domeen . (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
... active ?!SΣ 1..1 boolean Whether this related person's record is in active use
... patient SΣ 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... Slices for relationship SΣ 1..* CodeableConcept Seosetüübid - kontaktisiku liik ja isiklik seos (sugulane, tuttav, ..).
Slice: Unordered, Closed by value:coding.system
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
.... relationship:class SΣ 0..* CodeableConcept Kontaktisiku seos patsiendiga
Binding: Isiku seos patsiendiga . (required)
.... relationship:person SΣ 0..1 CodeableConcept Kontaktisiku liik
Binding: Patsiendi kontaktisikute liigid . (required)
... name SΣ 1..1 HumanName Kontaktisiku nimi.
... telecom SΣ 0..* ContactPoint Kontaktisiku kontaktandmed.
... period S 1..1 Period Period of time that this relationship is considered valid

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​system Base extensible Patsiendi identifikaatorite domeen . ⏿3.0.0 term.tehik.ee
RelatedPerson.relationship Base preferred Patient Relationship Type 📍5.0.0 FHIR Std.
RelatedPerson.relationship:class Base required Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.relationship:person Base required Patsiendi kontaktisikute liigid . ⏿4.0.1 term.tehik.ee
RelatedPerson.communication.​language Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson 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 RelatedPerson 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 RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson 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 MPIRelatedPerson

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... identifier 1..* Identifier Kontaktisiku identifikaatorid.
... patient 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... name 1..1 HumanName Kontaktisiku nimi.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... 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
... identifier SΣ 1..* Identifier Kontaktisiku identifikaatorid.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patsiendi identifikaatorite domeen . (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether this related person's record is in active use
... patient SΣ 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... Slices for relationship SΣ 1..* CodeableConcept Seosetüübid - kontaktisiku liik ja isiklik seos (sugulane, tuttav, ..).
Slice: Unordered, Closed by value:coding.system
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
.... relationship:class SΣ 0..* CodeableConcept Kontaktisiku seos patsiendiga
Binding: Isiku seos patsiendiga . (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
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Binding: RoleClass (extensible)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... relationship:person SΣ 0..1 CodeableConcept Kontaktisiku liik
Binding: Patsiendi kontaktisikute liigid . (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
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Binding: Isiku seos patsiendiga . (extensible)
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... name SΣ 1..1 HumanName Kontaktisiku nimi.
... telecom SΣ 0..* ContactPoint Kontaktisiku kontaktandmed.
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate Σ 0..1 date The date on which the related person was born
... period S 1..1 Period Period of time that this relationship is considered valid

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.language Base required All Languages 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​system Base extensible Patsiendi identifikaatorite domeen . ⏿3.0.0 term.tehik.ee
RelatedPerson.relationship Base preferred Patient Relationship Type 📍5.0.0 FHIR Std.
RelatedPerson.relationship:class Base required Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.relationship:class.​coding.system Base extensible RoleClass 📦3.0.0 THO v7.1
RelatedPerson.relationship:person Base required Patsiendi kontaktisikute liigid . ⏿4.0.1 term.tehik.ee
RelatedPerson.relationship:person.​coding.system Base extensible Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
RelatedPerson.communication.​language Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson 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 RelatedPerson 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 RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson 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 MPIRelatedPerson

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... 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
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patsiendi identifikaatorite domeen . (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
... active ?!SΣ 1..1 boolean Whether this related person's record is in active use
... patient SΣ 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... Slices for relationship SΣ 1..* CodeableConcept Seosetüübid - kontaktisiku liik ja isiklik seos (sugulane, tuttav, ..).
Slice: Unordered, Closed by value:coding.system
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
.... relationship:class SΣ 0..* CodeableConcept Kontaktisiku seos patsiendiga
Binding: Isiku seos patsiendiga . (required)
.... relationship:person SΣ 0..1 CodeableConcept Kontaktisiku liik
Binding: Patsiendi kontaktisikute liigid . (required)
... name SΣ 1..1 HumanName Kontaktisiku nimi.
... telecom SΣ 0..* ContactPoint Kontaktisiku kontaktandmed.
... period S 1..1 Period Period of time that this relationship is considered valid

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​system Base extensible Patsiendi identifikaatorite domeen . ⏿3.0.0 term.tehik.ee
RelatedPerson.relationship Base preferred Patient Relationship Type 📍5.0.0 FHIR Std.
RelatedPerson.relationship:class Base required Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.relationship:person Base required Patsiendi kontaktisikute liigid . ⏿4.0.1 term.tehik.ee
RelatedPerson.communication.​language Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson 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 RelatedPerson 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 RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson 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 MPIRelatedPerson

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... identifier 1..* Identifier Kontaktisiku identifikaatorid.
... patient 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... name 1..1 HumanName Kontaktisiku nimi.

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. RelatedPerson 0..* MPIRelatedPerson A person that is related to a patient, but who is not a direct target of care
... 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
... identifier SΣ 1..* Identifier Kontaktisiku identifikaatorid.
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Binding: Patsiendi identifikaatorite domeen . (extensible)
Example General: http://www.acme.com/identifiers/patient
.... value SΣC 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... active ?!SΣ 1..1 boolean Whether this related person's record is in active use
... patient SΣ 1..1 Reference(EE MPI Patient Verified) The patient this person is related to
... Slices for relationship SΣ 1..* CodeableConcept Seosetüübid - kontaktisiku liik ja isiklik seos (sugulane, tuttav, ..).
Slice: Unordered, Closed by value:coding.system
Binding: PatientRelationshipType (preferred): The nature of the relationship between a patient and the related person.
.... relationship:class SΣ 0..* CodeableConcept Kontaktisiku seos patsiendiga
Binding: Isiku seos patsiendiga . (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
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Binding: RoleClass (extensible)
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... relationship:person SΣ 0..1 CodeableConcept Kontaktisiku liik
Binding: Patsiendi kontaktisikute liigid . (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
...... id 0..1 id Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
Binding: Isiku seos patsiendiga . (extensible)
Fixed Value: http://snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code ΣC 0..1 code Symbol in syntax defined by the system
...... display ΣC 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... name SΣ 1..1 HumanName Kontaktisiku nimi.
... telecom SΣ 0..* ContactPoint Kontaktisiku kontaktandmed.
... gender Σ 0..1 code male | female | other | unknown
Binding: AdministrativeGender (required): The gender of a person used for administrative purposes.
... birthDate Σ 0..1 date The date on which the related person was born
... period S 1..1 Period Period of time that this relationship is considered valid

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
RelatedPerson.language Base required All Languages 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​use Base required IdentifierUse 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​type Base extensible Identifier Type Codes 📍5.0.0 FHIR Std.
RelatedPerson.identifier.​system Base extensible Patsiendi identifikaatorite domeen . ⏿3.0.0 term.tehik.ee
RelatedPerson.relationship Base preferred Patient Relationship Type 📍5.0.0 FHIR Std.
RelatedPerson.relationship:class Base required Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.relationship:class.​coding.system Base extensible RoleClass 📦3.0.0 THO v7.1
RelatedPerson.relationship:person Base required Patsiendi kontaktisikute liigid . ⏿4.0.1 term.tehik.ee
RelatedPerson.relationship:person.​coding.system Base extensible Isiku seos patsiendiga . ⏿1.0.0 term.tehik.ee
RelatedPerson.gender Base required AdministrativeGender 📍5.0.0 FHIR Std.
RelatedPerson.communication.​language Base required All Languages 📍5.0.0 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error RelatedPerson If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error RelatedPerson 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 RelatedPerson 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 RelatedPerson If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice RelatedPerson 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 MPIRelatedPerson

Summary

Mandatory: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron