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{
"resourceType": "StructureDefinition",
"id": "ca-qc-endo-profile-EndoDiagnosticReport-v0.9.1",
"url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDiagnosticReport_v091",
"version": "0.9.1",
"name": "EndoDiagnosticReport_0_9_1",
"status": "active",
"date": "2025-12-04T10:00:00.00+00:00",
"description": "Ressource rapport de diagnostic\n\nChangements à la version 0.9.1:\n\nAjout des nouvelles versions des extensions\n+ EndoColonicPreparation_0_9_1,+ EndoSuiviEndoscopiste_0_9_1,+ EndoRecommendations_0_9_1",
"fhirVersion": "4.0.1",
"kind": "resource",
"abstract": false,
"type": "DiagnosticReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport",
"derivation": "constraint",
"differential": {
"element": [
{
"id": "DiagnosticReport.meta",
"path": "DiagnosticReport.meta",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.source",
"path": "DiagnosticReport.meta.source",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.profile",
"path": "DiagnosticReport.meta.profile",
"comment": "Projet endoscopie, utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDiagnosticReport_v091\n\nIt is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.security",
"path": "DiagnosticReport.meta.security",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.security.system",
"path": "DiagnosticReport.meta.security.system",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.security.code",
"path": "DiagnosticReport.meta.security.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.security.display",
"path": "DiagnosticReport.meta.security.display",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.tag",
"path": "DiagnosticReport.meta.tag",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.tag.system",
"path": "DiagnosticReport.meta.tag.system",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.tag.code",
"path": "DiagnosticReport.meta.tag.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.meta.tag.display",
"path": "DiagnosticReport.meta.tag.display",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension",
"path": "DiagnosticReport.extension",
"slicing": {
"rules": "closed",
"discriminator": [
{
"type": "value",
"path": "url"
}
]
}
},
{
"id": "DiagnosticReport.extension:retroflexion",
"path": "DiagnosticReport.extension",
"sliceName": "retroflexion",
"min": 0,
"max": "2",
"type": [
{
"code": "Extension",
"profile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoRetroflexion_v090"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:retroflexion.value[x]",
"path": "DiagnosticReport.extension.value[x]",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:retroflexion.value[x].coding",
"path": "DiagnosticReport.extension.value[x].coding",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/RetroflexionEndo",
"description": "rétroflexion effectuée au cours de la colonoscopie"
}
},
{
"id": "DiagnosticReport.extension:retroflexion.value[x].coding.code",
"path": "DiagnosticReport.extension.value[x].coding.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:retroflexion.value[x].coding.display",
"path": "DiagnosticReport.extension.value[x].coding.display",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:retroflexion.value[x].text",
"path": "DiagnosticReport.extension.value[x].text",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus",
"path": "DiagnosticReport.extension",
"sliceName": "asaClassPhysicalStatus",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoASAClassPhysicalStatus"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x]",
"path": "DiagnosticReport.extension.value[x]",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding",
"path": "DiagnosticReport.extension.value[x].coding",
"mustSupport": true,
"binding": {
"strength": "required",
"valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Ucni/ValueSet/ClasseAsaMaitre",
"description": "classe du système de classification de l'état physique de l'American Society of Anesthesiologists"
}
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding.code",
"path": "DiagnosticReport.extension.value[x].coding.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding.display",
"path": "DiagnosticReport.extension.value[x].coding.display",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].text",
"path": "DiagnosticReport.extension.value[x].text",
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:colonicPreparation",
"path": "DiagnosticReport.extension",
"sliceName": "colonicPreparation",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoColonicPreparation_v091"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:suiviEndoscopiste",
"path": "DiagnosticReport.extension",
"sliceName": "suiviEndoscopiste",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension",
"profile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoSuiviEndoscopiste_v091"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.extension:recommandations",
"path": "DiagnosticReport.extension",
"sliceName": "recommandations",
"min": 0,
"max": "*",
"type": [
{
"code": "Extension",
"profile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoRecommendations_v091"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier",
"path": "DiagnosticReport.identifier",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.use",
"path": "DiagnosticReport.identifier.use",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.type",
"path": "DiagnosticReport.identifier.type",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.type.coding",
"path": "DiagnosticReport.identifier.type.coding",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.type.coding.system",
"path": "DiagnosticReport.identifier.type.coding.system",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.type.coding.code",
"path": "DiagnosticReport.identifier.type.coding.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.type.coding.display",
"path": "DiagnosticReport.identifier.type.coding.display",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.system",
"path": "DiagnosticReport.identifier.system",
"mustSupport": true
},
{
"id": "DiagnosticReport.identifier.value",
"path": "DiagnosticReport.identifier.value",
"mustSupport": true
},
{
"id": "DiagnosticReport.basedOn",
"path": "DiagnosticReport.basedOn",
"max": "1"
},
{
"id": "DiagnosticReport.subject",
"path": "DiagnosticReport.subject",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient_v090"
]
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.effective[x]",
"path": "DiagnosticReport.effective[x]",
"min": 1,
"type": [
{
"code": "dateTime"
}
],
"mustSupport": true
},
{
"id": "DiagnosticReport.issued",
"path": "DiagnosticReport.issued",
"mustSupport": true
},
{
"id": "DiagnosticReport.result",
"path": "DiagnosticReport.result",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "identifier.system"
}
],
"rules": "open"
},
"mustSupport": true
},
{
"id": "DiagnosticReport.result:preparationQuality",
"path": "DiagnosticReport.result",
"sliceName": "preparationQuality",
"short": "ObservationEndo",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreparationQuality_v090"
],
"aggregation": [
"bundled"
]
}
]
},
{
"id": "DiagnosticReport.result:preparationQuality.reference",
"path": "DiagnosticReport.result.reference",
"mustSupport": true
},
{
"id": "DiagnosticReport.result:preparationQuality.type",
"path": "DiagnosticReport.result.type",
"definition": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreparationQuality\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"mustSupport": false
},
{
"id": "DiagnosticReport.result:preparationQuality.identifier",
"path": "DiagnosticReport.result.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.result:preparationQuality.identifier.system",
"path": "DiagnosticReport.result.identifier.system",
"comment": "https://www.msss.gouv.qc.ca/TypeObservation/EndoPreparationQuality\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nIdentifier.system is always case sensitive.",
"min": 1,
"fixedUri": "https://www.msss.gouv.qc.ca/TypeObservation/EndoPreparationQuality",
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observation",
"path": "DiagnosticReport.result",
"sliceName": "observation",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoObservation_v090"
],
"aggregation": [
"bundled"
]
}
]
},
{
"id": "DiagnosticReport.result:observation.type",
"path": "DiagnosticReport.result.type",
"definition": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservation\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"mustSupport": false
},
{
"id": "DiagnosticReport.result:observation.identifier",
"path": "DiagnosticReport.result.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observation.identifier.system",
"path": "DiagnosticReport.result.identifier.system",
"comment": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservation\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nIdentifier.system is always case sensitive.",
"min": 1,
"fixedUri": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservation",
"mustSupport": true
},
{
"id": "DiagnosticReport.result:indications",
"path": "DiagnosticReport.result",
"sliceName": "indications",
"short": "Indications",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoIndications_v090"
],
"aggregation": [
"bundled"
]
}
]
},
{
"id": "DiagnosticReport.result:indications.type",
"path": "DiagnosticReport.result.type",
"definition": "https://www.msss.gouv.qc.ca/TypeObservation/EndoIndication\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"mustSupport": false
},
{
"id": "DiagnosticReport.result:indications.identifier",
"path": "DiagnosticReport.result.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.result:indications.identifier.system",
"path": "DiagnosticReport.result.identifier.system",
"comment": "https://www.msss.gouv.qc.ca/TypeObservation/EndoIndication\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nIdentifier.system is always case sensitive.",
"min": 1,
"fixedUri": "https://www.msss.gouv.qc.ca/TypeObservation/EndoIndication",
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observationPolyps",
"path": "DiagnosticReport.result",
"sliceName": "observationPolyps",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoObservationPolyps_v090"
],
"aggregation": [
"bundled"
]
}
]
},
{
"id": "DiagnosticReport.result:observationPolyps.type",
"path": "DiagnosticReport.result.type",
"definition": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationPolyps\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"mustSupport": false
},
{
"id": "DiagnosticReport.result:observationPolyps.identifier",
"path": "DiagnosticReport.result.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observationPolyps.identifier.system",
"path": "DiagnosticReport.result.identifier.system",
"comment": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationPolyps\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nIdentifier.system is always case sensitive.",
"min": 1,
"fixedUri": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationPolyps",
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observationGlobal",
"path": "DiagnosticReport.result",
"sliceName": "observationGlobal",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoObservationGlobal_v090"
],
"aggregation": [
"bundled"
]
}
]
},
{
"id": "DiagnosticReport.result:observationGlobal.type",
"path": "DiagnosticReport.result.type",
"definition": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationGlobal\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nThe expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.\n\nThe type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. \"Patient\" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).",
"mustSupport": false
},
{
"id": "DiagnosticReport.result:observationGlobal.identifier",
"path": "DiagnosticReport.result.identifier",
"min": 1,
"mustSupport": true
},
{
"id": "DiagnosticReport.result:observationGlobal.identifier.system",
"path": "DiagnosticReport.result.identifier.system",
"comment": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationGlobal\nFormat: https://www.msss.gouv.qc.ca/TypeObservation/[NomTypeObservation]\n\nIdentifier.system is always case sensitive.",
"min": 1,
"fixedUri": "https://www.msss.gouv.qc.ca/TypeObservation/EndoObservationGlobal",
"mustSupport": true
},
{
"id": "DiagnosticReport.conclusion",
"path": "DiagnosticReport.conclusion",
"mustSupport": true
},
{
"id": "DiagnosticReport.conclusionCode",
"path": "DiagnosticReport.conclusionCode",
"mustSupport": true
},
{
"id": "DiagnosticReport.conclusionCode.coding",
"path": "DiagnosticReport.conclusionCode.coding",
"mustSupport": true,
"binding": {
"strength": "extensible",
"valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ImpressionConclusionEndo"
}
},
{
"id": "DiagnosticReport.conclusionCode.coding.system",
"path": "DiagnosticReport.conclusionCode.coding.system",
"mustSupport": true
},
{
"id": "DiagnosticReport.conclusionCode.coding.code",
"path": "DiagnosticReport.conclusionCode.coding.code",
"mustSupport": true
},
{
"id": "DiagnosticReport.conclusionCode.coding.display",
"path": "DiagnosticReport.conclusionCode.coding.display",
"mustSupport": true
}
]
}
}
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