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{
  "resourceType": "StructureDefinition",
  "id": "ca-qc-endo-profile-EndoObservationPolyps-v0.9.0",
  "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoObservationPolyps",
  "version": "0.9.0",
  "name": "EndoObservationPolyps_0_9_0",
  "status": "active",
  "date": "2025-05-14T10:00:00+00:00",
  "description": "Ressource observation - Sommaire des polypectomies\n\nChangements à la version 0.9.0:\n\n- statut de la ressource (draft → active)\n- meta.source est obligatoire\n- liaison avec le patient (subject) obligatoire",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Observation",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Observation.meta",
        "path": "Observation.meta",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta.source",
        "path": "Observation.meta.source",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "Observation.meta.profile",
        "path": "Observation.meta.profile",
        "comment": "Projet endoscopie, utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoObservationPolyps\r\n\r\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": "Observation.meta.security",
        "path": "Observation.meta.security",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.security.system",
        "path": "Observation.meta.security.system",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.security.code",
        "path": "Observation.meta.security.code",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.security.display",
        "path": "Observation.meta.security.display",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag",
        "path": "Observation.meta.tag",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag.system",
        "path": "Observation.meta.tag.system",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag.code",
        "path": "Observation.meta.tag.code",
        "mustSupport": true
      },
      {
        "id": "Observation.meta.tag.display",
        "path": "Observation.meta.tag.display",
        "mustSupport": true
      },
      {
        "id": "Observation.extension",
        "path": "Observation.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "ordered": false,
          "rules": "open"
        }
      },
      {
        "id": "Observation.extension:medicalInstrument",
        "path": "Observation.extension",
        "sliceName": "medicalInstrument",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoMedicalInstrument_v090"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:medicalInstrument.value[x]",
        "path": "Observation.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:medicalInstrument.value[x].coding",
        "path": "Observation.extension.value[x].coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/InstrumentColoscopieEndo",
          "description": "Instrument"
        }
      },
      {
        "id": "Observation.extension:medicalInstrument.value[x].coding.code",
        "path": "Observation.extension.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:medicalInstrument.value[x].coding.display",
        "path": "Observation.extension.value[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:medicalInstrument.value[x].text",
        "path": "Observation.extension.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Observation.extension:numberOfPolypsRemoved",
        "path": "Observation.extension",
        "sliceName": "numberOfPolypsRemoved",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoNumberOfPolypsRemoved_v090"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.extension:numberOfPolypsRemoved.value[x]",
        "path": "Observation.extension.value[x]",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier",
        "path": "Observation.identifier",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.use",
        "path": "Observation.identifier.use",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.type",
        "path": "Observation.identifier.type",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.type.coding",
        "path": "Observation.identifier.type.coding",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.type.coding.system",
        "path": "Observation.identifier.type.coding.system",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.type.coding.code",
        "path": "Observation.identifier.type.coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.type.coding.display",
        "path": "Observation.identifier.type.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.system",
        "path": "Observation.identifier.system",
        "mustSupport": true
      },
      {
        "id": "Observation.identifier.value",
        "path": "Observation.identifier.value",
        "mustSupport": true
      },
      {
        "id": "Observation.status",
        "path": "Observation.status",
        "mustSupport": true
      },
      {
        "id": "Observation.code",
        "path": "Observation.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding",
        "path": "Observation.code.coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/MorphologiePolypeEndo",
          "description": "Observation"
        }
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.code.text",
        "path": "Observation.code.text",
        "mustSupport": true
      },
      {
        "id": "Observation.subject",
        "path": "Observation.subject",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x]",
        "path": "Observation.value[x]",
        "short": "Actual result- Size in millimetres (mm)",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding",
        "path": "Observation.value[x].coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/TaillePolypeEndo",
          "description": "Polyp size"
        }
      },
      {
        "id": "Observation.value[x].coding.system",
        "path": "Observation.value[x].coding.system",
        "code": [
          {
            "system": "http://snomed.info/sct"
          }
        ]
      },
      {
        "id": "Observation.value[x].coding.code",
        "path": "Observation.value[x].coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].coding.display",
        "path": "Observation.value[x].coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.value[x].text",
        "path": "Observation.value[x].text",
        "mustSupport": true
      },
      {
        "id": "Observation.note",
        "path": "Observation.note",
        "mustSupport": true
      },
      {
        "id": "Observation.note.text",
        "path": "Observation.note.text",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite",
        "path": "Observation.bodySite",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding",
        "path": "Observation.bodySite.coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/StructureCorporelleEndo"
        }
      },
      {
        "id": "Observation.bodySite.coding.system",
        "path": "Observation.bodySite.coding.system",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding.code",
        "path": "Observation.bodySite.coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.coding.display",
        "path": "Observation.bodySite.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.bodySite.text",
        "path": "Observation.bodySite.text",
        "mustSupport": true
      },
      {
        "id": "Observation.method",
        "path": "Observation.method",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding",
        "path": "Observation.method.coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ProcedureTypeEndo"
        }
      },
      {
        "id": "Observation.method.coding.system",
        "path": "Observation.method.coding.system",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.code",
        "path": "Observation.method.coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.method.coding.display",
        "path": "Observation.method.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.method.text",
        "path": "Observation.method.text",
        "mustSupport": true
      },
      {
        "id": "Observation.device",
        "path": "Observation.device",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device"
            ]
          }
        ]
      },
      {
        "id": "Observation.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.system"
            }
          ],
          "rules": "open"
        },
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology",
        "path": "Observation.component",
        "sliceName": "pathology",
        "min": 0,
        "max": "*",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.code",
        "path": "Observation.component.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.code.coding",
        "path": "Observation.component.code.coding",
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/SpecimenStatutEndo"
        }
      },
      {
        "id": "Observation.component:pathology.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "code": [
          {
            "system": "http://snomed.info/sct"
          }
        ],
        "min": 1,
        "fixedUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.code.text",
        "path": "Observation.component.code.text",
        "mustSupport": true
      },
      {
        "id": "Observation.component:pathology.interpretation",
        "path": "Observation.component.interpretation",
        "max": "1"
      },
      {
        "id": "Observation.component:pathology.referenceRange",
        "path": "Observation.component.referenceRange",
        "max": "1"
      }
    ]
  }
}

name : EndoObservationPolyps_0_9_0

{

}