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{
  "resourceType": "StructureDefinition",
  "id": "ca-qc-endo-profile-EndoPreparationQuality-v0.9.0",
  "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreparationQuality",
  "version": "0.9.0",
  "name": "EndoPreparationQuality",
  "status": "active",
  "date": "2025-05-14T10:00:00+00:00",
  "description": "Ressource observation - Score de Boston\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/EndoPreparationQuality\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.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",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.system",
        "path": "Observation.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.code",
        "path": "Observation.code.coding.code",
        "definition": "Valeur (code) fixe - Ressource observation dédiée au scuore de Boston\r\nA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
        "min": 1,
        "fixedCode": "722818007",
        "mustSupport": true
      },
      {
        "id": "Observation.code.coding.display",
        "path": "Observation.code.coding.display",
        "min": 1,
        "fixedString": "Boston bowel preparation scale (assessment scale)",
        "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.component",
        "path": "Observation.component",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "code.coding.code"
            }
          ],
          "rules": "open"
        },
        "min": 3,
        "max": "4",
        "mustSupport": true
      },
      {
        "id": "Observation.component:rightColon",
        "path": "Observation.component",
        "sliceName": "rightColon",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:rightColon.code",
        "path": "Observation.component.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:rightColon.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:rightColon.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:rightColon.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "51342009"
      },
      {
        "id": "Observation.component:rightColon.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "min": 1,
        "fixedString": "Right colon structure (body structure)"
      },
      {
        "id": "Observation.component:rightColon.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo",
          "description": "Observed value (Boston Scale)"
        }
      },
      {
        "id": "Observation.component:rightColon.value[x].coding",
        "path": "Observation.component.value[x].coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:rightColon.value[x].coding.system",
        "path": "Observation.component.value[x].coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:rightColon.value[x].coding.code",
        "path": "Observation.component.value[x].coding.code",
        "min": 1
      },
      {
        "id": "Observation.component:rightColon.value[x].coding.display",
        "path": "Observation.component.value[x].coding.display",
        "min": 1
      },
      {
        "id": "Observation.component:transversum",
        "path": "Observation.component",
        "sliceName": "transversum",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:transversum.code",
        "path": "Observation.component.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:transversum.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:transversum.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:transversum.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "485005"
      },
      {
        "id": "Observation.component:transversum.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "min": 1,
        "fixedString": "Transverse colon structure (body structure)"
      },
      {
        "id": "Observation.component:transversum.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true,
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo",
          "description": "Observed value (Boston Scale)"
        }
      },
      {
        "id": "Observation.component:leftColon",
        "path": "Observation.component",
        "sliceName": "leftColon",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:leftColon.code",
        "path": "Observation.component.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:leftColon.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:leftColon.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:leftColon.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "55572008"
      },
      {
        "id": "Observation.component:leftColon.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "min": 1,
        "fixedString": "Left colon structure (body structure)"
      },
      {
        "id": "Observation.component:leftColon.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo",
          "description": "Observed value (Boston Scale)"
        }
      },
      {
        "id": "Observation.component:totalScore",
        "path": "Observation.component",
        "sliceName": "totalScore",
        "min": 0,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:totalScore.code",
        "path": "Observation.component.code",
        "mustSupport": true
      },
      {
        "id": "Observation.component:totalScore.code.coding",
        "path": "Observation.component.code.coding",
        "min": 1,
        "max": "1",
        "mustSupport": true
      },
      {
        "id": "Observation.component:totalScore.code.coding.system",
        "path": "Observation.component.code.coding.system",
        "min": 1,
        "fixedUri": "http://snomed.info/sct"
      },
      {
        "id": "Observation.component:totalScore.code.coding.code",
        "path": "Observation.component.code.coding.code",
        "min": 1,
        "fixedCode": "246262008",
        "mustSupport": true
      },
      {
        "id": "Observation.component:totalScore.code.coding.display",
        "path": "Observation.component.code.coding.display",
        "min": 1,
        "fixedString": "Score (attribute)"
      },
      {
        "id": "Observation.component:totalScore.value[x]",
        "path": "Observation.component.value[x]",
        "min": 1,
        "type": [
          {
            "code": "integer"
          }
        ],
        "mustSupport": true
      }
    ]
  }
}

name : EndoPreparationQuality

{

}