<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ca-qc-endo-profile-EndoPreparationQuality-v0.9.0" />
  <url value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreparationQuality" />
  <version value="0.9.0" />
  <name value="EndoPreparationQuality" />
  <status value="active" />
  <date value="2025-05-14T10:00:00.00+00:00" />
  <description value="Ressource observation - Score de Boston&#xA;&#xA;Changements à la version 0.9.0:&#xA;&#xA;- statut de la ressource (draft → active)&#xA;- meta.source est obligatoire&#xA;- liaison avec le patient (subject) obligatoire" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Observation" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Observation" />
  <derivation value="constraint" />
  <differential>
    <element id="Observation.meta">
      <path value="Observation.meta" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.source">
      <path value="Observation.meta.source" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.profile">
      <path value="Observation.meta.profile" />
      <comment value="Projet endoscopie, utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreparationQuality&#xD;&#xA;&#xD;&#xA;It 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 value="true" />
    </element>
    <element id="Observation.meta.security">
      <path value="Observation.meta.security" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.security.system">
      <path value="Observation.meta.security.system" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.security.code">
      <path value="Observation.meta.security.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.security.display">
      <path value="Observation.meta.security.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.tag">
      <path value="Observation.meta.tag" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.tag.system">
      <path value="Observation.meta.tag.system" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.tag.code">
      <path value="Observation.meta.tag.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.meta.tag.display">
      <path value="Observation.meta.tag.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier">
      <path value="Observation.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.use">
      <path value="Observation.identifier.use" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.type">
      <path value="Observation.identifier.type" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.type.coding">
      <path value="Observation.identifier.type.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.type.coding.system">
      <path value="Observation.identifier.type.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.type.coding.code">
      <path value="Observation.identifier.type.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.type.coding.display">
      <path value="Observation.identifier.type.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.system">
      <path value="Observation.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.identifier.value">
      <path value="Observation.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.status">
      <path value="Observation.status" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code">
      <path value="Observation.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding">
      <path value="Observation.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.system">
      <path value="Observation.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.code">
      <path value="Observation.code.coding.code" />
      <definition value="Valeur (code) fixe - Ressource observation dédiée au scuore de Boston&#xD;&#xA;A 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 value="1" />
      <fixedCode value="722818007" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.code.coding.display">
      <path value="Observation.code.coding.display" />
      <min value="1" />
      <fixedString value="Boston bowel preparation scale (assessment scale)" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.subject">
      <path value="Observation.subject" />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Observation.component">
      <path value="Observation.component" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="code.coding.code" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <min value="3" />
      <max value="4" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:rightColon">
      <path value="Observation.component" />
      <sliceName value="rightColon" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:rightColon.code">
      <path value="Observation.component.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:rightColon.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:rightColon.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:rightColon.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="51342009" />
    </element>
    <element id="Observation.component:rightColon.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
      <fixedString value="Right colon structure (body structure)" />
    </element>
    <element id="Observation.component:rightColon.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Observed value (Boston Scale)" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo" />
      </binding>
    </element>
    <element id="Observation.component:rightColon.value[x].coding">
      <path value="Observation.component.value[x].coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:rightColon.value[x].coding.system">
      <path value="Observation.component.value[x].coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:rightColon.value[x].coding.code">
      <path value="Observation.component.value[x].coding.code" />
      <min value="1" />
    </element>
    <element id="Observation.component:rightColon.value[x].coding.display">
      <path value="Observation.component.value[x].coding.display" />
      <min value="1" />
    </element>
    <element id="Observation.component:transversum">
      <path value="Observation.component" />
      <sliceName value="transversum" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:transversum.code">
      <path value="Observation.component.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:transversum.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:transversum.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:transversum.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="485005" />
    </element>
    <element id="Observation.component:transversum.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
      <fixedString value="Transverse colon structure (body structure)" />
    </element>
    <element id="Observation.component:transversum.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="Observed value (Boston Scale)" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo" />
      </binding>
    </element>
    <element id="Observation.component:leftColon">
      <path value="Observation.component" />
      <sliceName value="leftColon" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:leftColon.code">
      <path value="Observation.component.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:leftColon.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:leftColon.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:leftColon.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="55572008" />
    </element>
    <element id="Observation.component:leftColon.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
      <fixedString value="Left colon structure (body structure)" />
    </element>
    <element id="Observation.component:leftColon.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <description value="Observed value (Boston Scale)" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/EchelleBostonEndo" />
      </binding>
    </element>
    <element id="Observation.component:totalScore">
      <path value="Observation.component" />
      <sliceName value="totalScore" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:totalScore.code">
      <path value="Observation.component.code" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:totalScore.code.coding">
      <path value="Observation.component.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:totalScore.code.coding.system">
      <path value="Observation.component.code.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
    </element>
    <element id="Observation.component:totalScore.code.coding.code">
      <path value="Observation.component.code.coding.code" />
      <min value="1" />
      <fixedCode value="246262008" />
      <mustSupport value="true" />
    </element>
    <element id="Observation.component:totalScore.code.coding.display">
      <path value="Observation.component.code.coding.display" />
      <min value="1" />
      <fixedString value="Score (attribute)" />
    </element>
    <element id="Observation.component:totalScore.value[x]">
      <path value="Observation.component.value[x]" />
      <min value="1" />
      <type>
        <code value="integer" />
      </type>
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>