<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ca-qc-endo-profile-EndoProcedure-v0.9.0" />
  <url value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedure" />
  <version value="0.9.0" />
  <name value="EndoProcedure" />
  <status value="active" />
  <date value="2025-05-14T10:00:00.00+00:00" />
  <description value="Ressource Procédure&#xA;&#xA;Changements à la version 0.9.0:&#xA;&#xA;- statut de la ressource (draft → active)&#xA;- meta.source est obligatoire&#xA;- status accepte d'autres valeurs que 'completed'" />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="Procedure" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Procedure" />
  <derivation value="constraint" />
  <differential>
    <element id="Procedure.meta">
      <path value="Procedure.meta" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.source">
      <path value="Procedure.meta.source" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.profile">
      <path value="Procedure.meta.profile" />
      <comment value="Projet endoscopie - utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedure|0.9.0 afin de référer la présente définition. &#xA;En absence de précision sur la version, le serveur utilisera la dernière version de la définition installée afin de valider la ressource transmise." />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.security">
      <path value="Procedure.meta.security" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.security.system">
      <path value="Procedure.meta.security.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.security.code">
      <path value="Procedure.meta.security.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.security.display">
      <path value="Procedure.meta.security.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag">
      <path value="Procedure.meta.tag" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag.system">
      <path value="Procedure.meta.tag.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag.code">
      <path value="Procedure.meta.tag.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.meta.tag.display">
      <path value="Procedure.meta.tag.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension">
      <path value="Procedure.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
    </element>
    <element id="Procedure.extension:previousColonoscopy">
      <path value="Procedure.extension" />
      <sliceName value="previousColonoscopy" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreviousColonoscopy" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:previousColonoscopy.extension:previousColonoscopy">
      <path value="Procedure.extension.extension" />
      <sliceName value="previousColonoscopy" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:previousColonoscopy.extension:previousColonoscopy.value[x]">
      <path value="Procedure.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:previousColonoscopy.extension:previousColonoscopyDate">
      <path value="Procedure.extension.extension" />
      <sliceName value="previousColonoscopyDate" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:previousColonoscopy.extension:previousColonoscopyDate.value[x]">
      <path value="Procedure.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes">
      <path value="Procedure.extension" />
      <sliceName value="procedureTimes" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedureTimes" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:StartTime">
      <path value="Procedure.extension.extension" />
      <sliceName value="StartTime" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:StartTime.value[x]">
      <path value="Procedure.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:EndTime">
      <path value="Procedure.extension.extension" />
      <sliceName value="EndTime" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:EndTime.value[x]">
      <path value="Procedure.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime">
      <path value="Procedure.extension.extension" />
      <sliceName value="WithdrawalTime" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x]">
      <path value="Procedure.extension.extension.value[x]" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].value">
      <path value="Procedure.extension.extension.value[x].value" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].unit">
      <path value="Procedure.extension.extension.value[x].unit" />
      <fixedString value="min" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].system">
      <path value="Procedure.extension.extension.value[x].system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].code">
      <path value="Procedure.extension.extension.value[x].code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:endoConsentTo">
      <path value="Procedure.extension" />
      <sliceName value="endoConsentTo" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoConsentTo" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:endoMedicationByAnesthetist">
      <path value="Procedure.extension" />
      <sliceName value="endoMedicationByAnesthetist" />
      <min value="0" />
      <max value="*" />
      <type>
        <code value="Extension" />
        <profile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoMedicationByAnesthetist" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.extension:endoMedicationByAnesthetist.value[x]">
      <path value="Procedure.extension.value[x]" />
      <short value="Médication prise en charge par l'anesthésiste" />
      <definition value="Médication prise en charge par l'anesthésiste (Value Domain:  true | false)." />
    </element>
    <element id="Procedure.identifier">
      <path value="Procedure.identifier" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.use">
      <path value="Procedure.identifier.use" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.type">
      <path value="Procedure.identifier.type" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.type.coding">
      <path value="Procedure.identifier.type.coding" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.type.coding.system">
      <path value="Procedure.identifier.type.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.type.coding.code">
      <path value="Procedure.identifier.type.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.type.coding.display">
      <path value="Procedure.identifier.type.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.system">
      <path value="Procedure.identifier.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.identifier.value">
      <path value="Procedure.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.basedOn">
      <path value="Procedure.basedOn" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoServiceRequest" />
      </type>
    </element>
    <element id="Procedure.status">
      <path value="Procedure.status" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code">
      <path value="Procedure.code" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding">
      <path value="Procedure.code.coding" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="A code to identify a specific procedure." />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ColoscopieTypeEndo" />
      </binding>
    </element>
    <element id="Procedure.code.coding.system">
      <path value="Procedure.code.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.code">
      <path value="Procedure.code.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.coding.display">
      <path value="Procedure.code.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.code.text">
      <path value="Procedure.code.text" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.subject">
      <path value="Procedure.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter">
      <path value="Procedure.encounter" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter.identifier">
      <path value="Procedure.encounter.identifier" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter.identifier.use">
      <path value="Procedure.encounter.identifier.use" />
      <min value="1" />
      <fixedCode value="official" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.encounter.identifier.value">
      <path value="Procedure.encounter.identifier.value" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performed[x]">
      <path value="Procedure.performed[x]" />
      <definition value="Estimated or actual date, date-time, period, or age when the procedure was performed.  Allows a period to support complex procedures that span more than one date, and also allows for the length of the procedure to be captured.\nThe format is YYYY-MM-DD, e.g. 2020-08-23." />
      <min value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer">
      <path value="Procedure.performer" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function">
      <path value="Procedure.performer.function" />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function.coding">
      <path value="Procedure.performer.function.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="A code that identifies the role of a performer of the procedure." />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/IntervenantProcedureEndo" />
      </binding>
    </element>
    <element id="Procedure.performer.function.coding.system">
      <path value="Procedure.performer.function.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function.coding.code">
      <path value="Procedure.performer.function.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function.coding.display">
      <path value="Procedure.performer.function.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.function.text">
      <path value="Procedure.performer.function.text" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.actor">
      <path value="Procedure.performer.actor" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPractitioner" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.actor.identifier.value">
      <path value="Procedure.performer.actor.identifier.value" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.performer.actor.identifier.assigner.display">
      <path value="Procedure.performer.actor.identifier.assigner.display" />
      <binding>
        <strength value="required" />
        <description value="Organisations ordres" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/OrganisationOrdreEndo" />
      </binding>
    </element>
    <element id="Procedure.location">
      <path value="Procedure.location" />
      <definition value="L'installation de l'établissement où la procédure a été effectuée.\nThe location where the procedure actually happened." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoLocation" />
      </type>
    </element>
    <element id="Procedure.report">
      <path value="Procedure.report" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDiagnosticReport" />
        <targetProfile value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDocumentReference" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication">
      <path value="Procedure.complication" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="coding.system" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication:SNOMED-CT">
      <path value="Procedure.complication" />
      <sliceName value="SNOMED-CT" />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Procedure.complication:SNOMED-CT.coding">
      <path value="Procedure.complication.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ComplicationEndo" />
      </binding>
    </element>
    <element id="Procedure.complication:SNOMED-CT.coding.system">
      <path value="Procedure.complication.coding.system" />
      <min value="1" />
      <fixedUri value="http://snomed.info/sct" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication:SNOMED-CT.coding.code">
      <path value="Procedure.complication.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication:SNOMED-CT.coding.display">
      <path value="Procedure.complication.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.complication:SNOMED-CT.text">
      <path value="Procedure.complication.text" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.note">
      <path value="Procedure.note" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="author" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.note:medicationNote">
      <path value="Procedure.note" />
      <sliceName value="medicationNote" />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Procedure.note:medicationNote.author[x]">
      <path value="Procedure.note.author[x]" />
      <short value="Type of note" />
      <definition value="Type of note" />
      <min value="1" />
      <type>
        <code value="string" />
      </type>
      <fixedString value="medicationNote" />
    </element>
    <element id="Procedure.note:otherNote">
      <path value="Procedure.note" />
      <sliceName value="otherNote" />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Procedure.note:otherNote.author[x]">
      <path value="Procedure.note.author[x]" />
      <short value="Type of note" />
      <definition value="Type of note" />
      <min value="1" />
      <type>
        <code value="string" />
      </type>
      <fixedString value="otherNote" />
    </element>
    <element id="Procedure.note:complicationNote">
      <path value="Procedure.note" />
      <sliceName value="complicationNote" />
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Procedure.note:complicationNote.author[x]">
      <path value="Procedure.note.author[x]" />
      <min value="1" />
      <type>
        <code value="string" />
      </type>
      <fixedString value="complicationNote" />
    </element>
    <element id="Procedure.usedCode">
      <path value="Procedure.usedCode" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="extension.value" />
        </discriminator>
        <rules value="open" />
      </slicing>
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention">
      <path value="Procedure.usedCode" />
      <sliceName value="unplannedIntervention" />
      <min value="0" />
      <max value="*" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.extension">
      <path value="Procedure.usedCode.extension" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.extension:sliceType">
      <path value="Procedure.usedCode.extension" />
      <sliceName value="sliceType" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Extension" />
        <profile value="http://hl7.org/fhir/StructureDefinition/originalText" />
      </type>
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.extension:sliceType.value[x]">
      <path value="Procedure.usedCode.extension.value[x]" />
      <fixedString value="unplannedIntervention" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.coding">
      <path value="Procedure.usedCode.coding" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <description value="unplanned interventions codes" />
        <valueSet value="https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/InterventionNonPlanifieeEndo" />
      </binding>
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.coding.system">
      <path value="Procedure.usedCode.coding.system" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.coding.code">
      <path value="Procedure.usedCode.coding.code" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.coding.display">
      <path value="Procedure.usedCode.coding.display" />
      <mustSupport value="true" />
    </element>
    <element id="Procedure.usedCode:unplannedIntervention.text">
      <path value="Procedure.usedCode.text" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>