{
  "description": "Ressource Procédure\\n\\nChangements à la version 0.9.0:\\n\\n- statut de la ressource (draft → active)\\n- meta.source est obligatoire\\n- status accepte d'autres valeurs que 'completed'",
  "_filename": "StructureDefinition-ca-qc-endo-profile-EndoProcedure-v0.9.0.json",
  "package_name": "rapport.endoscopie.quebec",
  "date": "2025-05-14T10:00:00.00+00:00",
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "EndoProcedure",
  "abstract": false,
  "type": "Procedure",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.9.0-beta3",
  "status": "active",
  "id": "8a77b910-21b6-4ff7-86ee-3f286630eb23",
  "kind": "resource",
  "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedure",
  "version": "0.9.0",
  "differential": {
    "element": [ {
      "id": "Procedure.meta",
      "min": 1,
      "path": "Procedure.meta",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.source",
      "min": 1,
      "path": "Procedure.meta.source",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.profile",
      "path": "Procedure.meta.profile",
      "comment": "Projet endoscopie - utiliser : https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedure|0.9.0 afin de référer la présente définition. \nEn absence de précision sur la version, le serveur utilisera la dernière version de la définition installée afin de valider la ressource transmise.",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.security",
      "path": "Procedure.meta.security",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.security.system",
      "path": "Procedure.meta.security.system",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.security.code",
      "path": "Procedure.meta.security.code",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.security.display",
      "path": "Procedure.meta.security.display",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.tag",
      "path": "Procedure.meta.tag",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.tag.system",
      "path": "Procedure.meta.tag.system",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.tag.code",
      "path": "Procedure.meta.tag.code",
      "mustSupport": true
    }, {
      "id": "Procedure.meta.tag.display",
      "path": "Procedure.meta.tag.display",
      "mustSupport": true
    }, {
      "id": "Procedure.extension",
      "path": "Procedure.extension",
      "slicing": {
        "rules": "open",
        "ordered": false,
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Procedure.extension:previousColonoscopy",
      "max": "1",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPreviousColonoscopy" ]
      } ],
      "sliceName": "previousColonoscopy",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:previousColonoscopy.extension:previousColonoscopy",
      "path": "Procedure.extension.extension",
      "sliceName": "previousColonoscopy",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:previousColonoscopy.extension:previousColonoscopy.value[x]",
      "path": "Procedure.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:previousColonoscopy.extension:previousColonoscopyDate",
      "path": "Procedure.extension.extension",
      "sliceName": "previousColonoscopyDate",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:previousColonoscopy.extension:previousColonoscopyDate.value[x]",
      "path": "Procedure.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes",
      "max": "1",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoProcedureTimes" ]
      } ],
      "sliceName": "procedureTimes",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:StartTime",
      "path": "Procedure.extension.extension",
      "sliceName": "StartTime",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:StartTime.value[x]",
      "path": "Procedure.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:EndTime",
      "path": "Procedure.extension.extension",
      "sliceName": "EndTime",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:EndTime.value[x]",
      "path": "Procedure.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime",
      "path": "Procedure.extension.extension",
      "sliceName": "WithdrawalTime",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x]",
      "path": "Procedure.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].value",
      "path": "Procedure.extension.extension.value[x].value",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].unit",
      "path": "Procedure.extension.extension.value[x].unit",
      "fixedString": "min",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].system",
      "path": "Procedure.extension.extension.value[x].system",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:procedureTimes.extension:WithdrawalTime.value[x].code",
      "path": "Procedure.extension.extension.value[x].code",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:endoConsentTo",
      "max": "*",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoConsentTo" ]
      } ],
      "sliceName": "endoConsentTo",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:endoMedicationByAnesthetist",
      "max": "*",
      "min": 0,
      "path": "Procedure.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoMedicationByAnesthetist" ]
      } ],
      "sliceName": "endoMedicationByAnesthetist",
      "mustSupport": true
    }, {
      "id": "Procedure.extension:endoMedicationByAnesthetist.value[x]",
      "path": "Procedure.extension.value[x]",
      "short": "Médication prise en charge par l'anesthésiste",
      "definition": "Médication prise en charge par l'anesthésiste (Value Domain:  true | false)."
    }, {
      "id": "Procedure.identifier",
      "path": "Procedure.identifier",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.use",
      "path": "Procedure.identifier.use",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.type",
      "path": "Procedure.identifier.type",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.type.coding",
      "path": "Procedure.identifier.type.coding",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.type.coding.system",
      "path": "Procedure.identifier.type.coding.system",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.type.coding.code",
      "path": "Procedure.identifier.type.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.type.coding.display",
      "path": "Procedure.identifier.type.coding.display",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.system",
      "path": "Procedure.identifier.system",
      "mustSupport": true
    }, {
      "id": "Procedure.identifier.value",
      "path": "Procedure.identifier.value",
      "mustSupport": true
    }, {
      "id": "Procedure.basedOn",
      "max": "1",
      "path": "Procedure.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoServiceRequest" ]
      } ]
    }, {
      "id": "Procedure.status",
      "path": "Procedure.status",
      "mustSupport": true
    }, {
      "id": "Procedure.code",
      "min": 1,
      "path": "Procedure.code",
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding",
      "max": "1",
      "min": 1,
      "path": "Procedure.code.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ColoscopieTypeEndo",
        "description": "A code to identify a specific procedure."
      },
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding.system",
      "path": "Procedure.code.coding.system",
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding.code",
      "path": "Procedure.code.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.code.coding.display",
      "path": "Procedure.code.coding.display",
      "mustSupport": true
    }, {
      "id": "Procedure.code.text",
      "path": "Procedure.code.text",
      "mustSupport": true
    }, {
      "id": "Procedure.subject",
      "path": "Procedure.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPatient" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.encounter",
      "path": "Procedure.encounter",
      "mustSupport": true
    }, {
      "id": "Procedure.encounter.identifier",
      "min": 1,
      "path": "Procedure.encounter.identifier",
      "mustSupport": true
    }, {
      "id": "Procedure.encounter.identifier.use",
      "min": 1,
      "path": "Procedure.encounter.identifier.use",
      "fixedCode": "official",
      "mustSupport": true
    }, {
      "id": "Procedure.encounter.identifier.value",
      "min": 1,
      "path": "Procedure.encounter.identifier.value",
      "mustSupport": true
    }, {
      "id": "Procedure.performed[x]",
      "min": 1,
      "path": "Procedure.performed[x]",
      "type": [ {
        "code": "dateTime"
      } ],
      "definition": "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.",
      "mustSupport": true
    }, {
      "id": "Procedure.performer",
      "min": 1,
      "path": "Procedure.performer",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function",
      "min": 1,
      "path": "Procedure.performer.function",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function.coding",
      "path": "Procedure.performer.function.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/IntervenantProcedureEndo",
        "description": "A code that identifies the role of a performer of the procedure."
      },
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function.coding.system",
      "path": "Procedure.performer.function.coding.system",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function.coding.code",
      "path": "Procedure.performer.function.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function.coding.display",
      "path": "Procedure.performer.function.coding.display",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.function.text",
      "path": "Procedure.performer.function.text",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.actor",
      "path": "Procedure.performer.actor",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoPractitioner" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.performer.actor.identifier.value",
      "path": "Procedure.performer.actor.identifier.value",
      "mustSupport": true
    }, {
      "id": "Procedure.performer.actor.identifier.assigner.display",
      "path": "Procedure.performer.actor.identifier.assigner.display",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/OrganisationOrdreEndo",
        "description": "Organisations ordres"
      }
    }, {
      "id": "Procedure.location",
      "min": 1,
      "path": "Procedure.location",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoLocation" ]
      } ],
      "definition": "L'installation de l'établissement où la procédure a été effectuée.\\nThe location where the procedure actually happened."
    }, {
      "id": "Procedure.report",
      "path": "Procedure.report",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDiagnosticReport", "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/StructureDefinition/EndoDocumentReference" ]
      } ],
      "mustSupport": true
    }, {
      "id": "Procedure.complication",
      "path": "Procedure.complication",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "coding.system",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Procedure.complication:SNOMED-CT",
      "max": "*",
      "min": 0,
      "path": "Procedure.complication",
      "sliceName": "SNOMED-CT"
    }, {
      "id": "Procedure.complication:SNOMED-CT.coding",
      "path": "Procedure.complication.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/ComplicationEndo"
      },
      "mustSupport": true
    }, {
      "id": "Procedure.complication:SNOMED-CT.coding.system",
      "min": 1,
      "path": "Procedure.complication.coding.system",
      "fixedUri": "http://snomed.info/sct",
      "mustSupport": true
    }, {
      "id": "Procedure.complication:SNOMED-CT.coding.code",
      "path": "Procedure.complication.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.complication:SNOMED-CT.coding.display",
      "path": "Procedure.complication.coding.display",
      "mustSupport": true
    }, {
      "id": "Procedure.complication:SNOMED-CT.text",
      "path": "Procedure.complication.text",
      "mustSupport": true
    }, {
      "id": "Procedure.note",
      "path": "Procedure.note",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "author",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Procedure.note:medicationNote",
      "max": "*",
      "min": 0,
      "path": "Procedure.note",
      "sliceName": "medicationNote"
    }, {
      "id": "Procedure.note:medicationNote.author[x]",
      "min": 1,
      "path": "Procedure.note.author[x]",
      "type": [ {
        "code": "string"
      } ],
      "short": "Type of note",
      "definition": "Type of note",
      "fixedString": "medicationNote"
    }, {
      "id": "Procedure.note:otherNote",
      "max": "*",
      "min": 0,
      "path": "Procedure.note",
      "sliceName": "otherNote"
    }, {
      "id": "Procedure.note:otherNote.author[x]",
      "min": 1,
      "path": "Procedure.note.author[x]",
      "type": [ {
        "code": "string"
      } ],
      "short": "Type of note",
      "definition": "Type of note",
      "fixedString": "otherNote"
    }, {
      "id": "Procedure.note:complicationNote",
      "max": "*",
      "min": 0,
      "path": "Procedure.note",
      "sliceName": "complicationNote"
    }, {
      "id": "Procedure.note:complicationNote.author[x]",
      "min": 1,
      "path": "Procedure.note.author[x]",
      "type": [ {
        "code": "string"
      } ],
      "fixedString": "complicationNote"
    }, {
      "id": "Procedure.usedCode",
      "path": "Procedure.usedCode",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "extension.value",
          "type": "value"
        } ]
      },
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention",
      "max": "*",
      "min": 0,
      "path": "Procedure.usedCode",
      "sliceName": "unplannedIntervention",
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.extension",
      "max": "1",
      "min": 1,
      "path": "Procedure.usedCode.extension",
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.extension:sliceType",
      "max": "1",
      "min": 1,
      "path": "Procedure.usedCode.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/originalText" ]
      } ],
      "sliceName": "sliceType"
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.extension:sliceType.value[x]",
      "path": "Procedure.usedCode.extension.value[x]",
      "fixedString": "unplannedIntervention"
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.coding",
      "path": "Procedure.usedCode.coding",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ValueSet/InterventionNonPlanifieeEndo",
        "description": "unplanned interventions codes"
      },
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.coding.system",
      "path": "Procedure.usedCode.coding.system",
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.coding.code",
      "path": "Procedure.usedCode.coding.code",
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.coding.display",
      "path": "Procedure.usedCode.coding.display",
      "mustSupport": true
    }, {
      "id": "Procedure.usedCode:unplannedIntervention.text",
      "path": "Procedure.usedCode.text",
      "mustSupport": true
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Procedure"
}