{
  "description": null,
  "_filename": "EndoDiagnosticReport.json",
  "package_name": "rapportendoscopiequebec.test",
  "date": "2023-11-28T19:44:12.2079453+00:00",
  "derivation": "constraint",
  "meta": {
    "lastUpdated": "2023-11-28T17:01:41.1619393+00:00"
  },
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "EndoDiagnosticReport",
  "abstract": false,
  "type": "DiagnosticReport",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.0.4",
  "status": "draft",
  "id": "8fa3a934-b567-468f-91af-21e001a513ec",
  "kind": "resource",
  "url": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoDiagnosticReport",
  "version": "0.1.0",
  "differential": {
    "element": [ {
      "id": "DiagnosticReport.extension",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:retroflexion",
      "max": "2",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoRetroflexion" ]
      } ],
      "sliceName": "retroflexion",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:retroflexion.value[x]",
      "path": "DiagnosticReport.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/RetroflexionEffectuee",
        "description": "Retroflexion"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:retroflexion.value[x].coding",
      "path": "DiagnosticReport.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:retroflexion.value[x].coding.code",
      "path": "DiagnosticReport.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:retroflexion.value[x].coding.display",
      "path": "DiagnosticReport.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:retroflexion.value[x].text",
      "path": "DiagnosticReport.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoASAClassPhysicalStatus" ]
      } ],
      "sliceName": "asaClassPhysicalStatus",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x]",
      "path": "DiagnosticReport.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/ClasseAsa",
        "description": "ASA Class - Physical Status"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding",
      "path": "DiagnosticReport.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding.code",
      "path": "DiagnosticReport.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].coding.display",
      "path": "DiagnosticReport.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:asaClassPhysicalStatus.value[x].text",
      "path": "DiagnosticReport.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoColonicPreparation" ]
      } ],
      "sliceName": "colonicPreparation",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "colonicPreparation",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/PreparationColiqueLaxatifs",
        "description": "Colonic preparation"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding.value[x].coding",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding.value[x].coding.code",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding.value[x].coding.display",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:coding.value[x].text",
      "path": "DiagnosticReport.extension.extension.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:other",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "other",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:colonicPreparation.extension:other.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "administrationMethod",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/MethodesAdministration",
        "description": "Methodes administration"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding.value[x].coding",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding.value[x].coding.code",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding.value[x].coding.display",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:coding.value[x].text",
      "path": "DiagnosticReport.extension.extension.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:other",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "other",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:colonicPreparation.extension:administrationMethod.extension:other.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoRecommendations" ]
      } ],
      "sliceName": "recommandationsToReferring",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "recommandation",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "SNOMED-CT",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/Recommandations",
        "description": "Recommandation to Referring clinician"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT.value[x].coding",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT.value[x].coding.code",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT.value[x].coding.display",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:SNOMED-CT.value[x].text",
      "path": "DiagnosticReport.extension.extension.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:Detail",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "Detail",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:recommandation.extension:Detail.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:freeText",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "freeText",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:recommandationsToReferring.extension:freeText.value[x]",
      "path": "DiagnosticReport.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste",
      "max": "1",
      "min": 0,
      "path": "DiagnosticReport.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoSuiviEndoscopiste" ]
      } ],
      "sliceName": "suiviEndoscopiste",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "suiviEndoscopiste",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "SNOMED-CT",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "binding": {
        "strength": "required",
        "valueSet": "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/SuiviPriseCharge",
        "description": "Follow-up and care by the endoscopist"
      },
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT.value[x].coding",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT.value[x].coding.code",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.code",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT.value[x].coding.display",
      "path": "DiagnosticReport.extension.extension.extension.value[x].coding.display",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:SNOMED-CT.value[x].text",
      "path": "DiagnosticReport.extension.extension.extension.value[x].text",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:Detail",
      "min": 0,
      "path": "DiagnosticReport.extension.extension.extension",
      "sliceName": "Detail",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:suiviEndoscopiste.extension:Detail.value[x]",
      "path": "DiagnosticReport.extension.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:freeText",
      "min": 0,
      "path": "DiagnosticReport.extension.extension",
      "sliceName": "freeText",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.extension:suiviEndoscopiste.extension:freeText.value[x]",
      "path": "DiagnosticReport.extension.extension.value[x]",
      "mustSupport": true
    }, {
      "id": "DiagnosticReport.basedOn",
      "max": "1",
      "path": "DiagnosticReport.basedOn",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoServiceRequest" ]
      } ]
    }, {
      "id": "DiagnosticReport.status",
      "path": "DiagnosticReport.status",
      "constraint": [ {
        "key": "ele-2",
        "human": "Set default value to status",
        "severity": "warning",
        "expression": "EndoDiagnosticReport.status.empty() implies EndoDiagnosticReport.status = 'final'"
      } ]
    }, {
      "id": "DiagnosticReport.subject",
      "path": "DiagnosticReport.subject",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoPatient" ]
      } ]
    }, {
      "id": "DiagnosticReport.performer",
      "path": "DiagnosticReport.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoPractitioner", "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoOrganization", "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoOrganizationSite" ]
      } ]
    }, {
      "id": "DiagnosticReport.result",
      "path": "DiagnosticReport.result",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "resolve().code.coding",
          "type": "value"
        } ]
      }
    }, {
      "id": "DiagnosticReport.result:preparationQuality",
      "max": "1",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoPreparationQuality" ]
      } ],
      "short": "PreparationQuality",
      "sliceName": "preparationQuality"
    }, {
      "id": "DiagnosticReport.result:observation",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoObservation" ]
      } ],
      "sliceName": "observation"
    }, {
      "id": "DiagnosticReport.result:indications",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoIndications" ]
      } ],
      "short": "Indications",
      "sliceName": "indications"
    }, {
      "id": "DiagnosticReport.result:observationPolyps",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "aggregation": [ "bundled" ],
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoObservationPolyps" ]
      } ],
      "sliceName": "observationPolyps"
    }, {
      "id": "DiagnosticReport.result:observationGlobal",
      "path": "DiagnosticReport.result",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://extranet.ti.msss.rtss.qc.ca/FHIR/Endo/EndoObservationGlobal" ]
      } ],
      "sliceName": "observationGlobal",
      "definition": "[Observations](observation.html)  that are part of this diagnostic report.\r\nExtent of Exam / Point atteint."
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
}