<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ServiceRequestMERT" />
  <url value="https://intrahealth.com/fhir/mert/StructureDefinition/ServiceRequestMERT" />
  <name value="ServiceRequestMERT" />
  <title value="ServiceRequest (MERT)" />
  <status value="draft" />
  <description value="This profile describes the ServiceRequest constraints for MERT." />
  <fhirVersion value="4.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="ServiceRequest" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ServiceRequest" />
  <derivation value="constraint" />
  <differential>
    <element id="ServiceRequest.status">
      <path value="ServiceRequest.status" />
      <comment value="MERT requires ServiceRequest.status. Use an appropriate RequestStatus value." />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.intent">
      <path value="ServiceRequest.intent" />
      <comment value="MERT constrains ServiceRequest.intent to 'order'." />
      <patternCode value="order" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.category">
      <path value="ServiceRequest.category" />
      <comment value="For MERT workflows, implementations SHALL process only category[0]. If multiple category entries are present, additional entries MAY be ignored." />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.code">
      <path value="ServiceRequest.code" />
      <short value="Patient Referral" />
      <comment value="MERT constrains ServiceRequest.code to SNOMED CT 3457005 (Patient referral). No other procedure codes are permitted for MERT referral transactions." />
      <min value="1" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.code.coding">
      <path value="ServiceRequest.code.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ServiceRequest.code.coding.system">
      <path value="ServiceRequest.code.coding.system" />
      <min value="1" />
      <patternUri value="http://snomed.info/sct" />
    </element>
    <element id="ServiceRequest.code.coding.code">
      <path value="ServiceRequest.code.coding.code" />
      <min value="1" />
      <patternCode value="3457005" />
    </element>
    <element id="ServiceRequest.subject">
      <path value="ServiceRequest.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PatientMERT" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.encounter">
      <path value="ServiceRequest.encounter" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.occurrence[x]">
      <path value="ServiceRequest.occurrence[x]" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.requester">
      <path value="ServiceRequest.requester" />
      <comment value="Who requested it. The meaning may differ for incoming vs outgoing referrals." />
      <min value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PractitionerMERT" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.performer">
      <path value="ServiceRequest.performer" />
      <comment value="Requested performer. The meaning may differ for incoming vs outgoing referrals." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="https://intrahealth.com/fhir/mert/StructureDefinition/PractitionerMERT" />
      </type>
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.reasonCode">
      <path value="ServiceRequest.reasonCode" />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.supportingInfo">
      <path value="ServiceRequest.supportingInfo" />
      <comment value="Intended to share references; typically these referenced resources are expected to already exist / be imported." />
      <mustSupport value="true" />
    </element>
    <element id="ServiceRequest.note">
      <path value="ServiceRequest.note" />
      <mustSupport value="true" />
    </element>
  </differential>
</StructureDefinition>