{
  "resourceType": "StructureDefinition",
  "id": "AMA-IHMI-referralRequest-social-determinants-1",
  "url": "http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-referralRequest-social-determinants-1",
  "name": "AMA-IHMI-referralRequest-social-determinants-1",
  "status": "draft",
  "publisher": "American Medical Association",
  "description": "This profile supports documentation of a coded reason for a referral request using specific ICD-10-CM codes that are intended to be relevant to referral for social services such as transporation, home assitance, food or other types of non-clinical assistaince.",
  "copyright": "Copyright 2016-2019 American Medical Association. All rights reserved.",
  "fhirVersion": "3.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "ReferralRequest",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/ReferralRequest",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "ReferralRequest.subject",
        "path": "ReferralRequest.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
          }
        ]
      },
      {
        "id": "ReferralRequest.reasonCode",
        "path": "ReferralRequest.reasonCode",
        "min": 1
      },
      {
        "id": "ReferralRequest.reasonCode.coding",
        "path": "ReferralRequest.reasonCode.coding",
        "min": 1,
        "max": "1"
      },
      {
        "id": "ReferralRequest.reasonCode.coding.system",
        "path": "ReferralRequest.reasonCode.coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/sid/icd-10"
      },
      {
        "id": "ReferralRequest.reasonCode.coding.code",
        "path": "ReferralRequest.reasonCode.coding.code",
        "min": 1,
        "patternCode": "2.16.840.1.113883.6.90",
        "binding": {
          "strength": "required",
          "valueSetReference": {
            "reference": "http://www.ama-ihmi.org/fhir/ValueSet/AMA-IHMI-valueSet-social-determinants-1-instance"
          }
        }
      },
      {
        "id": "ReferralRequest.reasonCode.coding.display",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ReferralRequest.reasonCode.coding.display",
        "min": 1,
        "fixedString": "AMA-IHMI-valueSet-social-determinants-1-instance"
      },
      {
        "id": "ReferralRequest.reasonCode.text",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
            "valueBoolean": true
          }
        ],
        "path": "ReferralRequest.reasonCode.text",
        "max": "0"
      }
    ]
  }
}