<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="AMA-IHMI-referralRequest-social-determinants-1" />
  <url value="http://www.ama-ihmi.org/fhir/StructureDefinition/AMA-IHMI-referralRequest-social-determinants-1" />
  <name value="AMA-IHMI-referralRequest-social-determinants-1" />
  <status value="draft" />
  <publisher value="American Medical Association" />
  <description value="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 value="Copyright 2016-2019 American Medical Association. All rights reserved." />
  <fhirVersion value="3.0.1" />
  <kind value="resource" />
  <abstract value="false" />
  <type value="ReferralRequest" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/ReferralRequest" />
  <derivation value="constraint" />
  <differential>
    <element id="ReferralRequest.subject">
      <path value="ReferralRequest.subject" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
    </element>
    <element id="ReferralRequest.reasonCode">
      <path value="ReferralRequest.reasonCode" />
      <min value="1" />
    </element>
    <element id="ReferralRequest.reasonCode.coding">
      <path value="ReferralRequest.reasonCode.coding" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="ReferralRequest.reasonCode.coding.system">
      <path value="ReferralRequest.reasonCode.coding.system" />
      <min value="1" />
      <fixedUri value="http://hl7.org/fhir/sid/icd-10" />
    </element>
    <element id="ReferralRequest.reasonCode.coding.code">
      <path value="ReferralRequest.reasonCode.coding.code" />
      <min value="1" />
      <patternCode value="2.16.840.1.113883.6.90" />
      <binding>
        <strength value="required" />
        <valueSetReference>
          <reference value="http://www.ama-ihmi.org/fhir/ValueSet/AMA-IHMI-valueSet-social-determinants-1-instance" />
        </valueSetReference>
      </binding>
    </element>
    <element id="ReferralRequest.reasonCode.coding.display">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="ReferralRequest.reasonCode.coding.display" />
      <min value="1" />
      <fixedString value="AMA-IHMI-valueSet-social-determinants-1-instance" />
    </element>
    <element id="ReferralRequest.reasonCode.text">
      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">
        <valueBoolean value="true" />
      </extension>
      <path value="ReferralRequest.reasonCode.text" />
      <max value="0" />
    </element>
  </differential>
</StructureDefinition>