Transgender Person Example

{
  "resourceType" : "Patient",
  "id" : "patient-example-sex-and-gender",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "446141000124107",
          "display" : "Female gender identity"
        }]
      }
    },
    {
      "url" : "period",
      "valuePeriod" : {
        "start" : "2001-05-06"
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001."
    }]
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "LA29519-8",
          "display" : "she/her/her/hers/herself"
        }]
      }
    },
    {
      "url" : "period",
      "valuePeriod" : {
        "start" : "2001-05-06"
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001."
    }]
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/administrative-gender",
          "code" : "male",
          "display" : "Male"
        }]
      }
    },
    {
      "url" : "type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "76689-9",
          "display" : "Sex Assigned At Birth"
        }]
      }
    },
    {
      "url" : "effectivePeriod",
      "valuePeriod" : {
        "start" : "1974-12-25"
      }
    },
    {
      "url" : "acquisitionDate",
      "valueDateTime" : "2005-12-06"
    },
    {
      "url" : "sourceDocument",
      "valueReference" : {
        "reference" : "DocumentReference/1"
      }
    },
    {
      "url" : "sourceField",
      "valueString" : "SEX"
    },
    {
      "url" : "jurisdiction",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.usps.com/",
          "code" : "OH",
          "display" : "Ohio"
        }]
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001, but their birth certificate still indicates male."
    }]
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/administrative-gender",
          "code" : "male",
          "display" : "Male"
        }]
      }
    },
    {
      "url" : "type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://local-code-system.org/recorded-sex-or-gender-type",
          "code" : "insurance-card",
          "display" : "Insurance Card"
        }]
      }
    },
    {
      "url" : "effectivePeriod",
      "valuePeriod" : {
        "start" : "2021-05-25"
      }
    },
    {
      "url" : "acquisitionDate",
      "valueDateTime" : "2021-06-06"
    },
    {
      "url" : "sourceDocument",
      "valueReference" : {
        "reference" : "DocumentReference/2"
      }
    },
    {
      "url" : "sourceField",
      "valueString" : "SEX"
    },
    {
      "url" : "jurisdiction",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://local-code-system.org/recorded-sex-or-gender-jurisdiction",
          "code" : "ICCA-P",
          "display" : "Indigo Crucifix Cobalt Aegis Payer"
        }]
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001, but their insurance card still indicates male."
    }]
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://ohio.example.gov/drivers-license-sex",
          "code" : "M",
          "display" : "Male"
        }]
      }
    },
    {
      "url" : "type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://jurisdiction-specific.example.com/document-type-code-system",
          "code" : "drivers-license",
          "display" : "Driver's License"
        }]
      }
    },
    {
      "url" : "effectivePeriod",
      "valuePeriod" : {
        "start" : "1974-12-25"
      }
    },
    {
      "url" : "acquisitionDate",
      "valueDateTime" : "2005-12-06"
    },
    {
      "url" : "sourceDocument",
      "valueReference" : {
        "reference" : "DocumentReference/1"
      }
    },
    {
      "url" : "jurisdiction",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "https://www.usps.com/",
          "code" : "OH",
          "display" : "Ohio"
        }]
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001, but their driver's license still indicates male."
    }]
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse",
    "extension" : [{
      "url" : "value",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
          "code" : "specified",
          "display" : "Apply specified setting or reference range"
        }]
      }
    },
    {
      "url" : "period",
      "valuePeriod" : {
        "start" : "2002-07-13"
      }
    },
    {
      "url" : "comment",
      "valueString" : "Patient transitioned from male to female in 2001."
    },
    {
      "url" : "supportingInfo",
      "valueCodeableReference" : {
        "reference" : {
          "reference" : "Observation/1"
        }
      }
    },
    {
      "url" : "supportingInfo",
      "valueCodeableReference" : {
        "reference" : {
          "reference" : "MedicationStatement/2"
        }
      }
    }]
  }],
  "identifier" : [{
    "use" : "usual",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
        "code" : "MR"
      }]
    },
    "system" : "urn:oid:1.2.36.146.595.217.0.1",
    "value" : "12345"
  }],
  "active" : true,
  "name" : [{
    "use" : "official",
    "family" : "Roth",
    "given" : ["Patrick"]
  },
  {
    "use" : "usual",
    "family" : "Roth",
    "given" : ["Patricia"]
  },
  {
    "use" : "nickname",
    "given" : ["Pat"]
  }],
  "gender" : "male",
  "birthDate" : "1974-12-25",
  "deceasedBoolean" : false,
  "managingOrganization" : {
    "reference" : "Organization/1"
  }
}