This page is part of the FHIR Specification v6.0.0-ballot2: Release 6 Ballot (2nd Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions 
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"
}
}
Usage note: every effort has been made to ensure that the
examples are correct and useful, but they are not a normative part
of the specification.
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