FHIR Extensions Pack
5.1.0 - 5.1.0 (April 2024) International flag

This page is part of the FHIR Core Extensions Registry (v5.1.0: Release 5.1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Extension: Person Recorded Sex Or Gender

Official URL: http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender Version: 5.1.0
Standards status: Trial-use Maturity Level: 1 Responsible: HL7 International / Patient Administration Computable Name: RecordedSexOrGender
Other Identifiers: OID:2.16.840.1.113883.4.642.5.1342

Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth. When exchanging this concept, refer to the guidance in the Gender Harmony Implementation Guide.

Context of Use

This extension may be used on the following element(s):

  • Element ID Patient
  • Element ID RelatedPerson
  • Element ID Person
  • Element ID Practitioner

Usage info

Usage:

Changes since version 1.0.0:

  • The resource metadata has changed (status, publisher)
  • The data elements list has changed

    • Formal Views of Extension Content

    Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

    This structure is derived from Extension

    Summary

    Complex Extension: Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth. When exchanging this concept, refer to the guidance in the Gender Harmony Implementation Guide.

    • value: CodeableConcept: A sex or gender property for the individual from a document or other record
    • type: CodeableConcept: The type or category of sex or gender that is recorded.
    • effectivePeriod: Period: The time period during which the recorded sex or gender value applies to the individual
    • acquisitionDate: dateTime: The date/time when the sex or gender value was first recorded in the system.
    • sourceDocument: CodeableConcept, Reference: The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded.
    • sourceField: string: The name of the field within the source document where this sex or gender property is initially recorded.
    • jurisdiction: CodeableConcept: The jurisdiction or organization that issued the document from which the sex or gender was aquired
    • comment: string: Further explanation about the context or source of the recorded sex or gender value
    • genderElementQualifier: boolean: Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context.

    Maturity: 1

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension A recorded sex or gender property for the individual
    ... Slices for extension Content/Rules for all slices
    .... extension:value 1..1 Extension The recorded sex or gender property for the individual
    ..... extension 0..0
    ..... url 1..1 uri "value"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: AdministrativeGender (example)
    .... extension:type 0..1 Extension Type of recorded sex or gender.
    ..... extension 0..0
    ..... url 1..1 uri "type"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Recorded Sex Or Gender Type (example)
    .... extension:effectivePeriod 0..1 Extension When the recorded sex or gender value applies
    ..... extension 0..0
    ..... url 1..1 uri "effectivePeriod"
    ..... value[x] 0..1 Period Value of extension
    .... extension:acquisitionDate 0..1 Extension When the sex or gender value was recorded.
    ..... extension 0..0
    ..... url 1..1 uri "acquisitionDate"
    ..... value[x] 1..1 dateTime Value of extension
    .... extension:sourceDocument 0..1 Extension The document the sex or gender property was acquired from.
    ..... extension 0..0
    ..... url 1..1 uri "sourceDocument"
    ..... value[x] 1..1 Value of extension
    ...... valueCodeableConcept CodeableConcept
    ...... valueReference Reference(DocumentReference)
    .... extension:sourceField 0..1 Extension The name of the field within the source document where this sex or gender property is initially recorded.
    ..... extension 0..0
    ..... url 1..1 uri "sourceField"
    ..... value[x] 1..1 string Value of extension
    .... extension:jurisdiction 0..1 Extension Who issued the document where the sex or gender was aquired
    ..... extension 0..0
    ..... url 1..1 uri "jurisdiction"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Jurisdiction ValueSet (extensible)
    .... extension:comment 0..1 Extension Context or source information about the recorded sex or gender
    ..... extension 0..0
    ..... url 1..1 uri "comment"
    ..... value[x] 1..1 string Value of extension
    .... extension:genderElementQualifier 0..1 Extension Whether this recorded sex or gender value qualifies the .gender element.
    ..... extension 0..0
    ..... url 1..1 uri "genderElementQualifier"
    ..... value[x] 1..1 boolean Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
    ... value[x] 0..0

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension A recorded sex or gender property for the individual
    ... id 0..1 id Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:value 1..1 Extension The recorded sex or gender property for the individual
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "value"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: AdministrativeGender (example)
    .... extension:type 0..1 Extension Type of recorded sex or gender.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "type"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Recorded Sex Or Gender Type (example)
    .... extension:effectivePeriod 0..1 Extension When the recorded sex or gender value applies
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "effectivePeriod"
    ..... value[x] 0..1 Period Value of extension
    .... extension:acquisitionDate 0..1 Extension When the sex or gender value was recorded.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "acquisitionDate"
    ..... value[x] 1..1 dateTime Value of extension
    .... extension:sourceDocument 0..1 Extension The document the sex or gender property was acquired from.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "sourceDocument"
    ..... value[x] 1..1 Value of extension
    ...... valueCodeableConcept CodeableConcept
    ...... valueReference Reference(DocumentReference)
    .... extension:sourceField 0..1 Extension The name of the field within the source document where this sex or gender property is initially recorded.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "sourceField"
    ..... value[x] 1..1 string Value of extension
    .... extension:jurisdiction 0..1 Extension Who issued the document where the sex or gender was aquired
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "jurisdiction"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Jurisdiction ValueSet (extensible)
    .... extension:comment 0..1 Extension Context or source information about the recorded sex or gender
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "comment"
    ..... value[x] 1..1 string Value of extension
    .... extension:genderElementQualifier 0..1 Extension Whether this recorded sex or gender value qualifies the .gender element.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "genderElementQualifier"
    ..... value[x] 1..1 boolean Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Complex Extension: Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth. When exchanging this concept, refer to the guidance in the Gender Harmony Implementation Guide.

    • value: CodeableConcept: A sex or gender property for the individual from a document or other record
    • type: CodeableConcept: The type or category of sex or gender that is recorded.
    • effectivePeriod: Period: The time period during which the recorded sex or gender value applies to the individual
    • acquisitionDate: dateTime: The date/time when the sex or gender value was first recorded in the system.
    • sourceDocument: CodeableConcept, Reference: The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded.
    • sourceField: string: The name of the field within the source document where this sex or gender property is initially recorded.
    • jurisdiction: CodeableConcept: The jurisdiction or organization that issued the document from which the sex or gender was aquired
    • comment: string: Further explanation about the context or source of the recorded sex or gender value
    • genderElementQualifier: boolean: Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context.

    Maturity: 1

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension A recorded sex or gender property for the individual
    ... Slices for extension Content/Rules for all slices
    .... extension:value 1..1 Extension The recorded sex or gender property for the individual
    ..... extension 0..0
    ..... url 1..1 uri "value"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: AdministrativeGender (example)
    .... extension:type 0..1 Extension Type of recorded sex or gender.
    ..... extension 0..0
    ..... url 1..1 uri "type"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Recorded Sex Or Gender Type (example)
    .... extension:effectivePeriod 0..1 Extension When the recorded sex or gender value applies
    ..... extension 0..0
    ..... url 1..1 uri "effectivePeriod"
    ..... value[x] 0..1 Period Value of extension
    .... extension:acquisitionDate 0..1 Extension When the sex or gender value was recorded.
    ..... extension 0..0
    ..... url 1..1 uri "acquisitionDate"
    ..... value[x] 1..1 dateTime Value of extension
    .... extension:sourceDocument 0..1 Extension The document the sex or gender property was acquired from.
    ..... extension 0..0
    ..... url 1..1 uri "sourceDocument"
    ..... value[x] 1..1 Value of extension
    ...... valueCodeableConcept CodeableConcept
    ...... valueReference Reference(DocumentReference)
    .... extension:sourceField 0..1 Extension The name of the field within the source document where this sex or gender property is initially recorded.
    ..... extension 0..0
    ..... url 1..1 uri "sourceField"
    ..... value[x] 1..1 string Value of extension
    .... extension:jurisdiction 0..1 Extension Who issued the document where the sex or gender was aquired
    ..... extension 0..0
    ..... url 1..1 uri "jurisdiction"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Jurisdiction ValueSet (extensible)
    .... extension:comment 0..1 Extension Context or source information about the recorded sex or gender
    ..... extension 0..0
    ..... url 1..1 uri "comment"
    ..... value[x] 1..1 string Value of extension
    .... extension:genderElementQualifier 0..1 Extension Whether this recorded sex or gender value qualifies the .gender element.
    ..... extension 0..0
    ..... url 1..1 uri "genderElementQualifier"
    ..... value[x] 1..1 boolean Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
    ... value[x] 0..0

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension A recorded sex or gender property for the individual
    ... id 0..1 id Unique id for inter-element referencing
    ... Slices for extension 1..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:value 1..1 Extension The recorded sex or gender property for the individual
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "value"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: AdministrativeGender (example)
    .... extension:type 0..1 Extension Type of recorded sex or gender.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "type"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Recorded Sex Or Gender Type (example)
    .... extension:effectivePeriod 0..1 Extension When the recorded sex or gender value applies
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "effectivePeriod"
    ..... value[x] 0..1 Period Value of extension
    .... extension:acquisitionDate 0..1 Extension When the sex or gender value was recorded.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "acquisitionDate"
    ..... value[x] 1..1 dateTime Value of extension
    .... extension:sourceDocument 0..1 Extension The document the sex or gender property was acquired from.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "sourceDocument"
    ..... value[x] 1..1 Value of extension
    ...... valueCodeableConcept CodeableConcept
    ...... valueReference Reference(DocumentReference)
    .... extension:sourceField 0..1 Extension The name of the field within the source document where this sex or gender property is initially recorded.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "sourceField"
    ..... value[x] 1..1 string Value of extension
    .... extension:jurisdiction 0..1 Extension Who issued the document where the sex or gender was aquired
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "jurisdiction"
    ..... value[x] 1..1 CodeableConcept Value of extension
    Binding: Jurisdiction ValueSet (extensible)
    .... extension:comment 0..1 Extension Context or source information about the recorded sex or gender
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "comment"
    ..... value[x] 1..1 string Value of extension
    .... extension:genderElementQualifier 0..1 Extension Whether this recorded sex or gender value qualifies the .gender element.
    ..... id 0..1 id Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "genderElementQualifier"
    ..... value[x] 1..1 boolean Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.extension:value.value[x]exampleAdministrativeGender
    http://hl7.org/fhir/ValueSet/administrative-gender
    from the FHIR Standard
    Extension.extension:type.value[x]exampleRecordedSexOrGenderType
    http://terminology.hl7.org/ValueSet/recorded-sex-or-gender-type
    Extension.extension:jurisdiction.value[x]extensibleJurisdictionValueSet
    http://terminology.hl7.org/ValueSet/jurisdiction

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()

    Search Parameters for this Extension

    (none found)