US Core Implementation Guide
4.1.0 - STU4 Ballot

This page is part of the US Core (v4.1.0: STU5 Ballot 1) based on FHIR R4. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

Extension: US Core Gender Identity Extension

This extension provides concepts to describe the gender a person identifies as.

The official URL for this extension is: 

http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity

Status: active
Extension maintained by: HL7 International - Cross-Group Projects

Context of Use

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

  • Patient
  • RelatedPerson
  • Person
  • Practitioner

Profile specific implementation guidance

  • This extension provides concepts to describe the gender a person identifies as. This extension is not used to describe a person’s sexual orientation (who they are attracted to).
  • The concepts included here are from the HL7 Gender Harmony Project which is modeling gender and sex information data elements, value sets, code systems.

Under the guidance of the HL7 Gender Harmony Project the specified value set in this extension omits these two concepts specified in ONC’s USCDI v2 Applicable Vocabulary Standards for Gender Identity:

  • Female-to-Male (FTM)/Transgender Male/Trans Man (SNOMED CT 407377005)
  • Male-to-Female (MTF)/Transgender Female/Trans Woman (SNOMED CT 407376001)
  • A gender-identity search parameter has been defined for this extension. However, there are no gender-identity search requirements for the client or server.

Usage info

Usage:

Formal Views of Extension Content

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

This structure is derived from genderIdentity

Summary

Fixed Value: 1 element

This structure is derived from genderIdentity

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1genderIdentityExtension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
... value[x] 1..1CodeableConceptValue of extension
Binding: Gender Identity (required)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1genderIdentityExtension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
... value[x] 1..1CodeableConceptValue of extension
Binding: Gender Identity (required)

doco Documentation for this format

This structure is derived from genderIdentity

Summary

Fixed Value: 1 element

Differential View

This structure is derived from genderIdentity

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1genderIdentityExtension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
... value[x] 1..1CodeableConceptValue of extension
Binding: Gender Identity (required)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1genderIdentityExtension
... id 0..1stringUnique id for inter-element referencing
... Slices for extension 0..0
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
... value[x] 1..1CodeableConceptValue of extension
Binding: Gender Identity (required)

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.value[x]requiredGender Identity