US Core Implementation Guide
6.1.0 - STU6 United States of America flag

This page is part of the US Core (v6.1.0: STU6 Update) based on FHIR R4. 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: US Core Sex Extension

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Version: 6.1.0
Active as of 2023-05-15 Computable Name: USCoreSexExtension

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The Sex Extension is used to reflect the documentation of a person’s sex. Systems choosing to record sources of information should use the Provenance resource.

USCDI v3 includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI v3. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

Context of Use

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

  • Element ID Patient

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 Extension

Summary

Simple Extension of type code: The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the Provenance resource.

USCDI v3 includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI v3. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
... value[x] 1..1codeValue of extension
Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
... value[x] 1..1codeValue of extension
Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


doco Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type code: The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the Provenance resource.

USCDI v3 includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI v3. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
... value[x] 1..1codeValue of extension
Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... id 0..1stringUnique id for inter-element referencing
... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1uri"http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
... value[x] 1..1codeValue of extension
Binding: Sex (required): Concepts limited to Male, Female, Patient Sex Unknown, asked-declined.


doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.value[x]requiredSex

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()