US Core Implementation Guide
8.0.0-ballot - STU8 Ballot United States of America flag

This page is part of the US Core (v8.0.0-ballot: STU8 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 7.0.0. 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: 8.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreSexExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.60

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 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. 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

Profile Specific Implementation Guidance:

  • This Simple Extension has a value to communicate concepts used for general documentation of sex representation. One of those concepts, SNOMED CT code: "33791000087105 | Identifies as nonbinary gender (finding)", meets the definition of 'X' as described by government organizations:

    Fluctuating between male and female, or identifying as either having a gender that is in-between or beyond the two categories or as having no gender, either permanently or some of the time.

Usage info

Usage:

Changes since version 7.0.0:

  • The resource metadata has changed (description)

    • 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 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. 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).

    Maturity: 3

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation


    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation


    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 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. 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).

    Maturity: 3

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation


    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation


    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.value[x]extensibleSex .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.3