AU Base Implementation Guide
4.2.0-preview - Working
This page is part of the Australian Base IG (v4.2.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.1.0. For a full list of available versions, see the Directory of published versions
Page standards status: Informative |
<RelatedPerson xmlns="http://hl7.org/fhir">
<id value="example-sex-and-gender"/>
<!-- This purpose of this example is to demonstrate the use of sex and gender elements:
- Gender Harmony Gender Identity (Individual Gender Identity extension)
- Gender Harmony Pronouns (Individual Pronouns extension)
- Gender Harmony Recorded Sex or Gender (Person Recorded Sex Or Gender extension)
-->
<meta>
<profile
value="http://hl7.org.au/fhir/StructureDefinition/au-relatedperson"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: RelatedPerson</b><a name="example-sex-and-gender"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource RelatedPerson "example-sex-and-gender" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-au-relatedperson.html">AU Base Related Person</a></p></div><blockquote><p><b>Individual Gender Identity</b></p><blockquote><p><b>url</b></p><code>value</code></blockquote><p><b>value</b>: Male <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#446151000124109 "Identifies as male gender")</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2018-01-01 --> 2021-12-23</p><blockquote><p><b>url</b></p><code>comment</code></blockquote><p><b>value</b>: Identified as male during this period. Began exploring gender identity more deeply towards the end of this period.</p></blockquote><blockquote><p><b>Individual Gender Identity</b></p><blockquote><p><b>url</b></p><code>value</code></blockquote><p><b>value</b>: Non-binary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#33791000087105 "Identifies as nonbinary gender")</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2022-05-06 --> (ongoing)</p><blockquote><p><b>url</b></p><code>comment</code></blockquote><p><b>value</b>: Currently identifies as non-binary and uses 'they/them' pronouns. Open to exploring further gender fluidity.</p></blockquote><blockquote><p><b>Individual Pronouns</b></p><blockquote><p><b>url</b></p><code>value</code></blockquote><p><b>value</b>: they/them/their/theirs/themselves <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#LA29520-6)</span></p></blockquote><blockquote><p><b>Person Recorded Sex Or Gender</b></p><blockquote><p><b>url</b></p><code>value</code></blockquote><p><b>value</b>: Male <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html">AdministrativeGender</a>#male)</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Sex Assigned At Birth <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#76689-9)</span></p><blockquote><p><b>url</b></p><code>effectivePeriod</code></blockquote><p><b>value</b>: 2001-10-24 --> (ongoing)</p><blockquote><p><b>url</b></p><code>acquisitionDate</code></blockquote><p><b>value</b>: 2019-11-01</p><blockquote><p><b>url</b></p><code>sourceDocument</code></blockquote><p><b>value</b>: Birth certificate <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#71230-7)</span></p><blockquote><p><b>url</b></p><code>sourceField</code></blockquote><p><b>value</b>: Sex</p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/R4/valueset-jurisdiction.html">Jurisdiction</a></blockquote><p><b>value</b>: VIC <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#VIC)</span></p></blockquote><p><b>active</b>: true</p><p><b>patient</b>: <a href="Patient-example0.html">Patient/example0</a> " FRANKLIN"</p><p><b>relationship</b>: Next-of-Kin <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v2-0131.html">contactRole2</a>#N; <a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-RoleCode.html">RoleCode</a>#FAMMEMB)</span></p><p><b>name</b>: Alex Baker </p><p><b>telecom</b>: ph: (02) 5550 6767</p><p><b>gender</b>: other</p></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="446151000124109"/>
<display value="Identifies as male gender"/>
</coding>
<text value="Male"/>
</valueCodeableConcept>
</extension>
<extension url="period">
<valuePeriod>
<start value="2018-01-01"/>
<end value="2021-12-23"/>
</valuePeriod>
</extension>
<extension url="comment">
<valueString
value="Identified as male during this period. Began exploring gender identity more deeply towards the end of this period."/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="33791000087105"/>
<display value="Identifies as nonbinary gender"/>
</coding>
<text value="Non-binary"/>
</valueCodeableConcept>
</extension>
<extension url="period">
<valuePeriod>
<start value="2022-05-06"/>
</valuePeriod>
</extension>
<extension url="comment">
<valueString
value="Currently identifies as non-binary and uses 'they/them' pronouns. Open to exploring further gender fluidity."/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-pronouns">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="LA29520-6"/>
<display value="they/them/their/theirs/themselves"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Male"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="76689-9"/>
<display value="Sex Assigned At Birth"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="effectivePeriod">
<valuePeriod>
<start value="2001-10-24"/>
</valuePeriod>
</extension>
<extension url="acquisitionDate">
<valueDateTime value="2019-11-01"/>
</extension>
<extension url="sourceDocument">
<!-- Reference to a scan of the birth certificate
(adapted from the R5 example to use codeable concept instead of a reference to a broken link in the R5 spec) -->
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="71230-7"/>
<display value="Birth certificate"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="sourceField">
<valueString value="Sex"/>
</extension>
<extension url="jurisdiction">
<valueCodeableConcept>
<coding>
<system
value="https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1/"/>
<code value="VIC"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<active value="true"/>
<patient>🔗
<reference value="Patient/example0"/>
</patient>
<relationship>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0131"/>
<code value="N"/>
</coding>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
<code value="FAMMEMB"/>
</coding>
</relationship>
<name>
<use value="usual"/>
<family value="Baker"/>
<given value="Alex"/>
</name>
<telecom>
<system value="phone"/>
<value value="(02) 5550 6767"/>
</telecom>
<gender value="other"/>
</RelatedPerson>