AU Base Implementation Guide
4.2.2-ballot - Ballot
This page is part of the Australian Base IG (v4.2.2-ballot: AU Base R4.2 Ballot 5) 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 |
The guidance below addresses how sex, gender, and related concepts can be structured in FHIR and conformant to AU Base.
AU Base supports representation and exchange of the Name to Use data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1) in:
Name to Use is represented using “usual” in name.use
.
Example: RelatedPerson resource with name to use
{
"resourceType" : "RelatedPerson",
...
"name" : [
{
"use" : "usual",
"family" : "Franklin",
"given" : [
"Stella"
]
}
],
...
}
AU Base supports representation and exchange of the Pronouns data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1) in:
Pronouns is represented with the Individual Pronouns extension. In AU Base the value element of the Individual Pronouns extension is constrained to be Australian Pronouns (extensible).
When populating the value element of the Individual Pronouns extension:
Example: Practitioner resource with pronouns
{
"resourceType" : "Practitioner",
...
{
"url" : "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "LA29519-8",
"display" : "she/her/her/hers/herself"
}
]
}
},
{
"url" : "period",
"valuePeriod" : {
"start" : "2001-05-06"
}
}
]
},
...
}
Example: Patient resource with prefer not to answer for pronouns
{
"resourceType" : "Patient",
...
{
"url" : "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
"code" : "asked-declined",
}
]
}
}
]
},
...
}
AU Base supports representation and exchange of the Gender Identity data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1) and aligned to Australian Bureau of Statics Standard for Sex, Gender, Variations of Sex Characteristics and Sexual Orientation Variables, 2020 in:
Gender Identity is represented with the Individual Gender Identity extension. In AU Base the value element of the Individual Gender Identity extension is constrained to be Gender Identity Response value set (extensible).
When populating the value element of the Individual Gender Identity extension:
text
and no coding
Example: Patient resource with gender identity
{
"resourceType" : "Patient",
...
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "446141000124107",
"display" : "Identifies as female gender (finding)"
}
]
}
}
]
},
...
}
AU Base supports representation and exchange of the Recorded Sex or Gender (RSG) data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1) in:
RSG is represented with the Person Recorded Sex or Gender extension. In AU Base:
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. When populating recorded sex or gender it is important to select a meaningful terminology for the value element of the Person Recorded Sex or Gender extension. For example, when representing a biological sex value it is recommended to use a biological sex value set. See Sex Assigned at Birth for specific guidance on the representation of Sex Assigned at Birth.
Example: Patient resource with recorded gender from a passport
{
"resourceType" : "Patient",
...
{
"url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "female"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "46098-0"
}
]
}
},
{
"url" : "effectivePeriod",
"valuePeriod" : {
"start" : "2024-12-25"
}
},
{
"url" : "sourceDocument",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org.au/CodeSystem/rsg-source-document-type",
"code" : "passport"
}
]
}
},
{
"url" : "sourceField",
"valueString" : "Sex"
},
{
"url" : "jurisdiction",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "AU",
"display" : "Australia"
}
]
}
}
]
}
],
...
}
AU Base supports representation and exchange of the Sex Assigned at Birth data element (as defined in the HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1) in:
Sex Assigned at Birth is represented with the Person Recorded Sex or Gender extension:
When populating the value element of the Person Recorded Sex or Gender extension for Sex Assigned at Birth:
Example: Patient resource with Sex Assigned at Birth from birth certificate
{
"resourceType" : "Patient",
...
{
"url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "248153007",
"display" : "Male"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1515311000168102",
"display" : "Biological sex at birth"
}
]
}
},
{
"url" : "effectivePeriod",
"valuePeriod" : {
"start" : "1974-12-25"
}
},
{
"url" : "acquisitionDate",
"valueDateTime" : "2005-12-06"
},
{
"url" : "sourceDocument",
"valueCodeableConcept" :
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "71230-7",
"display" : "Birth certificate"
},
{
"system" : "http://snomed.info/sct",
"code" : "444561001",
"display" : "Birth certificate"
}
],
"text" : "Scan of birth certificate"
}
},
{
"url" : "sourceField",
"valueString" : "Sex"
},
{
"url" : "jurisdiction",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
"code" : "QLD"
}
]
}
},
{
"url" : "comment",
"valueString" : "Patient transitioned from male to female in 2001, but their birth certificate still indicates male."
}
]
},
...
}