Name Flags Card. Type Description & Constraints Extension 0..* RecordedSexOrGender(5.1.0) Sex Assigned at Birth Slices for extension Content/Rules for all slices extension:value SO 1..1 Extension Extension Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester value[x] 1..1 CodeableConcept Value of extension Binding: Biological Sex (extensible) extension:type SO 1..1 Extension SNOMED Sex Assigned at Birth Obligations Actor SHALL:populate-if-known AU Core Responder SHALL:no-error AU Core Requester value[x] 1..1 CodeableConcept Value of extension Required Pattern: At least the following coding 1..* Coding Code defined by a terminology system Fixed Value: (complex) system 1..1 uri Identity of the terminology system Fixed Value: http://snomed.info/sct code 1..1 code Symbol in syntax defined by the system Fixed Value: 1515311000168102 Documentation for this format
This profile defines the minimum expectations for a [Person Recorded Sex or Gender extension](https://build.fhir.org/ig/hl7au/au-fhir-base//StructureDefinition-individual-recordedSexOrGender.html) when representing Sex Assigned at Birth. This profile identifies the *additional* mandatory core elements, extensions, vocabularies and value sets that **SHALL** be present in the Extension when conforming to this profile.
Used by permission of HL7 International, all rights reserved Creative Commons License. HL7 Australia© 2022+; Licensed Under Creative Commons No Rights Reserved.
Sex assigned at birth refers to what was determined by biological sex characteristics including genital and chromosome composition observed at birth or infancy. Sex assigned at birth is captured once for a person and is not expected to change within their lifetime.
A person's sex can change over the course of their lifetime. The value in sex assigned at birth may not match a person’s gender or the sex recorded on their birth certificate or values in observations taken later in life that are the result of a specific measurement e.g. gonadal, ductal or phenotypic.
All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
Must have either extensions or value[x], not both
Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Extensions are always sliced by (at least) url
Additional content defined by implementations
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Source of the definition for the extension code - a logical name or a URL.
The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).
The type or category of sex or gender that is recorded is sex assigned at birth.
Because the recorded sex or gender concept exists primarily as means to exchange sex and gender data concepts that are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, the type is used to identify what type of concept the recorded sex or gender concept is.
When the recorded sex or gender value applies
The time period during which the recorded sex or gender value applies to the individual
When the sex or gender value was recorded.
The date/time when the sex or gender value was first recorded in the system.
The document the sex or gender property was acquired from.
The reference to the source document or the code representing the type of document where this sex or gender property is initially recorded.
For example, if a driver's license is scanned, this property may reference that scanned document.
The name of the field within the source document where this sex or gender property is initially recorded.
For example, if a sex value is acquired from a driver's license, and the name of the field on that driver's license is 'SEX', then a code describing that field can be provided. If the semantics of the field are known, they may be described in the comment. For example, if the 'SEX' field on a license in a particular state or province is populated based on an individual's indication of what gender they consider themselves to be, but the field label is 'SEX' for historical reasons, a comment describing that the semantics of the field align with gender identity, even though the field name is 'SEX' can be provided.
Who issued the document where the sex or gender was aquired
The jurisdiction or organization that issued the document from which the sex or gender was aquired
For example, a individual's driver's license or passport would be issued by a specific state or country.
Context or source information about the recorded sex or gender
Further explanation about the context or source of the recorded sex or gender value
Whether this recorded sex or gender value qualifies the .gender element.
Instances of the individual-recordedSexOrGender extension with this value set to 'true' provides additional semantics or provenance of the data communicated in the relevant '.gender' property in the resource. For example, if a system populates Patient.gender using a sex assigned at birth value, the individual-recordedSexOrGender extension with genderElementQualifier=true can provide that context.