US Core Implementation Guide
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US Core Implementation Guide, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 8.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/US-Core/ and changes regularly. See the Directory of published versions

Extension: US Core Gender Identity Extension

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity Version: 8.0.0-ballot
Standards status: Trial-use Maturity Level: 3 Computable Name: USCoreGenderIdentityExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.27

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

This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates SHOULD use the FHIR R5 genderIdentity extension. When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.

Context of Use

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

  • Element ID Patient
  • Element ID RelatedPerson
  • Element ID Person
  • Element ID Practitioner

Profile specific implementation guidance

  • This extension provides concepts to describe the gender a person identifies as. It is not used to describe a person's sexual orientation (who they are attracted to).

  • The concepts included here are from the HL7 Gender Harmony Project, which is modeling gender and sex information data elements, value sets, and code systems.

  • A gender-identity search parameter has been defined for this extension. However, there are no gender-identity search requirements for the Client or Server.

Usage info

Usage:

Changes since version 7.0.0:

  • No changes

    • 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 CodeableConcept: This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates SHOULD use the FHIR R5 genderIdentity extension. When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.

    Maturity: 3

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
    ... value[x] 0..1 CodeableConcept Value of extension
    Binding: Gender Identity . (extensible)

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* 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-genderIdentity"
    ... value[x] 0..1 CodeableConcept Value of extension
    Binding: Gender Identity . (extensible)

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension of type CodeableConcept: This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates SHOULD use the FHIR R5 genderIdentity extension. When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.

    Maturity: 3

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
    ... value[x] 0..1 CodeableConcept Value of extension
    Binding: Gender Identity . (extensible)

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..* 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-genderIdentity"
    ... value[x] 0..1 CodeableConcept Value of extension
    Binding: Gender Identity . (extensible)

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.value[x]extensibleGenderIdentity .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.32