HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1
1.0.0 - release

HL7 Cross Paradigm Implementation Guide: Gender Harmony - Sex and Gender Representation, Edition 1, published by HL7 Terminology Infrastruture Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0. This version is based on the current content of https://github.com/HL7/fhir-gender-harmony/ and changes regularly. See the Directory of published versions

V2 DICOM Example

Registration of Name Change

Using v2.9.1

MSH|^~\&|||||20220715151029||ADT^A08|TwxxneTRWE9JGX4U2p3hCLJH|P|2.9.1
EVN||20220715151118||01^Patient Request^HL70062
PID|||patientID^^^^MR||Smith^John^^^^^NOUSE~Smith^Janet^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT|20220715
PV1||O

Using the pre-adoption profile in V2.5

MSH|^~\&|||||20220715151029||ADT^A08|TwxxneTRWE9JGX4U2p3hCLJH|P|2.5|||||||||GenderHarmony^^2.16.840.1.113883.9.282^ISO
EVN||20220715151118||01^Patient Request^HL70062
PID|||patientID^^^^MR||Smith^John^^^^^NOUSE~Smith^Janet^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT|20220715
PV1||O

Order for imaging

Using v2.9.1

MSH|^~\&|||||20220715142240||OMI^O23|WSA5mY0UBuCGrytRTAFR8UWJ|P|2.9.1
PID|||patientID^^^^MR||Smith^John^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT
GSC|1|S||female-typical^Apply female-typical setting or reference range^SPCU||OBR^4||Hormonal treatment, use affirmed gender Cr reference ranges
ORC|NW
OBR||||241439007^PET heart study^SCT|||||||||||||||||||||||||||||||||||||||||82800-4^PET+CT Heart W contrast IV^LN
IPC|accessionNum|procedureID|studyInstanceUID|schProcedureStepId|PT^Positron emission tomography^DCM|122793^PET Myocardial Perfusion, Rest and Stress^DCM

Using the pre-adoption profile in V2.5

MSH|^~\&|||||20220715142240||OMI^O23|WSA5mY0UBuCGrytRTAFR8UWJ|P|2.5|||||||||GenderHarmony^^2.16.840.1.113883.9.282^ISO
PID|||patientID^^^^MR||Smith^John^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT
GSC|1|S||female-typical^Apply female-typical setting or reference range^SPCU||OBR^4||Hormonal treatment, use affirmed gender Cr reference ranges
ORC|NW
OBR||||241439007^PET heart study^SCT|||||||||||||||||||||||||||||||||||||||||82800-4^PET+CT Heart W contrast IV^LN
IPC|accessionNum|procedureID|studyInstanceUID|schProcedureStepId|PT^Positron emission tomography^DCM|122793^PET Myocardial Perfusion, Rest and Stress^DCM

Result for imaging

Using v2.9.1

MSH|^~\&|||||20220715142240||ORU^R01^ORU_R01|WSA5mY0UBuCGrytRTAFR8UWJ|P|2.9.1|
PID|||patientID^^^^MR||Smith^John^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT
GSC|1|S||female-typical^Apply female-typical setting or reference range^SPCU||OBR^4||Hormonal treatment, use affirmed gender Cr reference ranges
OBR|1|accessionNum||82800-4^PET+CT Heart W contrast IV^LN|||20220715142240||||
OBX|1|ST|55115-0^Request^LN||Imaging technique (protocol, contrast, radiotracer) described here||||||F|
OBX|2|FT|19005-8^Impression^LN||Report narrative goes here||||||F|
OBX|3|TX|55110-1^Conclusion^LN||Conclusion goes here||||||F|

Using the pre-adoption profile in V2.5

MSH|^~\&|||||20220715142240||ORU^R01^ORU_R01|WSA5mY0UBuCGrytRTAFR8UWJ|P|2.5|||||||||GenderHarmony^^2.16.840.1.113883.9.282^ISO
PID|||patientID^^^^MR||Smith^John^^^^^N|||F|
GSP|1|S||76691-5^Gender identity^LN|446151000124109^Identifies as male gender^SCT
GSC|1|S||female-typical^Apply female-typical setting or reference range^SPCU||OBR^4||Hormonal treatment, use affirmed gender Cr reference ranges
OBR|1|accessionNum||82800-4^PET+CT Heart W contrast IV^LN|||20220715142240||||
OBX|1|ST|55115-0^Request^LN||Imaging technique (protocol, contrast, radiotracer) described here||||||F|
OBX|2|FT|19005-8^Impression^LN||Report narrative goes here||||||F|
OBX|3|TX|55110-1^Conclusion^LN||Conclusion goes here||||||F|