{"active":true,"birthDate":"1974-12-25","deceasedBoolean":false,"extension":[{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"446141000124107","display":"Female gender identity","system":"http://snomed.info/sct"}]}},{"url":"period","valuePeriod":{"start":"2001-05-06"}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001."}],"url":"http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"},{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"LA29519-8","display":"she/her/her/hers/herself","system":"http://loinc.org"}]}},{"url":"period","valuePeriod":{"start":"2001-05-06"}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001."}],"url":"http://hl7.org/fhir/StructureDefinition/individual-pronouns"},{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"male","display":"Male","system":"http://hl7.org/fhir/administrative-gender"}]}},{"url":"type","valueCodeableConcept":{"coding":[{"code":"76689-9","display":"Sex Assigned At Birth","system":"http://loinc.org"}]}},{"url":"effectivePeriod","valuePeriod":{"start":"1974-12-25"}},{"url":"acquisitionDate","valueDateTime":"2005-12-06"},{"url":"sourceDocument","valueReference":{"reference":"DocumentReference/1"}},{"url":"sourceField","valueString":"SEX"},{"url":"jurisdiction","valueCodeableConcept":{"coding":[{"code":"OH","display":"Ohio","system":"https://www.usps.com/"}]}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001, but their birth certificate still indicates male."}],"url":"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"},{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"male","display":"Male","system":"http://hl7.org/fhir/administrative-gender"}]}},{"url":"type","valueCodeableConcept":{"coding":[{"code":"insurance-card","display":"Insurance Card","system":"http://local-code-system.org/recorded-sex-or-gender-type"}]}},{"url":"effectivePeriod","valuePeriod":{"start":"2021-05-25"}},{"url":"acquisitionDate","valueDateTime":"2021-06-06"},{"url":"sourceDocument","valueReference":{"reference":"DocumentReference/2"}},{"url":"sourceField","valueString":"SEX"},{"url":"jurisdiction","valueCodeableConcept":{"coding":[{"code":"ICCA-P","display":"Indigo Crucifix Cobalt Aegis Payer","system":"http://local-code-system.org/recorded-sex-or-gender-jurisdiction"}]}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001, but her insurance card still indicates male."}],"url":"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"},{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"M","display":"Male","system":"http://ohio.example.gov/drivers-license-sex"}]}},{"url":"type","valueCodeableConcept":{"coding":[{"code":"drivers-license","display":"Driver's License","system":"http://jurisdiction-specific.example.com/document-type-code-system"}]}},{"url":"effectivePeriod","valuePeriod":{"start":"1974-12-25"}},{"url":"acquisitionDate","valueDateTime":"2005-12-06"},{"url":"sourceDocument","valueReference":{"reference":"DocumentReference/1"}},{"url":"jurisdiction","valueCodeableConcept":{"coding":[{"code":"OH","display":"Ohio","system":"https://www.usps.com/"}]}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001, but their driver's license still indicates male."}],"url":"http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"},{"extension":[{"url":"value","valueCodeableConcept":{"coding":[{"code":"specified","display":"Apply specified setting or reference range","system":"http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use"}]}},{"url":"period","valuePeriod":{"start":"2002-07-13"}},{"url":"comment","valueString":"Patient transitioned from male to female in 2001."},{"url":"supportingInfo","valueReference":{"reference":"Observation/1"}},{"url":"supportingInfo","valueReference":{"reference":"MedicationStatement/2"}}],"url":"http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse"}],"gender":"male","id":"patient-example-sex-and-gender","identifier":[{"system":"urn:oid:1.2.36.146.595.217.0.1","type":{"coding":[{"code":"MR","system":"http://terminology.hl7.org/CodeSystem/v2-0203"}]},"use":"usual","value":"12345"}],"managingOrganization":{"reference":"Organization/1"},"name":[{"family":"Roth","given":["Patrick"],"use":"official"},{"family":"Roth","given":["Patricia"],"use":"usual"},{"given":["Pat"],"use":"nickname"}],"resourceType":"Patient"}