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