Profile Comparison between http://hl7.org/cda/us/ccda/StructureDefinition/GenderIdentityObservation vs http://hl7.org/cda/us/ccda/StructureDefinition/GenderIdentityObservation

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation	http://hl7.org/cda/stds/core/StructureDefinition/Observation	Values Differ
copyright
date	2024-05-18T00:16:25-05:00	2024-11-21T20:34:36+00:00	Values Differ
description	This observation represents the gender identity of the patient. Defined as: > "Ones basic sense of being male, female, or other gender (for example, transgender or gender queer). Gender identity can be congruent or incongruent with ones sex assigned at birth based on the appearance of external genitalia. (Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) CommunityA Field Guide, The Joint Commission (2011).) This template follows the guidelines from the HL7 Gender Harmony project. This template is based on C-CDA Social History Observation template. This observation is not appropriate for recording patient gender (administrativeGender) or birth sex.	This observation represents the gender identity of the patient. Defined as: One's basic sense of being male, female, or other gender (for example, transgender or gender queer). Gender identity can be congruent or incongruent with one's sex assigned at birth based on the appearance of external genitalia. (Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) CommunityA Field Guide, The Joint Commission (2011).) This template follows the guidelines from the HL7 Gender Harmony project. This observation is not appropriate for recording patient gender (administrativeGender) or birth sex.	Values Differ
experimental
fhirVersion	5.0.0
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	logical
name	GenderIdentityObservation
publisher	Health Level Seven
purpose
status	draft
title	Gender Identity Observation
type	http://hl7.org/cda/stds/core/StructureDefinition/Observation
url	http://hl7.org/cda/us/ccda/StructureDefinition/GenderIdentityObservation
version	3.0.0	4.0.0-ballot	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
Observation	C	1..1	SocialHistoryObservation	Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-value: SHOULD contain value 4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. should-sh-author: SHOULD contain author	C	1..1	Observation	Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
realmCode		0..*	CS			0..*	CS
typeId		0..1	II			0..1	II
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
assigningAuthorityName		0..1	??			0..1	??
displayable		0..1	??			0..1	??
root		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3
st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
Slices for templateId		2..*	II	Slice: Unordered, Open by value:root, value:extension		1..*	II	Slice: Unordered, Open by value:root, value:extension	Element minimum cardinalities differ: '2' vs '1'
classCode		1..1	??	Binding: ?? (required) Fixed Value: OBS		1..1	??	Binding: ?? (required) Fixed Value: OBS
moodCode		1..1	??	Binding: ?? (required) Fixed Value: EVN		1..1	??	Binding: ?? (required) Fixed Value: EVN
negationInd		0..1	??			0..1	??
id		1..*	II			1..*	II
code	C	1..1	CD	Gender Identity Binding: ?? (preferred) 4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956).		1..1	CD	Gender Identity Binding: ?? (example)	Example/preferred bindings differ at Observation.code using binding from GenderIdentityObservation StructureDefinition GenderIdentityObservation has a constraint that is removed in GenderIdentityObservation and it is uncertain whether they are compatible (codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists())
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
code		1..1	??	Required Pattern: 76691-5		1..1	??	Required Pattern: 76691-5
codeSystem		1..1	??, ??, ??	Required Pattern: 2.16.840.1.113883.6.1		1..1	??, ??, ??	LOINC Required Pattern: 2.16.840.1.113883.6.1
codeSystemName		0..1	??			0..1	??
codeSystemVersion		0..1	??			0..1	??
displayName		0..1	??			0..1	??
sdtcValueSet		0..1	??	XML: valueSet (urn:hl7-org:sdtc)		0..1	??	XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..1	ED			0..1	ED
qualifier		0..*	CR			0..*	CR
translation		0..*	CD			0..*	CD
derivationExpr		0..1	ST			0..1	ST
text		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry		0..1	ED	SHOULD reference the portion of section narrative text corresponding to this entry
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
compression		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
integrityCheck		0..1	??			0..1	??
integrityCheckAlgorithm		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
language		0..1	??			0..1	??
mediaType		0..1	??	Binding: ?? (example)		0..1	??	Binding: ?? (example)
representation		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
xmlText		0..1	??	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.		0..1	??	Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
reference	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative	C	0..1	TEL	value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
thumbnail		0..1	ED			0..1	ED
statusCode		1..1	CS	Binding: ?? (required)		1..1	CS	Binding: ?? (required)
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
code		1..1	??	Fixed Value: completed		1..1	??	Fixed Value: completed
codeSystem		0..0				0..0
codeSystemName		0..0				0..0
codeSystemVersion		0..0				0..0
displayName		0..0				0..0
sdtcValueSet		0..1	??	XML: valueSet (urn:hl7-org:sdtc)		0..1	??	XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)		0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)
originalText		0..0				0..0
qualifier		0..0				0..0
translation		0..0				0..0
effectiveTime		1..1	IVL_TS	The effectiveTime represents the relevant time of the observation. A patient's "gender identity" may change and using effectiveTime/low and effectiveTime/high defines the time during which the patient had identified as specified.		1..1	IVL_TS	The effectiveTime represents the relevant time of the observation. A patient's "gender identity" may change and using effectiveTime/low and effectiveTime/high defines the time during which the patient had identified as specified.
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
value		0..1	??	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]		0..1	??	Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
operator		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
low		1..1	IVXB_TS			1..1	IVXB_TS
center		0..1	TS			0..1	TS
width		0..1	PQ			0..1	PQ
high		0..1	IVXB_TS			0..1	IVXB_TS
priorityCode		0..1	CE	Binding: ?? (example)		0..1	CE	Binding: ?? (example)
repeatNumber		0..1	IVL_INT			0..1	IVL_INT
languageCode		0..1	CS	Binding: ?? (required)		0..1	CS	Binding: ?? (required)
Slices for value		1..1	ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ	(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns Slice: Unordered, Open by type:$this		1..1	CD
nullFlavor						0..0			Added this element
code						1..1	??	Binding: ?? (required)	Added this element
codeSystem						0..1	??, ??, ??		Added this element
codeSystemName						0..1	??		Added this element
codeSystemVersion						0..1	??		Added this element
displayName						0..1	??		Added this element
sdtcValueSet						0..1	??	XML: valueSet (urn:hl7-org:sdtc)	Added this element
sdtcValueSetVersion						0..1	??	XML: valueSetVersion (urn:hl7-org:sdtc)	Added this element
originalText						0..1	ED		Added this element
qualifier						0..*	CR		Added this element
translation						0..*	CD		Added this element
interpretationCode		0..*	CE	Binding: ?? (required)		0..*	CE	Binding: ?? (required)
methodCode		0..*	CE	Binding: ?? (example)		0..*	CE	Binding: ?? (example)
targetSiteCode		0..*	CD			0..*	CD
subject		0..1	Subject			0..1	Subject
specimen		0..*	Specimen			0..*	Specimen
performer		0..*	Performer2			0..*	Performer2
author		0..*	??	Base for all types and resources		0..*	Author
informant		0..*	Informant			0..*	Informant
participant		0..*	Participant2			0..*	Participant2
Slices for entryRelationship		0..*	EntryRelationship	Slice: Unordered, Open by profile:act, profile:observation		0..*	EntryRelationship
reference		0..*	Reference			0..*	Reference
precondition		0..*	Precondition			0..*	Precondition
sdtcPrecondition2		0..*	Precondition2	XML: precondition2 (urn:hl7-org:sdtc)		0..*	Precondition2	XML: precondition2 (urn:hl7-org:sdtc)
referenceRange		0..*	InfrastructureRoot			0..*	InfrastructureRoot
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
realmCode		0..*	CS			0..*	CS
typeId		0..1	II			0..1	II
nullFlavor		0..1	??	Binding: ?? (required)		0..1	??	Binding: ?? (required)
assigningAuthorityName		0..1	??			0..1	??
displayable		0..1	??			0..1	??
root		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3		1..1	??, ??, ??	Fixed Value: 2.16.840.1.113883.1.3
st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple		1..1	string	Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple
templateId		0..*	II			0..*	II
typeCode		0..1	??	Binding: ?? (required) Fixed Value: REFV		0..1	??	Binding: ?? (required) Fixed Value: REFV
observationRange		1..1	ObservationRange			1..1	ObservationRange
sdtcInFulfillmentOf1		0..*	InFulfillmentOf1	XML: inFulfillmentOf1 (urn:hl7-org:sdtc)		0..*	InFulfillmentOf1	XML: inFulfillmentOf1 (urn:hl7-org:sdtc)
sdtcCategory						0..*	CD	XML: category (urn:hl7-org:sdtc)	Added this element
Documentation for this format