US Core Implementation Guide
​9.0.0-ballot - United States of America flag

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 9.0.0-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 Sex Extension

Official URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex Version: 9.0.0-ballot
Standards status: Deprecated Active as of 2023-05-15 Maturity Level: 3 Computable Name: USCoreSexExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.63

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

The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the Provenance resource.

USCDI includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

Context of Use

    This extension is deprecated and should no longer be used

    This extension is no longer a USCDI requirement and is deprecated. It SHOULD NOT be used for new or revised content. It is retained for historical/backward compatibility purposes. Implementers SHOULD use the US Core Individual Sex Extension instead.

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

Usage info

Usages:

  • This Extension is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Changes since version 8.0.0:

  • The resource metadata has changed (description)
  • The data elements list has changed
  • One or more text definitions, invariants or bindings have changed

    • Formal Views of Extension Content

    Description Differentials, Snapshots, and other representations.

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Extension.value[x] Base extensible Sex . 📦20230628 VSAC v0.23
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 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-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.value[x] Base extensible Sex . 📦20230628 VSAC v0.23

    Constraints

    Id Grade Path(s) Description Expression
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Summary

    Simple Extension with the type code: The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the Provenance resource.

    USCDI includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

    Maturity: 3

    Differential ViewDifferential View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 Extension Extension
    ... url 1..1 uri "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation

    doco Documentation for this format

    Terminology Bindings (Differential)

    Path Status Usage ValueSet Version Source
    Extension.value[x] Base extensible Sex . 📦20230628 VSAC v0.23

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..1 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-sex"
    ... value[x] 1..1 code Value of extension
    Binding: Sex . (extensible): Concepts used for general documentation of sex representation

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.value[x] Base extensible Sex . 📦20230628 VSAC v0.23

    Constraints

    Id Grade Path(s) Description Expression
    ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
    ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

    Summary

    Simple Extension with the type code: The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the Provenance resource.

    USCDI includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI. Sex assigned at birth or birth sex can be recorded using the more specific US Core Birth Sex Extension. Future versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender (Patient.gender).

    Maturity: 3

     

    Other representations of profile: CSV, Excel, Schematron