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{
  "resourceType": "Patient",
  "id": "example-sex-and-gender",
  "meta": {
    "profile": [
      "http://hl7.org.au/fhir/StructureDefinition/au-patient"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient example-sex-and-gender</b></p><a name=\"example-sex-and-gender\"> </a><a name=\"hcexample-sex-and-gender\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-au-patient.html\">AU Base Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Patricia Roth  Male, DoB: 1974-12-25 ( Medical record number (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td colspan=\"3\">false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>Managing Organization: <a href=\"Organization-example1.html\">Organization Albion Hospital</a></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The pronouns to use when referring to an individual in verbal or written communication.\">Individual Pronouns:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://loinc.org LA29519-8}\">she/her/her/hers/herself</span></li><li>period: 2001-05-06 --&gt; (ongoing)</li><li>comment: Patient transitioned from male to female in 2001.</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Person Recorded Sex Or Gender:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://snomed.info/sct 248153007}\">Male</span></li><li>type: <span title=\"Codes:{http://snomed.info/sct 1515311000168102}\">Biological sex at birth</span></li><li>effectivePeriod: 1974-12-25 --&gt; (ongoing)</li><li>acquisitionDate: 2005-12-06</li><li>sourceDocument: <span title=\"Codes:{http://loinc.org 71230-7}, {http://snomed.info/sct 444561001}\">Scan of birth certificate</span></li><li>sourceField: Sex</li><li>jurisdiction: <span title=\"Codes:{https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1 QLD}\">Queensland</span></li><li>comment: Patient transitioned from male to female in 2001, but their birth certificate still        indicates male.</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Person Recorded Sex Or Gender:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://hl7.org/fhir/administrative-gender female}\">Female</span></li><li>type: <span title=\"Codes:{http://loinc.org 46098-0}\">Sex</span></li><li>effectivePeriod: 2024-12-25 --&gt; (ongoing)</li><li>sourceDocument: <span title=\"Codes:{http://terminology.hl7.org.au/CodeSystem/rsg-source-document-type passport}\">Passport</span></li><li>sourceField: Sex</li><li>jurisdiction: <span title=\"Codes:{urn:iso:std:iso:3166 AU}\">Australia</span></li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..  This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.  When exchanging these concepts, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Patient Sex Parameter For Clinical Use:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use male-typical}\">Apply male-typical setting or reference range</span></li><li>comment: Apply male-type setting for all radiology tests</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..  This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population.  When exchanging these concepts, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Patient Sex Parameter For Clinical Use:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use female-typical}\">Apply female-typical setting or reference range</span></li><li>comment: Apply female-type setting for Lipids, LFT, TSH, T4 pathology tests</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is. \n In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource.  When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Individual Gender Identity:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://snomed.info/sct 446141000124107}\">Identifies as female gender</span></li></ul></td></tr></table></div>"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "446141000124107",
                "display": "Identifies as female gender"
              }
            ]
          }
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "LA29519-8",
                "display": "she/her/her/hers/herself"
              }
            ]
          }
        },
        {
          "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-recordedSexOrGender",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "248153007",
                "display": "Male"
              }
            ]
          }
        },
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "1515311000168102",
                "display": "Biological sex at birth"
              }
            ]
          }
        },
        {
          "url": "effectivePeriod",
          "valuePeriod": {
            "start": "1974-12-25"
          }
        },
        {
          "url": "acquisitionDate",
          "valueDateTime": "2005-12-06"
        },
        {
          "url": "sourceDocument",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "71230-7",
                "display": "Birth certificate"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "444561001",
                "display": "Birth certificate"
              }
            ],
            "text": "Scan of birth certificate"
          }
        },
        {
          "url": "sourceField",
          "valueString": "Sex"
        },
        {
          "url": "jurisdiction",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
                "code": "QLD"
              }
            ]
          }
        },
        {
          "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": [
              {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "female"
              }
            ]
          }
        },
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "46098-0"
              }
            ]
          }
        },
        {
          "url": "effectivePeriod",
          "valuePeriod": {
            "start": "2024-12-25"
          }
        },
        {
          "url": "sourceDocument",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org.au/CodeSystem/rsg-source-document-type",
                "code": "passport"
              }
            ]
          }
        },
        {
          "url": "sourceField",
          "valueString": "Sex"
        },
        {
          "url": "jurisdiction",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "urn:iso:std:iso:3166",
                "code": "AU",
                "display": "Australia"
              }
            ]
          }
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
                "code": "male-typical",
                "display": "Apply male-typical setting or reference range"
              }
            ]
          }
        },
        {
          "url": "comment",
          "valueString": "Apply male-type setting for all radiology tests"
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
                "code": "female-typical",
                "display": "Apply female-typical setting or reference range"
              }
            ]
          }
        },
        {
          "url": "comment",
          "valueString": "Apply female-type setting for Lipids, LFT, TSH, T4 pathology tests"
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR"
          }
        ]
      },
      "system": "urn:oid:1.2.36.146.595.217.0.1",
      "value": "12345"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "family": "Roth",
      "given": [
        "Patrick"
      ]
    },
    {
      "use": "usual",
      "family": "Roth",
      "given": [
        "Patricia"
      ]
    },
    {
      "use": "nickname",
      "given": [
        "Pat"
      ]
    }
  ],
  "gender": "male",
  "birthDate": "1974-12-25",
  "deceasedBoolean": false,
  "managingOrganization": {
    "reference": "Organization/example1"
  }
}

name

use : official

family : Roth

given : Patrick

name

use : usual

family : Roth

given : Patricia

name

use : nickname

given : Pat

{

"use": "official",

"family": "Roth",

"given": [

"Patrick"

]

}

{

"use": "usual",

"family": "Roth",

"given": [

"Patricia"

]

}

{

"use": "nickname",

"given": [

"Pat"

]

}

<name xmlns="http://hl7.org/fhir">

<use value="official" />
<family value="Roth" />
<given value="Patrick" />

</name>

<name xmlns="http://hl7.org/fhir">

<use value="usual" />
<family value="Roth" />
<given value="Patricia" />

</name>

<name xmlns="http://hl7.org/fhir">

<use value="nickname" />

<given value="Pat" />

</name>