Patient Example: patient-example-sex-and-gender

Transgender Person Example

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Patient xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/fhir-single.xsd">
    <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">
            <!-- Reference to a scan of the birth certificate -->
            <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">
            <!-- Reference to a scan of the insurance card-->
            <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">
            <!-- Reference to a scan of the driver's license -->
            <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">
            <!-- Observation about an organ inventory (prostate) -->
            <valueReference>
                <reference value="Observation/1"/>
            </valueReference>
        </extension>
        <extension url="supportingInfo">
            <!-- MedicationStatement indicating patient underwent hormone therapy -->
            <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"/>
    <!-- Legal Name: Patrick Roth, goes by Patricia (formally), but also Pat (informally) -->
    <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">
    </birthDate>
    <deceasedBoolean value="false"/>
    <managingOrganization>
        <reference value="Organization/1"/>
    </managingOrganization>
</Patient>