---
type: "example"
title: "Patient Example: patient-example-sex-and-gender"
resource: "Patient"
example: "patient-example-sex-and-gender"
---
# Patient Example: patient-example-sex-and-gender

Transgender Person Example

## Example XML



```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>
```