Details
-
Change Request
-
Resolution: Persuasive
-
Medium
-
C-CDA Templates Clinical Notes (CDA)
-
3.0.0-ballot
-
Structured Documents
-
Sex Observation
-
-
Brett M / Matt S : 18 - 0 - 0
-
Enhancement
-
Compatible, substantive
Description
The Sex Observation template is designed to implement the [Sexhttps://www.healthit.gov/isa/taxonomy/term/731/uscdi-v3] data element in USCDI v3, where it can be any instance of sex info: birth sex, legal sex, you name it.
However, the value set that it's bound to is super tightly constrained. The sex has to be one of four values (male, female, unknown, or "asked but declined") and nullFlavors aren't allowed--if you can't map a sex to one of those four, you can't send it at all!
But if we truly want this template to capture the full spectrum of USCDI v3 Sex, then we need to broaden it. In particular, it doesn't work with legal sex right now--if the sex on your drivers license is "X" or "nonbinary" or anything to that effect, there's no way to send it!
I think we need to expand the value set, but we should probably discuss with Gender Harmony and/or CGP.
Attachments
Issue Links
- relates to
-
CDA-21063 Change binding on Sex Observation's value set from required to extensible?
- Duplicate
-
FHIR-44710 Sex Extension's value set is too restrictive
- Applied
-
FHIR-44764 Change binding on Sex Extension's value set from required to extensible?
- Applied
-
CDA-21065 Remove binding to SCT or relax to "may"
- Applied