Details
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Change Request
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Resolution: Persuasive
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Medium
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FHIR Core (FHIR)
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R5
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Patient Administration
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Patient
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Alex de Leon / Joe Quinn: 3-0-0
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Enhancement
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Compatible, substantive
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R5
Description
The HL7-Vocab led Gender Harmony project is proposing an informative logical model for sex and gender information. This has a few differences from our current Patient Sex and Gender section. I'd like to update that section to add two new bullet points, and update the SAAB language, and define two new standard extensions for SfcU and Recorded Sex
(Added) Sex for Clinical Use
(Added)Recorded Sex
(Updated) Sex assigned at birth
These are the (pre-ballot/draft) descriptions of the new concepts:
Recorded Sex and Gender
Definition: The Recorded Sex and Gender is a multi-element attribute that describes the sex and/or gender information recorded on a document at some time.
Description:
Usage Note(s): A single patient may have zero to many such attributes. For example, the person's birth certificate information, passport information, and national identity document information may all be present.
Cardinality: 0…n
Sex for Clinical Use (SFCU)
Definition: Sex for Clinical Use (SFCU) is a category that is based upon observations related to a biological distinction between male and female.
Description:
Usage Note(s): This is the sex derived from observable information (e.g., Clinical Observation, Radiology report, Lab report, genetic testing.) This sex context element is intended to help identify when a patient has observations that vary from the statistical norm for female or male. Examples of observation types are: Karyotype, phenotype, sex from Imaging, hormonal values, organ inventory, genetic observations, external genital morphology and internal organ morphology
The Sex Assigned at Birth language will be updated to indicate that Recorded Sex and Gender is a more generic way to communicate SAAB info. Currently we don't have anything in the base spec about SAAB, we just reference the US Core IG.
Attachments
Issue Links
- is duplicated by
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FHIR-34331 extend content of Gender Identity extension
- Duplicate
- relates to
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FHIR-19672 Create Patient example for patient sex and gender
- Applied