Adopt the HL7 Gender Harmony Pronouns data element and its corresponding FHIR extension (Individual Pronouns) from the FHIR Extensions Pack as follows:

1. Terminology

• Add a new AU Base value set for pronouns that includes values from http://terminology.hl7.org/ValueSet/pronouns (Gender Harmony example set) and adds values unknown and asked-declined from http://terminology.hl7.org/CodeSystem/data-absent-reason .
• Proposed value set:

<?xml version="1.0" encoding="utf-8"?>

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

    <id value="au-pronouns"/>

    <meta>

        <profile value="http://hl7.org/fhir/StructureDefinition/shareablevalueset"/>

    </meta>

    <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">

        <valueInteger value="0"/>

    </extension>

    <url value="http://terminology.hl7.org.au/ValueSet/au-pronouns"/>

    <identifier>

        <system value="urn:ietf:rfc:3986"/>

        <value value="urn:oid:2.16.840.1.require-hl7au-oid"/>

    </identifier>

    <name value="AUPronouns"/>

    <title value="AU Pronouns"/>

    <status value="draft"/>

    <experimental value="false"/>

    <description value="This value set includes codes that indicate the pronouns to be used when communicating with or about an individual."/>

    <compose>

        <include>

            <system value="http://loinc.org"/>

            <concept>

                <code value="LA29518-0"/>

            </concept>

            <concept>

                <code value="LA29519-8"/>

            </concept>

            <concept>

                <code value="LA29520-6"/>

            </concept>

        </include>

        <include>

            <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason"/>

            <concept>

                <code value="asked-declined"/>

            </concept>

            <concept>

                <code value="asked-unknown"/>

            </concept>

            <concept>

                <code value="not-asked"/>

            </concept>

            <concept>

                <code value="unknown"/>

            </concept>

        </include>

    </compose>

</ValueSet>

2. Include the Pronouns FHIR extension (Individual Pronouns) as follows

• Add the extension to the AU Base Patient, AU Base RelatedPerson and AU Base Practitioner AU Base profiles with 0..* cardinality.
• Apply AU terminology constraints, i.e. extensible binding to the AU Pronouns value set (see 1 above).
• Add profile specific implementation guidance to the profile pages leveraging existing AU Base Patient guidance
• Note AU Base patient has Individual Pronouns extension, the change is to ensure the referenced extension is the core FHIR Extension and not a local redefinition (can now remove the local workaround with direct referencing of the extension).

3. Remove the manual inclusion of the FHIR Extension Individual Pronouns (this was a workaround that is no longer required with direct referencing of the extension)

4. Remove inclusion of the FHIR ValueSet Personal Pronouns (this was a workaround that is no longer required with direct referencing of the extension)

5. Update the patient-example-sex-and-gender, example relatedperson-example-sex-and-gender, example practitioner-example-sex-and-gender examples to demonstrate use of the GH Pronouns data element.