Change request

Subject to FHIR-43719 (AU Base: Adoption of Gender Harmony Pronouns data element) being added to the version of AU Base which AU Core R1 is based upon, this change request proposes the following:

• AU Core R1 to adopt the AU Base profiling of Gender Harmony Pronouns as a Must Support element in

• AU Core Patient
• AU Core Practitioner
• AU Core RelatedPerson (if AU Core RelatedPerson is in scope for R1)

• AU Core to implement support for GH Pronouns by:

• Making the Individual Pronouns FHIR extension a Must Support element in each profile while the extension remains optional (0..*). 

• In the Gender Identity and related concepts subsection on the profile page (see AU Core Patient and AU Core RelatedPerson and AU Core Practitioner) add the following statement:

Pronouns

By making Individual Pronouns a Must Support data element, this profile explicitly supports representation and exchange of the Pronouns data element (as defined in the Gender Harmony - Sex and Gender Representation, Edition 1 Implementation Guide __ from HL7 International).

Background

• HL7 Gender Harmony Project: https://hl7.me/GHP 
• HL7 Gender Harmony – Sex and Gender Representation, Edition 1 Implementation Guide: https://hl7.org/xprod/ig/uv/gender-harmony/
• GH Pronouns logical data element: https://hl7.org/xprod/ig/uv/gender-harmony/model.html#pronouns-1
• Exchanging Pronouns in HL7 FHIR: https://hl7.org/xprod/ig/uv/gender-harmony/fhirgenderharmony.html#exchanging-pronouns