update the referenced bullet in US Core Patient from *US Core has reviewed and updated value sets based on input from the  HL7 Gender Harmony Project  which is modeling gender and sex information which includes data elements, value sets, code systems. When their work is complete, US Core will align with their recommendations. The  US Core Sex Extension  meets the  U.S. Core Data for Interoperability (USCDI) v3  data element “sex”. The  US Core Birth Sex Extension  is no longer a USCDI Requirement. See the  FHIR specification  for additional guidance and background for representing Administrative Gender, Sex assigned at Birth, and Gender Identity. to:   *US Core aligns with the HL7 Gender Harmony Project  gender and sex information which includes data elements, value sets, code systems. Refer to it and the  FHIR R5 Patient Resource Gender and Sex Notes  for additional guidance and background for representing Administrative Gender, Sex assigned at Birth, and Gender Identity. Note that: The US Core Sex Extension meets the [U.S. Core Data for Interoperability (USCDI)] data element “sex”. The US Core Birth Sex Extension is no longer a USCDI Requirement.