This entire section should be clarified. Page 11 in CDA template  [observation: identifier urn:oid:2.16.840.1.113883.10.15.4 (open)] original: The recorded sex and gender (RSG) is to be used to represent sex or gender data from a document or record where the meaning is unclear, the meaning is different from the semantics specified in the Gender Identity and Sex for Clinical Use templates, or for which the source is significant. For example, the individual's birth certificate information, passport information, and national identity document information may all be present. This is necessary because an individual's documents may be updated at different rates or for different reasons. Sex assigned at birth (SAAB), while very common and considered essential in some jurisdictions, is considered a recorded sex and gender entry. New: Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known to NOT represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. If a medical system needs to exchange a single internal field labeled “sex” which, over time, has been used to capture both sex and gender, recorded sex or gender may be an appropriate way to exchange such data. Administrative gender, administrative sex, and sex assigned at birth are not to be considered a gender identity (GI) or sex parameter for clinical use (SPCU). Because of this each of these can be considered examples of recorded sex or gender (RSG), yet these represent constructs where established specific exchange structures already exist. If exchange is already established for one of these data items with known models, the existing exchange model may be used while their use lessen during transition to the use of gender identity or SPCU. Any other representation of sex (or gender) that is not gender identity or SPCU may be exchanged using the RSG template.