{ "description": "A Sex Parameter for Clinical Use is a parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.. This property is intended for use in clinical decision making, and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population. When exchanging these concepts, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).", "_filename": "StructureDefinition-patient-sexParameterForClinicalUse.json", "package_name": "hl7.fhir.uv.extensions.r4", "date": "2022-01-24T16:55:11+11:00", "derivation": "constraint", "publisher": "HL7 International / Patient Administration", "fhirVersion": "4.0.1", "jurisdiction": [ { "coding": [ { "code": "001", "system": "http://unstats.un.org/unsd/methods/m49/m49.htm" } ] } ], "name": "PatSexParameterForClinicalUse", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" } ], "abstract": false, "type": "Extension", "experimental": "true", "resourceType": "StructureDefinition", "title": "Patient Sex Parameter For Clinical Use", "package_version": "5.2.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "pa" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "draft" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-type-characteristics", "valueCode": "can-bind" } ], "snapshot": { "element": [ { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" }, { "key": "ext-1", "human": "Must have either extensions or value[x], not both", "source": "http://hl7.org/fhir/StructureDefinition/Extension", "severity": "error", "expression": "extension.exists() != value.exists()" } ], "path": "Extension", "min": 0, "definition": "A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..", "isModifier": false, "short": "A context-specific sex parameter for clinical use", "max": "*", "id": "Extension", "base": { "max": "*", "min": 0, "path": "Extension" } }, { "path": "Extension.id", "min": 0, "definition": "Unique id for the element within a resource (for internal references). 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To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.", "isModifier": false, "short": "Additional content defined by implementations", "mapping": [ { "map": "n/a", "identity": "rim" } ], "slicing": { "rules": "open", "description": "Extensions are always sliced by (at least) url", "discriminator": [ { "path": "url", "type": "value" } ] }, "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Extension.extension", "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. 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The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.extension.value[x]", "min": 1, "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).", "isModifier": false, "short": "Value of extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "max": "1", "id": "Extension.extension:supportingInfo.value[x]", "condition": [ "ext-1" ], "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false }, { "path": "Extension.url", "min": 1, "definition": "Source of the definition for the extension code - a logical name or a URL.", "isModifier": false, "short": "identifies the meaning of the extension", "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "http://hl7.org/fhirpath/System.String", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "uri" } ] } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Extension.url", "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.", "base": { "max": "1", "min": 1, "path": "Extension.url" }, "isSummary": false }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "source": "http://hl7.org/fhir/StructureDefinition/Element", "severity": "error", "expression": "hasValue() or (children().count() > id.count())" } ], "path": "Extension.value[x]", "min": 0, "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R5/extensibility.html) for a list).", "isModifier": false, "short": "Value of extension", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "base64Binary" }, { "code": "boolean" }, { "code": "canonical" }, { "code": "code" }, { "code": "date" }, { "code": "dateTime" }, { "code": "decimal" }, { "code": "id" }, { "code": "instant" }, { "code": "integer" }, { "code": "integer64" }, { "code": "markdown" }, { "code": "oid" }, { "code": "positiveInt" }, { "code": "string" }, { "code": "time" }, { "code": "unsignedInt" }, { "code": "uri" }, { "code": "url" }, { "code": "uuid" }, { "code": "Address" }, { "code": "Age" }, { "code": "Annotation" }, { "code": "Attachment" }, { "code": "CodeableConcept" }, { "code": "CodeableReference" }, { "code": "Coding" }, { "code": "ContactPoint" }, { "code": "Count" }, { "code": "Distance" }, { "code": "Duration" }, { "code": "HumanName" }, { "code": "Identifier" }, { "code": "Money" }, { "code": "Period" }, { "code": "Quantity" }, { "code": "Range" }, { "code": "Ratio" }, { "code": "RatioRange" }, { "code": "Reference" }, { "code": "SampledData" }, { "code": "Signature" }, { "code": "Timing" }, { "code": "ContactDetail" }, { "code": "DataRequirement" }, { "code": "Expression" }, { "code": "ParameterDefinition" }, { "code": "RelatedArtifact" }, { "code": "TriggerDefinition" }, { "code": "UsageContext" }, { "code": "Availability" }, { "code": "ExtendedContactDetail" }, { "code": "Dosage" }, { "code": "Meta" } ], "max": "0", "id": "Extension.value[x]", "condition": [ "ext-1" ], "base": { "max": "1", "min": 0, "path": "Extension.value[x]" }, "isSummary": false } ], "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version", "valueString": "5.0.0" } ] }, "status": "draft", "id": "0a81bb3e-33a2-49fe-b6ce-d57b28ec0884", "kind": "complex-type", "url": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse", "identifier": [ { "value": "urn:oid:2.16.840.1.113883.4.642.5.1347", "system": "urn:ietf:rfc:3986" } ], "context": [ { "type": "element", "expression": "Resource" } ], "version": "5.2.0", "differential": { "element": [ { "id": "Extension", "min": 0, "path": "Extension", "short": "A context-specific sex parameter for clinical use", "definition": "A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc.." }, { "path": "Extension.extension", "min": 1, "definition": "A parameter that provides guidance on how a recipient should apply settings or reference ranges that are derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc..", "short": "A context-specific sex parameter for clinical use", "type": [ { "code": "Extension" } ], "sliceName": "value", "max": "1", "id": "Extension.extension:value", "comment": "Sex parameters for clinical use may be contexual. For example, the sex parameter for clinical use for mammogram health maintenance may by different than the sex parameter for clinical use for the purpose of selecting a reference range for a lab test." }, { "id": "Extension.extension:value.extension", "max": "0", "path": "Extension.extension.extension" }, { "id": "Extension.extension:value.url", "path": "Extension.extension.url", "type": [ { "code": "uri" } ], "fixedUri": "value" }, { "id": "Extension.extension:value.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "required", "valueSet": "http://terminology.hl7.org/ValueSet/sex-parameter-for-clinical-use", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "sexParameterForClinicalUse" } ] } }, { "id": "Extension.extension:period", "max": "1", "min": 0, "path": "Extension.extension", "type": [ { "code": "Extension" } ], "short": "When the sex for clinical use applies", "sliceName": "period", "definition": "The time period during which the sex parameter for clinical use applies" }, { "id": "Extension.extension:period.extension", "max": "0", "path": "Extension.extension.extension" }, { "id": "Extension.extension:period.url", "path": "Extension.extension.url", "type": [ { "code": "uri" } ], "fixedUri": "period" }, { "id": "Extension.extension:period.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "Period" } ] }, { "id": "Extension.extension:comment", "max": "1", "min": 0, "path": "Extension.extension", "type": [ { "code": "Extension" } ], "short": "Comments about the sex parameter for clinical use", "sliceName": "comment", "definition": "Further explanation about the choice, intention, or context of use for the sex parameter for clinical use" }, { "id": "Extension.extension:comment.extension", "max": "0", "path": "Extension.extension.extension" }, { "id": "Extension.extension:comment.url", "path": "Extension.extension.url", "type": [ { "code": "uri" } ], "fixedUri": "comment" }, { "id": "Extension.extension:comment.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "string" } ] }, { "id": "Extension.extension:supportingInfo", "min": 0, "path": "Extension.extension", "type": [ { "code": "Extension" } ], "short": "Source of the sex for clincal use", "comment": "For example, a patient with an initial diagnosis of an intersex condition could have supporting clinical observations specific to the diagnosis. Additional information may be provided in the comment attribute.", "sliceName": "supportingInfo", "definition": "Other clinical evidence or documentation that was used to determine the sex parameter for clincal use" }, { "id": "Extension.extension:supportingInfo.extension", "max": "0", "path": "Extension.extension.extension" }, { "id": "Extension.extension:supportingInfo.url", "path": "Extension.extension.url", "type": [ { "code": "uri" } ], "fixedUri": "supportingInfo" }, { "id": "Extension.extension:supportingInfo.value[x]", "min": 1, "path": "Extension.extension.value[x]", "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ] }, { "id": "Extension.url", "path": "Extension.url", "fixedUri": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse" }, { "id": "Extension.value[x]", "max": "0", "min": 0, "path": "Extension.value[x]" } ] }, "contact": [ { "telecom": [ { "value": "http://www.hl7.org/Special/committees/pafm", "system": "url" } ] } ], "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension" }