{
"description": "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is. \\n In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource. When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).",
"_filename": "StructureDefinition-individual-genderIdentity.json",
"package_name": "hl7.fhir.uv.extensions.r3",
"date": "2020-12-28T16:55:11+11:00",
"derivation": "constraint",
"publisher": "HL7 International / Patient Administration",
"fhirVersion": "3.0.2",
"jurisdiction": [ {
"coding": [ {
"code": "001",
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
} ]
} ],
"name": "PGenderIdentity",
"mapping": [ {
"uri": "http://hl7.org/v3",
"name": "RIM Mapping",
"identity": "rim"
} ],
"abstract": false,
"type": "Extension",
"experimental": "false",
"resourceType": "StructureDefinition",
"title": "Individual Gender Identity",
"package_version": "5.3.0-ballot-tc1",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "pa"
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
}, {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use"
}, {
"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",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element",
"severity": "error",
"expression": "hasValue() | (children().count() > id.count())"
}, {
"key": "ext-1",
"human": "Must have either extensions or value[x], not both",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension",
"severity": "error",
"expression": "extension.exists() != value.exists()"
} ],
"path": "Extension",
"min": 0,
"definition": "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.",
"short": "The individual's gender identity",
"max": "*",
"id": "Extension",
"condition": [ "ele-1" ],
"comment": "This represents an individual’s identity, ascertained by asking them what that identity is.",
"base": {
"max": "*",
"min": 0,
"path": "Extension"
}
}, {
"path": "Extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension",
"min": 1,
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"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. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension",
"min": 1,
"definition": "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. ",
"short": "The individual's gender identity",
"type": [ {
"code": "Extension"
} ],
"sliceName": "value",
"max": "1",
"id": "Extension.extension:value",
"comment": "This represents an individual’s identity, ascertained by asking them what that identity is.",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:value.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension:value.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "value",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:value.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"
}
}, {
"path": "Extension.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "CodeableConcept"
} ],
"binding": {
"strength": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GenderIdentity"
} ],
"valueSetReference": {
"reference": "http://terminology.hl7.org/ValueSet/gender-identity"
}
},
"max": "1",
"id": "Extension.extension:value.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension",
"min": 0,
"definition": "The time period during which the gender identity applies to the individual",
"short": "The time period during which the gender identity applies to the individual",
"type": [ {
"code": "Extension"
} ],
"sliceName": "period",
"max": "1",
"id": "Extension.extension:period",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:period.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension:period.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "period",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:period.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"
}
}, {
"path": "Extension.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Period"
} ],
"max": "1",
"id": "Extension.extension:period.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.extension",
"min": 0,
"definition": "Text to further explain the use of the specified gender identity",
"short": "Text to further explain the use of the specified gender identity",
"type": [ {
"code": "Extension"
} ],
"sliceName": "comment",
"max": "1",
"id": "Extension.extension:comment",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:comment.id",
"base": {
"max": "1",
"min": 0,
"path": "Element.id"
}
}, {
"path": "Extension.extension.extension",
"min": 0,
"definition": "An Extension",
"short": "Extension",
"slicing": {
"rules": "open",
"description": "Extensions are always sliced by (at least) url",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
},
"type": [ {
"code": "Extension"
} ],
"max": "0",
"id": "Extension.extension:comment.extension",
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
}
}, {
"path": "Extension.extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "comment",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "uri"
} ],
"representation": [ "xmlAttr" ],
"max": "1",
"id": "Extension.extension:comment.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"
}
}, {
"path": "Extension.extension.value[x]",
"min": 1,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "string"
} ],
"max": "1",
"id": "Extension.extension:comment.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
}, {
"path": "Extension.url",
"min": 1,
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"short": "identifies the meaning of the extension",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "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"
}
}, {
"path": "Extension.value[x]",
"min": 0,
"definition": "Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list).",
"short": "Value of extension",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "base64Binary"
}, {
"code": "boolean"
}, {
"code": "code"
}, {
"code": "date"
}, {
"code": "dateTime"
}, {
"code": "decimal"
}, {
"code": "id"
}, {
"code": "instant"
}, {
"code": "integer"
}, {
"code": "markdown"
}, {
"code": "oid"
}, {
"code": "positiveInt"
}, {
"code": "string"
}, {
"code": "time"
}, {
"code": "unsignedInt"
}, {
"code": "uri"
}, {
"code": "Address"
}, {
"code": "Age"
}, {
"code": "Annotation"
}, {
"code": "Attachment"
}, {
"code": "CodeableConcept"
}, {
"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": "Reference"
}, {
"code": "SampledData"
}, {
"code": "Signature"
}, {
"code": "Timing"
}, {
"code": "Meta"
} ],
"max": "0",
"id": "Extension.value[x]",
"base": {
"max": "1",
"min": 0,
"path": "Extension.value[x]"
}
} ]
},
"status": "active",
"id": "0f0fb841-1cf9-4c5c-adaf-b688142b8978",
"kind": "complex-type",
"url": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
"identifier": [ {
"value": "urn:oid:2.16.840.1.113883.4.642.5.1336",
"system": "urn:ietf:rfc:3986"
} ],
"context": [ "Patient", "RelatedPerson", "Person", "Practitioner", "PractitionerRole" ],
"version": "5.3.0-ballot-tc1",
"differential": {
"element": [ {
"id": "Extension",
"min": 0,
"path": "Extension",
"short": "The individual's gender identity",
"comment": "This represents an individual’s identity, ascertained by asking them what that identity is.",
"definition": "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else."
}, {
"path": "Extension.extension",
"min": 1,
"definition": "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. ",
"short": "The individual's gender identity",
"type": [ {
"code": "Extension"
} ],
"sliceName": "value",
"max": "1",
"id": "Extension.extension:value",
"comment": "This represents an individual’s identity, ascertained by asking them what that identity is."
}, {
"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": "preferred",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "GenderIdentity"
} ],
"valueSetReference": {
"reference": "http://terminology.hl7.org/ValueSet/gender-identity"
}
}
}, {
"id": "Extension.extension:period",
"max": "1",
"min": 0,
"path": "Extension.extension",
"type": [ {
"code": "Extension"
} ],
"short": "The time period during which the gender identity applies to the individual",
"sliceName": "period",
"definition": "The time period during which the gender identity applies to the individual"
}, {
"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": "Text to further explain the use of the specified gender identity",
"sliceName": "comment",
"definition": "Text to further explain the use of the specified gender identity"
}, {
"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.url",
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity"
}, {
"id": "Extension.value[x]",
"max": "0",
"min": 0,
"path": "Extension.value[x]"
} ]
},
"contact": [ {
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/pafm",
"system": "url"
} ]
} ],
"contextType": "resource",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension"
}