description: This observation represents the gender identity of the patient. Defined as:\n\n> \"Ones basic sense of being male, female, or other gender (for example, transgender or gender queer). Gender identity can be congruent or incongruent with ones sex assigned at birth based on the appearance of external genitalia. (Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) CommunityA Field Guide, The Joint Commission (2011).)\n\nThis template follows the guidelines from the HL7 Gender Harmony project. This template is based on C-CDA Social History Observation template.\n\nThis observation is not appropriate for recording patient gender (administrativeGender) or birth sex.
package_name: hl7.cda.us.ccda
derivation: constraint
name: GenderIdentityObservation
type: http://hl7.org/cda/stds/core/StructureDefinition/Observation
elements:
  templateId:
    array: true
    min: 2
    index: 0
    slicing:
      slices:
        gender-identity-obs:
          match: {}
          schema:
            _required: true
            index: 1
            elements:
              root:
                pattern: {type: String, value: 2.16.840.1.113883.10.20.34.3.45}
                index: 2
              extension:
                pattern: {type: String, value: '2023-05-01'}
                index: 3
            required: [root, extension]
            extensions: {}
  classCode: {index: 4}
  moodCode: {index: 5}
  code:
    short: Gender Identity
    index: 6
    elements:
      code:
        pattern: {type: Code, value: 76691-5}
        index: 7
      codeSystem:
        pattern: {type: String, value: 2.16.840.1.113883.6.1}
        index: 8
    required: [codeSystem, code]
  statusCode:
    index: 9
    elements:
      code: {index: 10}
  effectiveTime:
    short: The effectiveTime represents the relevant time of the observation. A patient's "gender identity" may change and using effectiveTime/low and effectiveTime/high defines the time during which the patient had identified as specified.
    index: 11
    elements:
      low: {index: 12}
      high: {index: 13}
    required: [low]
  value:
    index: 14
    slicing:
      slices:
        physical-quantity:
          match: {}
          schema: {index: 15}
          max: 0
        coded:
          match: {}
          schema:
            binding: {strength: required, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.32'}
            _required: true
            index: 16
          min: 1
package_version: 3.0.0
class: logical
kind: logical
url: http://hl7.org/cda/us/ccda/StructureDefinition/GenderIdentityObservation
base: http://hl7.org/cda/us/ccda/StructureDefinition/SocialHistoryObservation
version: 3.0.0
required: [value]