description: This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates **SHOULD** use the FHIR R5 [genderIdentity extension](http://hl7.org/fhir/extensions/StructureDefinition-individual-genderIdentity.html). When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension. package_name: hl7.fhir.us.core derivation: constraint name: USCoreGenderIdentityExtension type: Extension elements: url: pattern: {type: Uri, value: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity'} index: 0 value: choices: [valueCodeableConcept] index: 2 valueCodeableConcept: {type: CodeableConcept, choiceOf: value, index: 3} package_version: 8.0.0-ballot class: extension kind: complex-type url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity base: http://hl7.org/fhir/StructureDefinition/Extension version: 8.0.0-ballot