<status value="draft" /> <experimental value="false" /> <date value="2024-03-15" /> <publisher value="Canada Health Infoway" /> <contact> <name value="National Standards Release Centre" /> <telecom> <system value="url" /> <value value="http://www.infoway-inforoute.ca" /> </telecom> <telecom> <system value="email" /> <value value="standards@infoway-inforoute.ca" /> </telecom> </contact> <description value="The pronouns to use when referring to an individual in verbal or written communication. This extension is published in this guide to pre-adopt an extension published in R5 and re-profile it further through CA Core+ project. This extension is an R4 (4.0.1) conversion and re-profiling of the canonical extension published in the R5 [FHIR Extensions Pack](http://hl7.org/fhir/extensions/5.1.0-snapshot1/StructureDefinition-individual-pronouns.html)." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <copyright value="Copyright © 2025+ Canada Health Infoway. All rights reserved. [Terms of Use and License Agreements](https://ic.infoway-inforoute.ca/en/about/tou). [Privacy Policy](https://www.infoway-inforoute.ca/en/legal/privacy-policy)." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="CACDI" /> <name value="Canadian Core Data for Interoperability (CACDI)" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="Patient" /> </context> <context> <type value="element" /> <expression value="RelatedPerson" /> </context> <context> <type value="element" /> <expression value="Person" /> </context> <context> <type value="element" /> <expression value="Practitioner" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/individual-pronouns" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <comment value="This extension has been re-profiled by the CA Core+ project for use in Canada. It currently provides the mapping details to the pan-Canadian Health Data Content Framework (pCHDCF) concept 'Pronouns'. This pCHDCF concept is still under development and as such does not have further constraints or terminology recommendations at the time of this release" /> <mapping> <identity value="CACDI" /> <map value="Personal Pronouns" /> </mapping> </element> <element id="Extension.extension"> <path value="Extension.extension" /> </element> <element id="Extension.extension.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension.value[x]"> <path value="Extension.extension.value[x]" /> <slicing> <discriminator> <type value="type" /> <path value="$this" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> </element> <element id="Extension.extension.value[x]:valueCodeableConcept"> <path value="Extension.extension.value[x]" /> <sliceName value="valueCodeableConcept" /> <min value="0" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="preferred" /> <valueSet value="https://fhir.infoway-inforoute.ca/ValueSet/pronouns" /> </binding> </element> <element id="Extension.extension:period"> <path value="Extension.extension" /> <sliceName value="period" /> </element> <element id="Extension.extension:period.value[x].start"> <path value="Extension.extension.value[x].start" /> <mapping> <identity value="CACDI" /> <map value="Person Pronoun Effective Date (Recommended)" /> </mapping> </element> <element id="Extension.extension:period.value[x].end"> <path value="Extension.extension.value[x].end" /> <mapping> <identity value="CACDI" /> <map value="Person Pronoun Expiry Date (Recommended)" /> </mapping> </element> </differential> </StructureDefinition>