<status value="draft" /> <date value="2024-08-09" /> <publisher value="HL7 Canada - FHIR Implementation Work Group" /> <contact> <telecom> <system value="url" /> <value value="https://infocentral.infoway-inforoute.ca/en/collaboration/wg/fhir-implementations" /> </telecom> </contact> <description value="A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability." /> <jurisdiction> <coding> <system value="urn:iso:std:iso:3166" /> <code value="CA" /> </coding> </jurisdiction> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="Patient" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <definition value="A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability." /> <comment value="The codes required are intended to present birth sex (i.e., the sex recorded on the patient’s birth certificate) and not gender identity or reassigned sex." /> <max value="1" /> <isModifier value="false" /> <mapping> <identity value="rim" /> <map value="player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender" /> </mapping> <mapping> <identity value="iso11179" /> <map value=".patient.administrativeGenderCode" /> </mapping> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="http://hl7.org/fhir/ca/baseline/StructureDefinition/ext-patientbirthsex" /> <mustSupport value="true" /> </element> <element id="Extension.valueCoding"> <path value="Extension.valueCoding" /> <min value="1" /> <mustSupport value="true" /> <binding> <strength value="example" /> <description value="Code for sex assigned at birth" /> <valueSet value="http://hl7.org/fhir/ca/baseline/ValueSet/birthsex" /> </binding> </element> <element id="Extension.valueCoding.system"> <path value="Extension.valueCoding.system" /> <min value="1" /> </element> <element id="Extension.valueCoding.code"> <path value="Extension.valueCoding.code" /> <min value="1" /> </element> <element id="Extension.valueCoding.display"> <path value="Extension.valueCoding.display" /> <short value="Optional description of the sex at birth code" /> <definition value="Plain text representation of the sex at birth concept" /> </element> </differential> </StructureDefinition>