CA Core+
1.2.0-dft-ballot 
DFT-Ballot - The specification is a DFT-Ballot version of CA Core+ for collecting ballot feedback. For a full list of available versions, see the Directory of published versions
BirthSex
Links
Extension
Description
A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability.
References to this Extension
| Standards Status | FMM |
|---|---|
| trial-use | 2 |
Resource Content
| ExtensionBirthSex (Extension) | C | Extension | |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueAddress | Address | ||
| valueAge | Age | ||
| valueAnnotation | Annotation | ||
| valueAttachment | Attachment | ||
| valueBase64Binary | base64Binary | ||
| valueBoolean | boolean | ||
| valueCanonical | canonical | ||
| valueCode | code | ||
| valueCodeableConcept | CodeableConcept | ||
| valueContactDetail | ContactDetail | ||
| valueContactPoint | ContactPoint | ||
| valueContributor | Contributor | ||
| valueCount | Count | ||
| valueDataRequirement | DataRequirement | ||
| valueDate | date | ||
| valueDateTime | dateTime | ||
| valueDecimal | decimal | ||
| valueDistance | Distance | ||
| valueDosage | Dosage | ||
| valueDuration | Duration | ||
| valueExpression | Expression | ||
| valueHumanName | HumanName | ||
| valueId | id | ||
| valueIdentifier | Identifier | ||
| valueInstant | instant | ||
| valueInteger | integer | ||
| valueMarkdown | markdown | ||
| valueMeta | Meta | ||
| valueMoney | Money | ||
| valueOid | oid | ||
| valueParameterDefinition | ParameterDefinition | ||
| valuePeriod | Period | ||
| valuePositiveInt | positiveInt | ||
| valueQuantity | Quantity | ||
| valueRange | Range | ||
| valueRatio | Ratio | ||
| valueReference | Reference | ||
| valueRelatedArtifact | RelatedArtifact | ||
| valueSampledData | SampledData | ||
| valueSignature | Signature | ||
| valueString | string | ||
| valueTime | time | ||
| valueTiming | Timing | ||
| valueTriggerDefinition | TriggerDefinition | ||
| valueUnsignedInt | unsignedInt | ||
| valueUri | uri | ||
| valueUrl | url | ||
| valueUsageContext | UsageContext | ||
| valueUuid | uuid | ||
| valueCoding | 1..1 | Coding | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| system | Σ | 1..1 | uri |
| version | Σ | 0..1 | string |
| code | Σ | 1..1 | code |
| display | Σ | 0..1 | string |
| userSelected | Σ | 0..1 | boolean |
| ExtensionBirthSex (Extension) | C | Extension | |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueAddress | Address | ||
| valueAge | Age | ||
| valueAnnotation | Annotation | ||
| valueAttachment | Attachment | ||
| valueBase64Binary | base64Binary | ||
| valueBoolean | boolean | ||
| valueCanonical | canonical | ||
| valueCode | code | ||
| valueCodeableConcept | CodeableConcept | ||
| valueContactDetail | ContactDetail | ||
| valueContactPoint | ContactPoint | ||
| valueContributor | Contributor | ||
| valueCount | Count | ||
| valueDataRequirement | DataRequirement | ||
| valueDate | date | ||
| valueDateTime | dateTime | ||
| valueDecimal | decimal | ||
| valueDistance | Distance | ||
| valueDosage | Dosage | ||
| valueDuration | Duration | ||
| valueExpression | Expression | ||
| valueHumanName | HumanName | ||
| valueId | id | ||
| valueIdentifier | Identifier | ||
| valueInstant | instant | ||
| valueInteger | integer | ||
| valueMarkdown | markdown | ||
| valueMeta | Meta | ||
| valueMoney | Money | ||
| valueOid | oid | ||
| valueParameterDefinition | ParameterDefinition | ||
| valuePeriod | Period | ||
| valuePositiveInt | positiveInt | ||
| valueQuantity | Quantity | ||
| valueRange | Range | ||
| valueRatio | Ratio | ||
| valueReference | Reference | ||
| valueRelatedArtifact | RelatedArtifact | ||
| valueSampledData | SampledData | ||
| valueSignature | Signature | ||
| valueString | string | ||
| valueTime | time | ||
| valueTiming | Timing | ||
| valueTriggerDefinition | TriggerDefinition | ||
| valueUnsignedInt | unsignedInt | ||
| valueUri | uri | ||
| valueUrl | url | ||
| valueUsageContext | UsageContext | ||
| valueUuid | uuid | ||
| valueCoding | 1..1 | Coding | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| system | Σ | 1..1 | uri |
| version | Σ | 0..1 | string |
| code | Σ | 1..1 | code |
| display | Σ | 0..1 | string |
| userSelected | Σ | 0..1 | boolean |
</extension>
</extension>
</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>
</mapping>
</context>
</base>
</constraint>
</constraint>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</extension>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<comment value="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>
</extension>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." />
</base>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</type>
</constraint>
</mapping>
</mapping>
</element>
<definition value="Uses the SexAssignedAtBirthValueSet to define a person's sex assigned at Birth." />
<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." />
</base>
</type>
</constraint>
</binding>
</mapping>
</mapping>
</element>
<definition value="Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." />
</base>
</extension>
</type>
</mapping>
</element>
</discriminator>
</slicing>
<definition value="May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." />
<comment value="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>
</type>
</constraint>
</constraint>
</mapping>
</mapping>
</element>
<definition value="The identification of the code system that defines the meaning of the symbol in the code." />
<comment value="The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged." />
<comment value="Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination)." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
</extension>
<requirements value="Need to be able to carry a human-readable meaning of the code for readers that do not know the system." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays)." />
<comment value="Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely." />
<requirements value="This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
<map value="fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]" />
</mapping>
</element>
</snapshot>
</mapping>
</element>
</element>
</element>
</discriminator>
</slicing>
</element>
<definition value="Uses the SexAssignedAtBirthValueSet to define a person's sex assigned at Birth." />
<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." />
</type>
</binding>
</element>
</element>
</element>
</element>
</differential>
</StructureDefinition>
{
{
},
{
}
],
{
{
}
]
}
],
"description": "A code classifying the person's sex assigned at birth. Replicates the birthsex extension in US-Core-R4 for interoperability.",
],
],
],
{
},
"ele-1"
],
{
},
{
}
],
{
},
{
},
{
}
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the 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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"xmlAttr"
],
"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.",
},
{
{
}
],
}
],
]
},
{
},
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list).",
},
{
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"ele-1"
],
{
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],
]
},
{
"comment": "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.",
},
],
"ele-1"
],
{
}
],
},
]
},
{
"xmlAttr"
],
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
},
{
{
}
],
}
],
]
},
{
],
},
"definition": "May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the 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.",
"extensions",
"user content"
],
},
],
"ele-1"
],
{
},
{
}
],
]
},
{
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
{
}
],
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
},
],
"ele-1"
],
{
}
],
{
},
{
},
{
},
{
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
}
]
},
{
]
},
{
},
{
},
{
},
},
{
"comment": "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.",
],
}
},
{
},
{
},
{
}
]
}
}
Terminology bindings
| Path | Conformance | ValueSet |
|---|---|---|
| Extension.value[x]:valueCoding | example | https://fhir.infoway-inforoute.ca/ValueSet/sexassignedatbirth |