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
Pronouns
Links
Extension
Description
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.
References to this Extension
| Standards Status | FMM |
|---|---|
| trial-use | 2 |
Resource Content
| Pronouns (Extension) | C | Pronouns | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| (All Slices) | |||
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uri | |
| value[x] | 0..1 | ||
| valueAddress | Address | ||
| valueAge | Age | ||
| valueAnnotation | Annotation | ||
| valueAttachment | Attachment | ||
| valueBase64Binary | base64Binary | ||
| valueBoolean | boolean | ||
| valueCanonical | canonical | ||
| valueCode | code | ||
| valueCoding | Coding | ||
| 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 | ||
| valueCodeableConcept | 0..1 | CodeableConceptBinding | |
| value | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueCodeableConcept | CodeableConcept | ||
| period | C | 0..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | Period | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| start | Σ C | 0..1 | dateTime |
| end | Σ C | 0..1 | dateTime |
| comment | C | 0..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueString | string | ||
| url | 1..1 | uriFixed Value | |
| value[x] | 0..0 |
| Pronouns (Extension) | C | Pronouns | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| (All Slices) | |||
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uri | |
| value[x] | 0..1 | ||
| valueAddress | Address | ||
| valueAge | Age | ||
| valueAnnotation | Annotation | ||
| valueAttachment | Attachment | ||
| valueBase64Binary | base64Binary | ||
| valueBoolean | boolean | ||
| valueCanonical | canonical | ||
| valueCode | code | ||
| valueCoding | Coding | ||
| 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 | ||
| valueCodeableConcept | 0..1 | CodeableConceptBinding | |
| value | C | 1..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueCodeableConcept | CodeableConcept | ||
| period | C | 0..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | Period | |
| id | 0..1 | string | |
| extension | C | 0..* | Extension |
| start | Σ C | 0..1 | dateTime |
| end | Σ C | 0..1 | dateTime |
| comment | C | 0..1 | Extension |
| id | 0..1 | string | |
| extension | C | 0..0 | Extension |
| url | 1..1 | uriFixed Value | |
| value[x] | 1..1 | ||
| valueString | string | ||
| url | 1..1 | uriFixed Value | |
| value[x] | 0..0 |
</extension>
</extension>
</extension>
</telecom>
</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>
<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)." />
</mapping>
</context>
</context>
</context>
</context>
<definition value="The pronouns to use when referring to an individual in verbal or written communication." />
<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" />
</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>
<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="Value of extension - must be one of a constrained set of the data types (see [Extensibility](extensibility.html) for a list)." />
</base>
</type>
</constraint>
</binding>
</mapping>
</mapping>
</element>
<definition value="The pronouns to use when referring to an individual in verbal or written communication." />
<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="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>
</type>
</mapping>
</element>
<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>
</constraint>
</extension>
</binding>
</mapping>
</mapping>
</element>
<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="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>
</type>
</mapping>
</element>
<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>
</constraint>
</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="If the low element is missing, the meaning is that the low boundary is not known." />
</base>
</type>
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<definition value="The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time." />
<comment value="The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03." />
</base>
</type>
<meaningWhenMissing value="If the end of the period is missing, it means that the period is ongoing" />
</constraint>
</mapping>
</mapping>
</mapping>
</mapping>
</element>
<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="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>
</type>
</mapping>
</element>
<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>
</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>
<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>
</snapshot>
<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>
</element>
</element>
</element>
</discriminator>
</slicing>
</element>
</type>
</binding>
</element>
</element>
</mapping>
</element>
</mapping>
</element>
</differential>
</StructureDefinition>
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"description": "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).",
],
"copyright": "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).",
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"definition": "The pronouns to use when referring to an individual in verbal or written communication.",
"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.",
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"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.",
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{
}
],
]
},
{
"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).",
},
],
"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"
],
{
},
{
}
],
]
},
{
},
],
"ele-1",
"per-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"definition": "The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.",
"comment": "The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.",
},
],
"ele-1",
"per-1"
],
{
}
],
{
},
{
},
{
},
{
}
]
},
{
"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"
],
"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).",
},
],
"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).",
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
},
{
}
],
"ele-1"
],
{
}
],
]
}
]
},
{
"comment": "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",
]
},
{
},
{
},
{
}
},
{
],
}
},
{
},
{
]
},
{
]
}
]
}
}
Terminology bindings
| Path | Conformance | ValueSet |
|---|---|---|
| Extension.extension.value[x]:valueCodeableConcept | preferred | https://fhir.infoway-inforoute.ca/ValueSet/pronouns |