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Introduction

This FHIR implementation guide is part of the Women for FHIR initiative and focuses on improving digital support for the care pathway of Heavy Menstrual Bleeding (HMB)—a key use case highlighting the broader need for inclusive health data standards.

It provides FHIR-based resources such as Questionnaires, ValueSets, and examples to support awareness, self-assessment, documentation, and clinical workflows related to HMB.

Developed as part of the session Let’s Build! Bridging the Gender Data Gap in FHIR at FHIR DevDays 2025, this guide is created through collaboration between implementers, clinicians, researchers, and advocates. It provides a starting point and serves as a foundation for further work on gender-inclusive digital health standards.

Licensing and Acknowledgments

This specification is licensed under Creative Commons "No Rights Reserved" (CC0).

HL7®, HEALTH LEVEL SEVEN®, FHIR® and the FHIR [FLAME]® are trademarks owned by Health Level Seven International, registered with the United States Patent and Trademark Office.

This implementation guide contains and references intellectual property owned by third parties ("Third Party IP"). Acceptance of these License Terms does not grant any rights with respect to Third Party IP. The licensee alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize Third Party IP in connection with the specification or otherwise.