<ValueSet xmlns="http://hl7.org/fhir">
  <id value="sex-assigned-at-birth" />
  <text>
    <status value="extensions" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p class="res-header-id">
        <b>Generated Narrative: ValueSet sex-assigned-at-birth</b>
      </p>
      <a name="sex-assigned-at-birth"></a>
      <a name="hcsex-assigned-at-birth"></a>
      <p>This value set includes codes based on the following rules:</p>
      <ul>
        <li>Include all codes defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span></li>
        <li>Include these codes as defined in <a href="http://www.snomed.org/"><code>http://snomed.info/sct</code></a><span title="Version is not explicitly stated. No matching Code System found"> version Not Stated (use latest from terminology server)</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td></tr><tr><td><a href="http://snomed.info/id/248152002">248152002</a></td><td>Female</td></tr><tr><td><a href="http://snomed.info/id/248153007">248153007</a></td><td>Male</td></tr><tr><td><a href="http://snomed.info/id/32570691000036108">32570691000036108</a></td><td>Intersex</td></tr><tr><td><a href="http://snomed.info/id/32570681000036100">32570681000036100</a></td><td>Indeterminante</td></tr></table></li>
        <li>Include these codes as defined in <a href="http://terminology.hl7.org/7.5.0/CodeSystem-data-absent-reason.html"><code>http://terminology.hl7.org/CodeSystem/data-absent-reason</code></a><span title="Version is explicitly stated to be 2.0.0"> version 📍2.0.0</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-data-absent-reason.html#data-absent-reason-asked-declined">asked-declined</a></td><td>Asked but declined</td><td>The source was asked but declined to answer.</td></tr></table></li>
        <li>Include these codes as defined in <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v3-NullFlavor.html"><code>http://terminology.hl7.org/CodeSystem/v3-NullFlavor</code></a><span title="Version is explicitly stated to be 4.0.0"> version 📍4.0.0</span><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-UNK">UNK</a></td><td>Unknown</td><td>**Description:**A proper value is applicable, but not known.<br /><br />**Usage Notes**: This means the actual value is not known. If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used. No properties should be included for a datatype with this property unless:<br /><br />1.  Those properties themselves directly translate to a semantic of "unknown". (E.g. a local code sent as a translation that conveys 'unknown')<br />2.  Those properties further qualify the nature of what is unknown. (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)</td></tr><tr><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NI">NI</a></td><td>No Information</td><td>**Description:**The value is exceptional (missing, omitted, incomplete, improper). No information as to the reason for being an exceptional value is provided. This is the most general exceptional value. It is also the default exceptional value.</td></tr><tr><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-NASK">NASK</a></td><td>Not Asked</td><td>This information has not been sought (e.g., patient was not asked)</td></tr><tr><td><a href="http://terminology.hl7.org/7.5.0/CodeSystem-v3-NullFlavor.html#v3-NullFlavor-ASKU">ASKU</a></td><td>Asked but unknown</td><td>Information was sought but not found (e.g., patient was asked but didn't know)</td></tr></table></li>
      </ul>
    </div>
  </text>
  <url value="https://fhir.infoway-inforoute.ca/ValueSet/sexassignedatbirth" />
  <version value="0.3.0" />
  <name value="SexAssignedAtBirthValueSet" />
  <title value="Sex assigned at Birth" />
  <status value="active" />
  <experimental value="false" />
  <date value="2025-03-31" />
  <publisher value="Canada Health Infoway" />
  <contact>
    <name value="Canada Health Infoway" />
    <telecom>
      <system value="url" />
      <value value="http://www.infoway-inforoute.ca" />
    </telecom>
  </contact>
  <description value="The scope of this subset is to specify the sex of a person at birth which is a clinical finding, usually determined by a clinician based on phenotypic (e.g. genitals or gonads), physiologic (e.g. hormone levels) and/or genetic characteristics. This resource is an informative value set; a normative subset containing the expanded values is pending, and will be added to Canada Health Infoway's [Terminology Server](https://infocentral.infoway-inforoute.ca/en/tools/standards-tools/terminology-server)." />
  <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)." />
  <compose>
    <include>
      <system value="http://snomed.info/sct" />
    </include>
    <include>
      <system value="http://snomed.info/sct" />
      <concept>
        <code value="248152002" />
        <display value="Female" />
      </concept>
      <concept>
        <code value="248153007" />
        <display value="Male" />
      </concept>
      <concept>
        <code value="32570691000036108" />
        <display value="Intersex" />
      </concept>
      <concept>
        <code value="32570681000036100" />
        <display value="Indeterminante" />
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/data-absent-reason" />
      <version value="2.0.0" />
      <concept>
        <code value="asked-declined" />
        <display value="Asked but declined" />
      </concept>
    </include>
    <include>
      <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
      <version value="4.0.0" />
      <concept>
        <code value="UNK" />
        <display value="Unknown" />
      </concept>
      <concept>
        <code value="NI" />
        <display value="No Information" />
      </concept>
      <concept>
        <code value="NASK" />
        <display value="Not Asked" />
      </concept>
      <concept>
        <code value="ASKU" />
        <display value="Asked but unknown" />
      </concept>
    </include>
  </compose>
</ValueSet>