<Patient xmlns="http://hl7.org/fhir">
    <id value="patient-example-sex-and-gender" />
    <meta>
        <tag>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason" />
            <code value="HTEST" />
            <display value="test health data" />
        </tag>
    </meta>
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <extension url="http://hl7.org/fhir/StructureDefinition/individual-genderIdentity">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://snomed.info/sct" />
                    <code value="446141000124107" />
                    <display value="Identifies as female gender (finding)" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="period">
            <valuePeriod>
                <start value="2001-05-06" />
            </valuePeriod>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001." />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/individual-pronouns">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="LA29519-8" />
                    <display value="she/her/her/hers/herself" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="period">
            <valuePeriod>
                <start value="2001-05-06" />
            </valuePeriod>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001." />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://hl7.org/fhir/administrative-gender" />
                    <code value="male" />
                    <display value="Male" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="type">
            <valueCodeableConcept>
                <coding>
                    <system value="http://loinc.org" />
                    <code value="76689-9" />
                    <display value="Sex Assigned At Birth" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="effectivePeriod">
            <valuePeriod>
                <start value="1974-12-25" />
            </valuePeriod>
        </extension>
        <extension url="acquisitionDate">
            <valueDateTime value="2005-12-06" />
        </extension>
        <extension url="sourceDocument">
            <valueCodeableReference>
                <reference>
                    <reference value="DocumentReference/1" />
                </reference>
            </valueCodeableReference>
        </extension>
        <extension url="sourceField">
            <valueString value="SEX" />
        </extension>
        <extension url="jurisdiction">
            <valueCodeableConcept>
                <coding>
                    <system value="https://www.usps.com/" />
                    <code value="OH" />
                    <display value="Ohio" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001, but their birth certificate still indicates male." />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://hl7.org/fhir/administrative-gender" />
                    <code value="male" />
                    <display value="Male" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="type">
            <valueCodeableConcept>
                <coding>
                    <system value="http://local-code-system.org/recorded-sex-or-gender-type" />
                    <code value="insurance-card" />
                    <display value="Insurance Card" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="effectivePeriod">
            <valuePeriod>
                <start value="2021-05-25" />
            </valuePeriod>
        </extension>
        <extension url="acquisitionDate">
            <valueDateTime value="2021-06-06" />
        </extension>
        <extension url="sourceDocument">
            <valueCodeableReference>
                <reference>
                    <reference value="DocumentReference/2" />
                </reference>
            </valueCodeableReference>
        </extension>
        <extension url="sourceField">
            <valueString value="SEX" />
        </extension>
        <extension url="jurisdiction">
            <valueCodeableConcept>
                <coding>
                    <system value="http://local-code-system.org/recorded-sex-or-gender-jurisdiction" />
                    <code value="ICCA-P" />
                    <display value="Indigo Crucifix Cobalt Aegis Payer" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001, but their insurance card still indicates male." />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://ohio.example.gov/drivers-license-sex" />
                    <code value="M" />
                    <display value="Male" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="type">
            <valueCodeableConcept>
                <coding>
                    <system value="http://jurisdiction-specific.example.com/document-type-code-system" />
                    <code value="drivers-license" />
                    <display value="Driver&#39;s License" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="effectivePeriod">
            <valuePeriod>
                <start value="1974-12-25" />
            </valuePeriod>
        </extension>
        <extension url="acquisitionDate">
            <valueDateTime value="2005-12-06" />
        </extension>
        <extension url="sourceDocument">
            <valueCodeableReference>
                <reference>
                    <reference value="DocumentReference/1" />
                </reference>
            </valueCodeableReference>
        </extension>
        <extension url="jurisdiction">
            <valueCodeableConcept>
                <coding>
                    <system value="https://www.usps.com/" />
                    <code value="OH" />
                    <display value="Ohio" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001, but their driver&#39;s license still indicates male." />
        </extension>
    </extension>
    <extension url="http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse">
        <extension url="value">
            <valueCodeableConcept>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use" />
                    <code value="specified" />
                    <display value="Apply specified setting or reference range" />
                </coding>
            </valueCodeableConcept>
        </extension>
        <extension url="period">
            <valuePeriod>
                <start value="2002-07-13" />
            </valuePeriod>
        </extension>
        <extension url="comment">
            <valueString value="Patient transitioned from male to female in 2001." />
        </extension>
        <extension url="supportingInfo">
            <valueCodeableReference>
                <reference>
                    <reference value="Observation/1" />
                </reference>
            </valueCodeableReference>
        </extension>
        <extension url="supportingInfo">
            <valueCodeableReference>
                <reference>
                    <reference value="MedicationStatement/2" />
                </reference>
            </valueCodeableReference>
        </extension>
    </extension>
    <identifier>
        <use value="usual" />
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v2-0203" />
                <code value="MR" />
            </coding>
        </type>
        <system value="urn:oid:1.2.36.146.595.217.0.1" />
        <value value="12345" />
    </identifier>
    <active value="true" />
    <name>
        <use value="official" />
        <family value="Roth" />
        <given value="Patrick" />
    </name>
    <name>
        <use value="usual" />
        <family value="Roth" />
        <given value="Patricia" />
    </name>
    <name>
        <use value="nickname" />
        <given value="Pat" />
    </name>
    <gender value="male" />
    <birthDate value="1974-12-25" />
    <deceasedBoolean value="false" />
    <managingOrganization>
        <reference value="Organization/1" />
    </managingOrganization>
</Patient>