Stream: implementers
Topic: Mapping 'Undifferentiate' for Gender
Maria Hu (Jan 07 2020 at 18:37):
Acceptable gender code are 'male/female/other/unknown' , but there are other legitimate gender code like 'undifferentiate' which is commonly use by EMPI or PARIS system, we've to map them to 'other' when sending through FHIR, which will lost the more descriptive gender code of 'undifferentiate'.
Is there any way to send the 'undifferentiate' gender code? Please advise, thanks.
Lloyd McKenzie (Jan 07 2020 at 18:41):
Use an extension or an Observation. (Undifferentiated is a clinical rather than administrative assertion so Observation is probably most appropriate.)
Maria Hu (Jan 07 2020 at 18:45):
Use an extension or an Observation. (Undifferentiated is a clinical rather than administrative assertion so Observation is probably most appropriate.)
Thanks Lloyd.
So if we're trying to profile Patient.gender.code, then we've to apply resourceObservation just to capture the extra gender code 'undifferentiate' ?
Lloyd McKenzie (Jan 07 2020 at 19:03):
Either that or an extension. Extension would be lighter weight, even if not necessarily the most appropriate.
Maria Hu (Jan 07 2020 at 19:16):
Either that or an extension. Extension would be lighter weight, even if not necessarily the most appropriate.
thanks Lloyd !
Richard Townley-O'Neill (Jan 08 2020 at 03:51):
@Maria Hu if 'undifferentiated' is about physical properties of the person, it is not really a value of gender, it is a value of sex. I think of Mr or Ms as gender and XX or XY as sex.
But many systems and people blend the concepts.
Brian Postlethwaite (Jan 08 2020 at 20:25):
There is a large blurb on the patient resource page in the fhir spec talking about the many different representations in this space. Scroll through the notes section at the bottom.
http://hl7.org/fhir/patient.html#gender
Last updated: Apr 12 2022 at 19:14 UTC
