Stream: terminology
Topic: Patient.gender Codes
Peter Jordan (Jul 14 2020 at 02:33):
Is it permissible to add codes to http://hl7.org/fhir/administrative-gender? I've just seen a proposal to add 'Indeterminate' to this Code System. My interpretation is that there is a required binding from patient.gender to the related Value Set and therefore "The list of codes that can be used can only be extended in subsequent releases of the FHIR specification".
Lloyd McKenzie (Jul 14 2020 at 02:45):
It is possible - in a new release of the FHIR specification. Something like "indeterminate" couldn't appear until R5 and can't ever appear in systems claiming to comply with older versions (unless it gets stuck in an extension).
Robert McClure (Jul 14 2020 at 18:15):
@Peter Jordan What use case is driving that request? That phrase is not aligned with the work we are doing in gender harmony project.
Peter Jordan (Jul 14 2020 at 19:52):
Robert McClure said:
Peter Jordan What use case is driving that request? That phrase is not aligned with the work we are doing in gender harmony project.
@David Hay is best qualified to answer that question as the use case relates to projects that he is currently working on.
David Hay (Jul 14 2020 at 20:33):
It was mistakenly thought that this was a national requirement - in fact it is not. We had intended to add as an extension. There is an 'Indeterminate' value in a separate element/extension required nationally - sex at birth.
Michael Lawley (Jul 14 2020 at 20:53):
Indeed, indeterminate doesn't sound like a gender
Peter Jordan (Jul 14 2020 at 21:16):
In which case, the 'sex-at-birth' extension shouldn't continue to use the Administrative Gender ValueSet.
Last updated: Apr 12 2022 at 19:14 UTC
