Stream: australia-child-health
Topic: Patient.gender
Brett Esler (Mar 15 2019 at 05:18):
I am having a problem with the words provided to describe Patient.gender in the child health profile - "to capture the biological sex of the baby identified at birth" - would think this is not appropriate
Patient.gender would expect to be the identified/asserted gender i.e. administrative
clinical sex at birth as an extension - an AU version like US core data extension http://www.hl7.org/fhir/us/core/ValueSet-us-core-birthsex.html
@Brian Postlethwaite @Jim Steel @Heather Leslie @Michael Lawley @Grahame Grieve
Grahame Grieve (Mar 15 2019 at 05:23):
it's not necessarily inappropriate - if the administrative gender is defined to be the identified biological sex.
Grahame Grieve (Mar 15 2019 at 05:23):
don't know if it is
Brett Esler (Mar 15 2019 at 05:25):
think pretty certainly will add an extension for birth sex in AU base - raised as a ballot issue - would like to clarify usage esp between child health wg and primary care project
Brett Esler (Mar 15 2019 at 05:26):
@Shovan Roy ! forgot to add you - assumed you were watching ;)
Shovan Roy (Mar 15 2019 at 05:26):
Interesting discussion, happy to discuss more about it in the next CWG
Shovan Roy (Mar 15 2019 at 05:29):
At birth, I guess the biological gender is same as admin gender ... isn't? But may very there after ..
Richard Townley-O'Neill (Mar 15 2019 at 05:40):
As often used 'gender' is social and 'sex' is biological, so 'biological gender' is a strange term.See https://www.ag.gov.au/Publications/Documents/AustralianGovernmentGuidelinesontheRecognitionofSexandGender/AustralianGovernmentGuidelinesontheRecognitionofSexandGender.pdf
Richard Townley-O'Neill (Mar 15 2019 at 05:44):
At birth, for non-intersex babies, gender and sex will have equivalent values. For intersex babies it could be more complicated. I expect that no one is interested in birth gender. And there is generally interest in birth sex and current gender.
Jim Steel (Mar 15 2019 at 06:04):
Its also worth noting that the ValueSet binding for gender is of strength Required, which may be limiting, depending on what potential codes you want to accommodate for birthSex
Grahame Grieve (Mar 15 2019 at 06:09):
base codes are there, but don't begin to deal with the biological basis when life is not simple
Shovan Roy (Mar 17 2019 at 22:12):
fyi..just noticed us-core-birthsex maps back to .patient.administrativeGenderCode in rim
Reuben Daniels (Mar 28 2019 at 00:26):
While we're on the topic - here's a plug for the HL7 International Gender Harmony project: https://confluence.hl7.org/pages/viewpage.action?pageId=40743893
Last updated: Apr 12 2022 at 19:14 UTC
