Use Case Description:
When a baby is born, the clinician must record the "sex" of the baby and that is entered into the birth certificate and the patient's record. |
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Actors:
Neonate patient for which the record is assigned The clinician who "assigns" the sex category for the patient in the EHR record and also in the birth certificate ABA: The Standard Certificate of Live Birth must also be certified by a medical professional who was present at the birth or performed an examination. Typically, the Standard Certificate of Live Birth is completed by the parents of the child, then certified by a medical professional, and submitted to the state, county, or municipality, which will issue the final birth certificate document back to the individual. |
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Scope Statement:
"Birth sex" datum. Clinical observations optionally also recorded (phenotype observations such as external genitalia, potentially sex-related lab work.) birth certificate SFCU could be recorded Out of scope would be any "gender" datum Name to use. Pronouns - how to determine what to use? |
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Precondition(s):
A birth (live or deceased) |
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Postcondition(s):
when the set of data elements in play are recorded |
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Workflow/Storyboard:
Alternative and/or related Workflow(s):
Alignment and/or Misalignment with Gender Harmony Model:
Current Standard Support:
- HL7 V2.x
V2.x Resource: |
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- HL7 V3
V3 Resource: |
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- HL7 FHIR
FHIR Resource: |
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- DICOM
DICOM Resource: |
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- NCPDP
NCPDP Resource: |
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- X12
X12 Resource: |
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Other (please specify standard and resource below)
Other: |
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