| Class | Requirement | V2 | FHIR | CDA | Question |
| gender identity | Support recording gender identity | GSP segment | Gender Identity Template | ||
| gender identity | associate with person | where located in the message structure | GI will be an extension on the Patient, RelatedPerson, Person, and Practitioner Resources | responsibility of template container | |
| gender identity | zero to many instances | added as optionally repeating | For the instance (only one at a time/in the moment), there can be multiple over time | responsibility of template container | |
| gender identity | gender coded type with text | SOGI Concept Value (GSP-5), when SOGI Concept (GSP-4) = 76691-5^Gender Identity^LN (CWE) | Individual-genderIdentity.value | CD (CONF:4536-48) | |
| gender identity | uses designated value set | GenderIdentity (https://build.fhir.org/valueset-gender-identity.html) | Gender Identity Core Concepts (CONF:4536-48) | ||
| gender identity | supports unknown | UNK in value set, but can be extended, since example binding | UNK - Unknown. Unknown included (e.g., “was not able to ask” or “person does not want to answer”.) | OTH/ASKU (CONF:4536-55) | |
| gender identity | supports other values (extensible) | example binding | extensible value set | should (CONF:4536-48) | |
| gender identity | support validity period (period) | Validity Range (GSP-6) (DR) | Datatype of period | effectiveTime (CONF:4536-50) | |
| gender identity | support comment (string) | Comment (GSP-7) (TX) | yes, datatype of CodeableConcept | text (CONF:4536-140) | |
| pronoun | Support recording pronoun | GSP segment | Pronoun Template | ||
| pronoun | associate with person | where located in the message structure | responsibility of template container | ||
| pronoun | zero to many instances | added as optionally repeating | responsibility of template container | ||
| pronoun | pronoun coded type with text | SOGI Concept Value (GSP-5), when SOGI Concept (GSP-4) = 90778-2^Personal pronouns - Reported^LN (CWE) | CD (CONF:4536-61) | ||
| pronoun | uses designated value set | Pronouns (http://build.fhir.org/valueset-pronouns.html) | Pronouns (CONF:4536-61) | ||
| pronoun | supports unknown | can be extended, since example binding | Asked but Unknown and Other (CONF:4536-67) | ||
| pronoun | supports other values (extensible) | Example binding | SHOULD (CONF:4536-61) | ||
| pronoun | support validity period (period) | Validity Range (GSP-6) (DR) | effectiveTime (CONF:4536-69) | ||
| pronoun | support comment (string) | Comment (GSP-7) (TX) | text (CONF:4536-72) | ||
| Support recording name to use | Patient Name PID-5 (XPN) | Record Target name | |||
| name to use | name type structure | Patient Name PID-5 (XPN), where name type code (PID-5.7) is valued 'N' | Patient.name | ||
| name to use | associate with person | Patient Name PID-5 (XPN) | Patient.name | ||
| name to use | zero to many instances | [0..*] | [0..*] | ||
| name to use | support validity period (period) | not covered | PersonName.validTime | ||
| name to use | support comment (removed) | n/a | |||
| Sex for Clinical Use | Support recording Sex for Clinical Use | GSC segment | Sex for clinical use Template | ||
| Sex for Clinical Use | associate with person | where located in the message structure | responsibility of template container | ||
| Sex for Clinical Use | zero to many instances | added as optionally repeating | responsibility of template container | ||
| Sex for Clinical Use | category coded type with text | Sex for Clinical Use (GSC-4) (CWE) | value with @xsi:type="CD" (CONF:4536-83) | ||
| Sex for Clinical Use | uses designated value set | SexForClinicalUse (http://hl7.org/fhir/sex-for-clinical-use) | sex-for-clinical-use (CONF:4536-137) | ||
| Sex for Clinical Use | supports unknown | in value set | in value set | ||
| Sex for Clinical Use | requires designated value set | required binding | SHALL (CONF:4536-137) | ||
| Sex for Clinical Use | support validity period (period) | Validity Period (GSC-5) (DR) | effectiveTime (CONF:4536-82) | ||
| Sex for Clinical Use | support comment (string) | Comment (GSC-8) (TX) | text (CONF:4536-80) | ||
| Sex for Clinical Use | support assertion of linked clinical obs evidence for assignment | Evidence (GSC-7) (ERL) | entryRelationship (CONF:4536-101) | ||
| Sex for Clinical Use | support assertion of context for use: specific context (not modeled) | Context (GSC-6) (ERL) | entryRelationship (CONF:4536-103) | ||
| Sex for Clinical Use | support assertion of context for use: patient | location in message | subject (CONF:4536-138) | ||
| Recorded Sex or Gender | Support recording of Recorded Sex or Gender | GSR segment | Recorded sex or gender Extension | Recorded sex or gender Template | |
| Recorded Sex or Gender | associate with person | where located in the message structure | context = Patient, Person, RelatedPerson, Practitioner | responsibility of template container | |
| Recorded Sex or Gender | zero to many instances | added as optionally repeating | 0..* | responsibility of template container | |
| Recorded Sex or Gender | RSOG coded type or text | Recorded Gender or Sex (GSR-4) (CWE) using this value set: recordedGenderOrSex - values still TBD - example binding | extension: value | value with @xsi:type="CE" (CONF:4536-93) | put code or field label here as translation |
| Recorded Sex or Gender | international equivalent | International Equivalent Sex Value (GSR-5) (CWE) | extension: internationalEquivalent | ||
| Recorded Sex or Gender | coded type or text | (CWE) | CodeableConcept | translation (CONF:4536-95) | |
| Recorded Sex or Gender | uses designated value set | http://build.fhir.org/valueset-international-civil-aviation-organization-sex-or-gender.html | International Civil Aviation Organization Sex Or Gender | international-civil-aviation-organization-sex-or-gender (CONF:4536-95) | |
| Recorded Sex or Gender | reference to source document - NEW | gap | extension:sourceDocument | reference (CONF:4536-129) | |
| Recorded Sex or Gender | Record Description type of document (string) | Document Type (GRS-7) (CWE) with value set documentType - still TBD - may just make this a concept domain, unless there is vocab we can point to? | in associated DocumentReference | code="92183-3" Document type (CONF:4536-119) value with @xsi:type="CD" (CONF:4536-121) originalText (CONF:4536-122) | implemented as CD; change to ST? |
| Recorded Sex or Gender | source field name (string) | Source Document Field Label (GSR-5) (ST) | extension: type.text | TempElementCode originalText (CONF:4536-144) | should be independent ST or originalText for Observation.Code or original text for Field Type |
| Recorded Sex or Gender | field type (code) - NEW | gap - or we could go back to making Source Document Field Label a coded element? | extension: type (CodeableConcept) | TempElementCode value with @xsi:type="CD" (CONF:4536-136) | An example would be persuasive re-name to fieldType |
| Recorded Sex or Gender | source field definition (string) | gap? | gap? | code="TempFieldDefCode" Field Definition (CONF:4536-134) value with @xsi:type="ST" (CONF:4536-136) | need code; or use methodCode or derivationExpr |
| Recorded Sex or Gender | acquisition date (date) | Acquisition Date (GSR-9) (DTM) | extension: acquisitionDate (dateTime) | code="50786-3" Date of entry (CONF:4536-125) value with @xsi:type="TS" (CONF:4536-128) | Is 'date of entry' close enough? |
| Recorded Sex or Gender | jurisdiction (string) | Jurisidiction (GSR-8) (CWE) - still TBD - suggest use of ISO-3166 (HL70347 points to ISO3166-2 for states / provinces; HL70399 to ISO 3166-1 for countries) | extension: jurisdiction (CodeableConcept) | code "77969-4" Jurisdiction code (CONF:4536-109) value with @xsi:type="CD" (CONF:4536-113) originalText (CONF:4536-114) | implemented as CD; change to ST? |
| Recorded Sex or Gender | support validity period (period) | Acquisition Date (GSR-10) (DR) | extension: effectivePeriod (period) | effectiveTime (CONF:4536-94) | |
| Recorded Sex or Gender | comment - NEW | Comment (GSR-11) (TX) | extension: comment (string) | need? |
| Source Data Model Elements | |||
| Element | Captured in Software | Transcribed from Document | Assigned to software field based on document |
| Document (or "source artifact"?) | |||
| Reference | n/a | Possibly useful for provenance | Possibly useful for provenance |
| Type | n/a (or "EHR"?) | Understand context of collection | Understand context of collection |
| Name | n/a | Understand context of collection | Understand context of collection |
| Identifier | n/a | Possibly useful for provenance | Possibly useful for provenance |
| Field | |||
| Name | Understand context of collection | Understand context of collection | Understand context of collection |
| Type | Understand context of collection | Unlikely | Understand current uses |
| Definition | Unlikely | Understand context of collection | |