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Narrative

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Source1

{
  "resourceType": "TestScript",
  "id": "au-core-sexassignedab",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "http://fhirfrog.org/fhir/au-core-tests/TestScript/au-core-sexassignedab",
  "version": "0.1.0",
  "name": "AUCoreSexAssignedAtBirth",
  "title": "AU Core Sex Assigned at Birth extension — presence & profile conformance",
  "status": "active",
  "date": "2026-08-16T05:55:37+00:00",
  "publisher": "FHIR Frog",
  "contact": [
    {
      "name": "FHIR Frog",
      "telecom": [
        {
          "system": "url",
          "value": "https://gitlab.com/fhirfrog"
        }
      ]
    }
  ],
  "description": "Covers the AU Core Sex Assigned at Birth extension (au-core-rsg-sexassignedab, 2.0.0) requirements identified in fhirfrog/au-core-compiler#25 (AUC-026). Correction to the issue's own framing, discovered while authoring this TestScript: au-core-rsg-sexassignedab is a *content-level* refinement of the generic individual-recordedSexOrGender extension, not a separately-URL'd one - its own snapshot fixes Extension.url to the base extension's canonical URL (http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender), not its own. au-core-patient DOES inherit a Patient.extension:recordedSexOrGender slot from its au-patient (AU Base) baseDefinition (visible only in the snapshot, not the differential - which is why the original gap-analysis missed it), typed generically against individual-recordedSexOrGender rather than specifically against au-core-rsg-sexassignedab. So the real, narrower gap is: nothing distinguishes/tests the 'sex assigned at birth' flavour specifically (identified only by the fixed SNOMED 1515311000168102 'Sex assigned at birth' value on its extension:type sub-extension) from other uses of that same generic slot. Covers presence of both must-support sub-extensions (extension:value - biological sex, extensible-bound to the AU THS biological-sex-1 ValueSet; extension:type - fixed to the SNOMED code identifying this specific flavour) via a generic FHIRPath probe against a fetched Patient, exactly as the issue itself suggested was possible without any new engine capability. ProfileValidation runs validateProfileId against au-core-patient to confirm the whole resource - extension included, now correctly url'd to match the inherited slot - remains profile-conformant.",
  "fixture": [
    {
      "id": "sexassignedab-patient-fixture",
      "autocreate": true,
      "autodelete": true,
      "resource": {
        "reference": "au-core-patient-sexassignedab"
      }
    }
  ],
  "variable": [
    {
      "name": "patientId",
      "path": "Patient.id",
      "sourceId": "sexassignedab-patient-fixture"
    }
  ],
  "test": [
    {
      "name": "Read",
      "action": [
        {
          "operation": {
            "type": {
              "system": "http://terminology.hl7.org/CodeSystem/testscript-operation-codes",
              "code": "read"
            },
            "resource": "Patient",
            "encodeRequestUrl": true,
            "params": "/${patientId}"
          }
        },
        {
          "assert": {
            "response": "okay",
            "warningOnly": false
          }
        }
      ]
    },
    {
      "name": "ExtensionPresence",
      "action": [
        {
          "operation": {
            "type": {
              "system": "http://terminology.hl7.org/CodeSystem/testscript-operation-codes",
              "code": "read"
            },
            "resource": "Patient",
            "encodeRequestUrl": true,
            "params": "/${patientId}"
          }
        },
        {
          "assert": {
            "expression": "Patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').exists()",
            "warningOnly": false
          }
        },
        {
          "assert": {
            "expression": "Patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension.where(url = 'value').value.exists()",
            "warningOnly": false
          }
        },
        {
          "assert": {
            "expression": "Patient.extension.where(url = 'http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender').extension.where(url = 'type').value.coding.code.where($this = '1515311000168102').exists()",
            "warningOnly": false
          }
        }
      ]
    },
    {
      "name": "ProfileValidation",
      "action": [
        {
          "operation": {
            "type": {
              "system": "http://terminology.hl7.org/CodeSystem/testscript-operation-codes",
              "code": "read"
            },
            "resource": "Patient",
            "encodeRequestUrl": true,
            "params": "/${patientId}"
          }
        },
        {
          "assert": {
            "validateProfileId": "http://hl7.org.au/fhir/core/StructureDefinition/au-core-patient",
            "warningOnly": false
          }
        }
      ]
    }
  ]
}