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Narrative

Note: links and images are rebased to the (stated) source

Source1

{
  "resourceType": "Patient",
  "id": "example-sex-and-gender",
  "meta": {
    "profile": [
      "http://hl7.org.au/fhir/StructureDefinition/au-patient"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-genderIdentity",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "446141000124107",
                "display": "Identifies as female gender"
              }
            ]
          }
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-pronouns",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "LA29519-8",
                "display": "she/her/her/hers/herself"
              }
            ]
          }
        },
        {
          "url": "period",
          "valuePeriod": {
            "start": "2001-05-06"
          }
        },
        {
          "url": "comment",
          "valueString": "Patient transitioned from male to female in 2001."
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "248153007",
                "display": "Male"
              }
            ]
          }
        },
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "1515311000168102",
                "display": "Biological sex at birth"
              }
            ]
          }
        },
        {
          "url": "effectivePeriod",
          "valuePeriod": {
            "start": "1974-12-25"
          }
        },
        {
          "url": "acquisitionDate",
          "valueDateTime": "2005-12-06"
        },
        {
          "url": "sourceDocument",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "71230-7",
                "display": "Birth certificate"
              },
              {
                "system": "http://snomed.info/sct",
                "code": "444561001",
                "display": "Birth certificate"
              }
            ],
            "text": "Scan of birth certificate"
          }
        },
        {
          "url": "sourceField",
          "valueString": "Sex"
        },
        {
          "url": "jurisdiction",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://healthterminologies.gov.au/fhir/CodeSystem/australian-states-territories-1",
                "code": "QLD"
              }
            ]
          }
        },
        {
          "url": "comment",
          "valueString": "Patient transitioned from male to female in 2001, but their birth certificate still        indicates male."
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/administrative-gender",
                "code": "female"
              }
            ]
          }
        },
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "46098-0"
              }
            ]
          }
        },
        {
          "url": "effectivePeriod",
          "valuePeriod": {
            "start": "2024-12-25"
          }
        },
        {
          "url": "sourceDocument",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org.au/CodeSystem/rsg-source-document-type",
                "code": "passport"
              }
            ]
          }
        },
        {
          "url": "sourceField",
          "valueString": "Sex"
        },
        {
          "url": "jurisdiction",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "urn:iso:std:iso:3166",
                "code": "AU",
                "display": "Australia"
              }
            ]
          }
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
                "code": "male-typical",
                "display": "Apply male-typical setting or reference range"
              }
            ]
          }
        },
        {
          "url": "comment",
          "valueString": "Apply male-type setting for all radiology tests"
        }
      ]
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/patient-sexParameterForClinicalUse",
      "extension": [
        {
          "url": "value",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/sex-parameter-for-clinical-use",
                "code": "female-typical",
                "display": "Apply female-typical setting or reference range"
              }
            ]
          }
        },
        {
          "url": "comment",
          "valueString": "Apply female-type setting for Lipids, LFT, TSH, T4 pathology tests"
        }
      ]
    }
  ],
  "identifier": [
    {
      "use": "usual",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "MR"
          }
        ]
      },
      "system": "http://ns.electronichealth.net.au/id/abn-scoped/medicalrecord/1.0/51824753556",
      "value": "11223344"
    }
  ],
  "active": true,
  "name": [
    {
      "use": "official",
      "family": "Roth",
      "given": [
        "Patrick"
      ]
    },
    {
      "use": "usual",
      "family": "Roth",
      "given": [
        "Patricia"
      ]
    },
    {
      "use": "nickname",
      "given": [
        "Pat"
      ]
    }
  ],
  "gender": "male",
  "birthDate": "1974-12-25",
  "deceasedBoolean": false,
  "managingOrganization": {
    "reference": "Organization/example1"
  }
}