FHIR IG analytics| Package | hl7.fhir.us.home-lab-report.r4b |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-Extension-sex-for-clinical-use.json |
| FHIR Version | R4B |
| Source | http://hl7.org/fhir/us/home-lab-report/STU1/StructureDefinition-Extension-sex-for-clinical-use.html |
| URL | http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use |
| Version | 1.0.0 |
| Status | active |
| Date | 2022-10-07 |
| Name | ExtensionSexForClinicalUse |
| Title | Extension - Sex For Clinical Use |
| Realm | us |
| Authority | hl7 |
| Description | This extension is a copy of the not-yet-published 6.0.0-ballot version US Core Sex for Clinical Use, which aligns with FHIR R5 [sexForClinicalUse extension](http://hl7.org/fhir/2022Sep/extension-patient-sexforclinicaluse.html) from which the following description is excerpted, "Sex for Clinical Use is a categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population It describes the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. It also optionally communicates the date when the sex was determined." See the referenced extension for more information. |
| Type | Extension |
| Kind | complex-type |
No resources found
| ValueSet | |
| valueset-sex-for-clinical-use | ValueSet - Sex for Clinical Use Codes |
Note: links and images are rebased to the (stated) source
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension | 0..* | Extension | A context-specific sex for clinical use | |
  extension:value | 1..1 | Extension | A context-specific sex for clinical use | |
   extension | 0..0 | |||
 url | 1..1 | uri | "value" | |
  value[x] | 1..1 | CodeableConcept | Value of extension Binding: ValueSet - Sex for Clinical Use Codes (required): Sex for Clinical Use | |
| extension:period | 0..1 | Extension | When the sex for clinical use applies | |
| extension | 0..0 | |||
| url | 1..1 | uri | "period" | |
| value[x] | 1..1 | Period | Value of extension | |
| url | 1..1 | uri | "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use" | |
 value[x] | 0..0 | |||
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "Extension-sex-for-clinical-use",
"meta": {
"versionId": "2",
"lastUpdated": "2023-01-25T11:12:13.390+00:00",
"source": "#2DSI0vBDVJD4NJXs"
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use",
"version": "1.0.0",
"name": "ExtensionSexForClinicalUse",
"title": "Extension - Sex For Clinical Use",
"status": "active",
"date": "2022-10-07",
"publisher": "Orders and Observations",
"contact": [
{
"name": "HL7 International - Orders and Observations",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/orders/index.cfm"
}
]
}
],
"description": "This extension is a copy of the not-yet-published 6.0.0-ballot version US Core Sex for Clinical Use, which aligns with FHIR R5 [sexForClinicalUse extension](http://hl7.org/fhir/2022Sep/extension-patient-sexforclinicaluse.html) from which the following description is excerpted, \"Sex for Clinical Use is a categorization of sex derived from observable information such as an organ inventory, recent hormone lab tests, genetic testing, menstrual status, obstetric history, etc. This property is intended for use in clinical decision making and indicates that treatment or diagnostic tests should consider best practices associated with the relevant reference population It describes the biological sex of an organism, which is most commonly determined based on anatomy and physiology or genetic (chromosome) analysis. It also optionally communicates the date when the sex was determined.\" See the referenced extension for more information.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
],
"text": "United States of America"
}
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"fhirVersion": "4.3.0",
"mapping": [
{
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"context": [
{
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],
"type": "Extension",
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"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "A context-specific sex for clinical use",
"definition": "A context-specific categorization of a patient's sex for the purpose of clinical use",
"min": 0,
"max": "*",
"base": {
"path": "Extension",
"min": 0,
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"ele-1"
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"source": "http://hl7.org/fhir/StructureDefinition/Extension"
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},
{
"id": "Extension.id",
"path": "Extension.id",
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"xmlAttr"
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"short": "Unique id for inter-element referencing",
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"min": 0,
"max": "1",
"base": {
"path": "Element.id",
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"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
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],
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{
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},
{
"id": "Extension.extension",
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{
"type": "value",
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],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
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]
},
{
"id": "Extension.extension:value",
"path": "Extension.extension",
"sliceName": "value",
"short": "A context-specific sex for clinical use",
"definition": "A context-specific categorization of a patient's sex for the purpose of clinical use",
"comment": "Sex for clinical use may be contexual. For example, the sex for clinical use for mammogram health maintenance may by different than the sex for clinical use for the purpose of selecting a reference range for a lab test. There may also be a patient-context sex for clinical use that is a general categorization that would apply across all contexts if more specific information is not available.",
"min": 1,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:value.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:value.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "0",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:value.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "value",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:value.value[x]",
"path": "Extension.extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "required",
"description": "Sex for Clinical Use",
"valueSet": "http://hl7.org/fhir/us/home-lab-report/ValueSet/valueset-sex-for-clinical-use"
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:period",
"path": "Extension.extension",
"sliceName": "period",
"short": "When the sex for clinical use applies",
"definition": "The time period during which the sex for clinical use applies to the patient",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:period.id",
"path": "Extension.extension.id",
"representation": [
"xmlAttr"
],
"short": "Unique id for inter-element referencing",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "string"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Extension.extension:period.extension",
"path": "Extension.extension.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "0",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false,
"isSummary": false
},
{
"id": "Extension.extension:period.url",
"path": "Extension.extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "period",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.extension:period.value[x]",
"path": "Extension.extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"min": 1,
"max": "1",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"representation": [
"xmlAttr"
],
"short": "identifies the meaning of the extension",
"definition": "Source of the definition for the extension code - a logical name or a URL.",
"comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
"min": 1,
"max": "1",
"base": {
"path": "Extension.url",
"min": 1,
"max": "1"
},
"type": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl": "uri"
}
],
"code": "http://hl7.org/fhirpath/System.String"
}
],
"fixedUri": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"short": "Value of extension",
"definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
"min": 0,
"max": "0",
"base": {
"path": "Extension.value[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "base64Binary"
},
{
"code": "boolean"
},
{
"code": "canonical"
},
{
"code": "code"
},
{
"code": "date"
},
{
"code": "dateTime"
},
{
"code": "decimal"
},
{
"code": "id"
},
{
"code": "instant"
},
{
"code": "integer"
},
{
"code": "markdown"
},
{
"code": "oid"
},
{
"code": "positiveInt"
},
{
"code": "string"
},
{
"code": "time"
},
{
"code": "unsignedInt"
},
{
"code": "uri"
},
{
"code": "url"
},
{
"code": "uuid"
},
{
"code": "Address"
},
{
"code": "Age"
},
{
"code": "Annotation"
},
{
"code": "Attachment"
},
{
"code": "CodeableConcept"
},
{
"code": "Coding"
},
{
"code": "ContactPoint"
},
{
"code": "Count"
},
{
"code": "Distance"
},
{
"code": "Duration"
},
{
"code": "HumanName"
},
{
"code": "Identifier"
},
{
"code": "Money"
},
{
"code": "Period"
},
{
"code": "Quantity"
},
{
"code": "Range"
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{
"code": "Ratio"
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{
"code": "Reference"
},
{
"code": "SampledData"
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{
"code": "Signature"
},
{
"code": "Timing"
},
{
"code": "ContactDetail"
},
{
"code": "Contributor"
},
{
"code": "DataRequirement"
},
{
"code": "Expression"
},
{
"code": "ParameterDefinition"
},
{
"code": "RelatedArtifact"
},
{
"code": "TriggerDefinition"
},
{
"code": "UsageContext"
},
{
"code": "Dosage"
},
{
"code": "Meta"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() or (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "Extension",
"path": "Extension",
"short": "A context-specific sex for clinical use",
"definition": "A context-specific categorization of a patient's sex for the purpose of clinical use",
"min": 0
},
{
"id": "Extension.extension:value",
"path": "Extension.extension",
"sliceName": "value",
"short": "A context-specific sex for clinical use",
"definition": "A context-specific categorization of a patient's sex for the purpose of clinical use",
"comment": "Sex for clinical use may be contexual. For example, the sex for clinical use for mammogram health maintenance may by different than the sex for clinical use for the purpose of selecting a reference range for a lab test. There may also be a patient-context sex for clinical use that is a general categorization that would apply across all contexts if more specific information is not available.",
"min": 1,
"max": "1",
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:value.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:value.url",
"path": "Extension.extension.url",
"type": [
{
"code": "uri"
}
],
"fixedUri": "value"
},
{
"id": "Extension.extension:value.value[x]",
"path": "Extension.extension.value[x]",
"min": 1,
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "required",
"description": "Sex for Clinical Use",
"valueSet": "http://hl7.org/fhir/us/home-lab-report/ValueSet/valueset-sex-for-clinical-use"
}
},
{
"id": "Extension.extension:period",
"path": "Extension.extension",
"sliceName": "period",
"short": "When the sex for clinical use applies",
"definition": "The time period during which the sex for clinical use applies to the patient",
"min": 0,
"max": "1",
"type": [
{
"code": "Extension"
}
]
},
{
"id": "Extension.extension:period.extension",
"path": "Extension.extension.extension",
"max": "0"
},
{
"id": "Extension.extension:period.url",
"path": "Extension.extension.url",
"type": [
{
"code": "uri"
}
],
"fixedUri": "period"
},
{
"id": "Extension.extension:period.value[x]",
"path": "Extension.extension.value[x]",
"min": 1,
"type": [
{
"code": "Period"
}
]
},
{
"id": "Extension.url",
"path": "Extension.url",
"fixedUri": "http://hl7.org/fhir/us/home-lab-report/StructureDefinition/Extension-sex-for-clinical-use"
},
{
"id": "Extension.value[x]",
"path": "Extension.value[x]",
"min": 0,
"max": "0"
}
]
}
}