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Source1

{
  "resourceType": "ValueSet",
  "id": "2.16.840.1.113762.1.4.1021.32",
  "meta": {
    "versionId": "25",
    "lastUpdated": "2024-02-15T01:10:30.000-05:00",
    "profile": [
      "http://hl7.org/fhir/StructureDefinition/shareablevalueset",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
    ]
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-author",
      "valueContactDetail": {
        "name": "HL7 US Realm Program Management Author"
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
      "valueDate": "2024-06-05"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
      "valueDate": "2024-02-15"
    }
  ],
  "url": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.32",
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113762.1.4.1021.32"
    }
  ],
  "version": "20240215",
  "name": "GenderIdentity",
  "title": "Gender Identity",
  "status": "active",
  "date": "2024-02-15T01:10:30-05:00",
  "publisher": "HL7 US Realm Program Management Steward",
  "description": "2024-02-14: New version to adjust null values and  allow DAR, and addition of non-binary in the contained snomed set",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "(Clinical Focus: Concepts that are used to describe the gender a person identifies as, plus unknown, other and Asked But Declined to Answer. These are not concepts used to describe a person's sexual orientation (who they are attracted to).),(Data Element Scope: gender identity),(Inclusion Criteria: Concepts that can represent a type of gender, plus unknown and refused to answer. This is not restricted to male and female.),(Exclusion Criteria: concepts used to describe a person's sexual orientation)",
  "compose": {
    "include": [
      {
        "valueSet": [
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        ]
      },
      {
        "valueSet": [
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        ]
      },
      {
        "valueSet": [
          "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.10"
        ]
      }
    ]
  },
  "expansion": {
    "identifier": "urn:uuid:4ca13194-ca24-40e4-83fd-2081ff44e7cb",
    "timestamp": "2025-05-23T16:47:03-04:00",
    "total": 8,
    "contains": [
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "33791000087105",
        "display": "Identifies as nonbinary gender (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "407376001",
        "display": "Male-to-female transsexual (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "407377005",
        "display": "Female-to-male transsexual (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "446141000124107",
        "display": "Identifies as female gender (finding)"
      },
      {
        "system": "http://snomed.info/sct",
        "version": "http://snomed.info/sct/731000124108/version/20250301",
        "code": "446151000124109",
        "display": "Identifies as male gender (finding)"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "version": "2023-02-01",
        "code": "OTH",
        "display": "other"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
        "version": "2023-02-01",
        "code": "UNK",
        "display": "unknown"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason",
        "version": "0.1.0",
        "code": "asked-declined",
        "display": "Asked But Declined"
      }
    ]
  }
}