Sex Parameter for clinical use

[kruzikh]

I propose to remove Patient Sex Parameter For Clinical Use from the Patient resource and include it into Supporting information instead #73.

Rational: patient resource includes mostly demographic information. Sex parameter is a clinical information and should be present somewhere else, not in the patient resource.

[joofio]

Not sure if I follow. Removing the patient.gender (0..0?) from patient and add it in another section?

[kruzikh]

No, administrative gender will remain where it is. This is only about sex for clinical use element. Best Hynek Odesláno z aplikace Outlook pro iOS<https://aka.ms/o0ukef>

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________________________________ Od: Joao Almeida ***@***.***> Odesláno: Wednesday, October 23, 2024 5:29:01 PM Komu: hl7-eu/laboratory ***@***.***> Kopie: Hynek ***@***.***>; Author ***@***.***> Předmět: Re: [hl7-eu/laboratory] Sex Parameter for clinical use (Issue #74) Not sure if I follow. Removing the patient.gender (0..0?) from patient and add it in another section? — Reply to this email directly, view it on GitHub<#74 (comment)>, or unsubscribe<https://github.com/notifications/unsubscribe-auth/AGNB5D5ZDURUOAEACBQXGRLZ45M43AVCNFSM6AAAAABQLXZNROVHI2DSMVQWIX3LMV43OSLTON2WKQ3PNVWWK3TUHMZDIMZRGI4TIMJVGM>. You are receiving this because you authored the thread.Message ID: ***@***.***>

[VeraNoPhD]

Hey Hynek!

Would you propose to use Observation for sex at birth and reference it in supporting information?

BR
Vera

[joofio]

ah the extension. There are already some existing extensions for these subjects: https://hl7.org/fhir/extensions/extensions-Patient.html
does any of them work?

[kruzikh]

It is a topic for discussion. We can present it as observation, however an extension that we already have used (Patient Sex Parameter For Clinical Use) is also an option. This extension seems to be covering exactly our needs and can by applied to any resource.
So far, we used this extension to extend EU patient resource. The question is if it is the right option, or if we should rather see it as a clinical information attached to the patient but provided somewhere else then in the patient resource itself. e.g. in the serviceRequest.supportingInformation.