Id2.16.840.1.113883.10.20.22.4.200Effective Date2016‑06‑01
Statuspending Under pre-publication reviewVersion LabelC-CDA R2.1
NameBirthSexObservationDisplay NameBirth Sex Observation
Description
This observation represents the sex of the patient at birth. It is the sex that is entered on the person's birth certificate at time of birth. This observation is not appropriate for recording patient gender (administrativeGender).
ContextParent nodes of template element with id 2.16.840.1.113883.10.20.22.4.200
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
RelationshipSpecialization: template 2.16.840.1.113883.10.12.303 CDA Observation (2005‑09‑07)
ref
ad1bbr-
Example
Birth Sex Example
<observation classCode="OBS" moodCode="EVN">
  <!-- New templateId for Birth Sex -->
  <!-- Not asserting conformance to Social History Observation due to different vocab. -->
  <templateId root="2.16.840.1.113883.10.20.22.4.200" extension="2016-06-01"/>  <code code="76689-9" codeSystem="2.16.840.1.113883.6.1" displayName="Sex Assigned At Birth"/>  <text>
    <reference value="#BSex_Narrative1"/>  </text>  <statusCode code="completed"/>  <!-- effectiveTime if present should match birthTime -->
  <!-- Request name change to QRDA value set (2.16.840.1.113762.1.4.1) - ONC Birth Sex -->
  <value xsi:type="CD" codeSystem="2.16.840.1.113883.5.1" codeSystemName="AdministrativeGender" code="F" displayName="Female">
    <originalText>
      <reference value="#BSex_value"/>    </originalText>  </value>  <author> ... </author></observation>
ItemDTCardConfDescriptionLabel
cda:observation
Birtdotstion
@nullFlavor
cs0 … 1 MAY contain zero or one [0..1] @nullFlavor (CONF:X-X).
@classCode
cs1 … 1RSHALL contain exactly one [1..1] @classCode (CONF:X-X).
@moodCode
cs1 … 1RSHALL contain exactly one [1..1] @moodCode (CONF:X-X).
@negationInd
bl0 … 1 MAY contain zero or one [0..1] @negationInd (CONF:X-X).
cda:realmCode
0 … *MAY contain zero or more [0..*] realmCode (CONF:X-X).Birtdotstion
cda:typeId
0 … 1MAY contain zero or one [0..1] typeId (CONF:X-X).Birtdotstion
cda:templateId
1 … 1MSHALL contain exactly one [1..1] templateId (CONF:3250-18232) such that itCONFdots8232
@root
uid1 … 1F2.16.840.1.113883.10.20.22.4.200CONFdots8233
 SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.200" (CONF:3250-18233).
@extension
st1 … 1F2016-06-01CONFdots2949
 SHALL contain exactly one [1..1] @extension="2016-06-01" (CONF:3250-32949).
cda:id
0 … *MAY contain zero or more [0..*] id (CONF:X-X).Birtdotstion
cda:code
1 … 1MSHALL contain exactly one [1..1] code (CONF:3250-18234).CONFdots8234
@code
CONF1 … 1F76689-9
@codeSystem
1 … 1F2.16.840.1.113883.6.1
cda:derivationExpr
0 … 1MAY contain zero or one [0..1] derivationExpr (CONF:X-X).Birtdotstion
cda:text
0 … 1MAY contain zero or one [0..1] text (CONF:X-X).Birtdotstion
cda:statusCode
1 … 1MSHALL contain exactly one [1..1] statusCode (CONF:3250-18124).CONFdots8124
@code
CONF1 … 1Fcompleted
cda:effectiveTime
0 … 1MAY contain zero or one [0..1] effectiveTime (CONF:X-X).Birtdotstion
cda:priorityCode
0 … 1MAY contain zero or one [0..1] priorityCode (CONF:X-X).Birtdotstion
cda:repeatNumber
0 … 1MAY contain zero or one [0..1] repeatNumber (CONF:X-X).Birtdotstion
cda:languageCode
0 … 1MAY contain zero or one [0..1] languageCode (CONF:X-X).Birtdotstion
cda:value
CD1 … 1MSHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet ONC Administrative Sex urn:oid:2.16.840.1.113762.1.4.1 STATIC 2016-06-01 (CONF:3250-32947).CONFdots2947
 ConstraintIf value/@code not from value set ONC Administrative Sex urn:oid:2.16.840.1.113762.1.4.1 STATIC 2016-06-01, then value/@nullFlavor SHALL be “UNK".
cda:interpretationCode
0 … *MAY contain zero or more [0..*] interpretationCode (CONF:X-X).Birtdotstion
cda:methodCode
0 … *MAY contain zero or more [0..*] methodCode (CONF:X-X).Birtdotstion
cda:targetSiteCode
0 … *MAY contain zero or more [0..*] targetSiteCode (CONF:X-X).Birtdotstion
cda:subject
0 … 1MAY contain zero or one [0..1] subject (CONF:X-X).Birtdotstion
cda:specimen
0 … *MAY contain zero or more [0..*] specimen (CONF:X-X).Birtdotstion
cda:performer
0 … *MAY contain zero or more [0..*] performer (CONF:X-X).Birtdotstion
cda:author
0 … *MAY contain zero or more [0..*] author (CONF:X-X).Birtdotstion
cda:informant
0 … *MAY contain zero or more [0..*] informant (CONF:X-X).Birtdotstion
cda:participant
0 … *MAY contain zero or more [0..*] participant (CONF:X-X).Birtdotstion
cda:entryRelationship
0 … *MAY contain zero or more [0..*] entryRelationship (CONF:X-X).Birtdotstion
cda:reference
0 … *MAY contain zero or more [0..*] reference (CONF:X-X).Birtdotstion
cda:precondition
0 … *MAY contain zero or more [0..*] precondition (CONF:X-X).Birtdotstion
sdtc:precondition2
0 … *MAY contain zero or more [0..*] sdtc:precondition2 (CONF:X-X).Birtdotstion
cda:referenceRange
0 … *MAY contain zero or more [0..*] referenceRange (CONF:X-X).Birtdotstion
sdtc:inFulfillmentOf1
0 … *MAY contain zero or more [0..*] sdtc:inFulfillmentOf1 (CONF:X-X).Birtdotstion