# US Core Gender Identity Extension - US Core Implementation Guide v9.0.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **US Core Gender Identity Extension**

## Extension: US Core Gender Identity Extension 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity | *Version*:9.0.0 | |
| * Standards status: *[Deprecated](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](changes-between-versions.md#us-core-maturity-levels): 3 | *Computable Name*:USCoreGenderIdentityExtension |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.2.42.27 | | |

This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is.

**Context of Use**

**Usage info**

**Usages:**

* This Extension is not used by any profiles in this Specification

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/resource/hl7.fhir.us.core|current/StructureDefinition/StructureDefinition-us-core-genderIdentity.json)

**Changes since version 8.0.1:**

* The resource metadata has changed (status, copyright)

### Formal Views of Extension Content

 [Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-us-core-genderIdentity.csv), [Excel](StructureDefinition-us-core-genderIdentity.xlsx), [Schematron](StructureDefinition-us-core-genderIdentity.sch) 

#### Terminology Bindings

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "us-core-genderIdentity",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "deprecated",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status-reason",
        "valueMarkdown" : "This extension is no longer a USCDI requirement and is deprecated. It **SHOULD NOT** be used for new or revised content. It is retained for historical/backward compatibility purposes. Implementers can use the [HL7 standard extension](http://hl7.org/fhir/StructureDefinition/individual-genderIdentity) instead"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 3
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  }],
  "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.2.42.27"
  }],
  "version" : "9.0.0",
  "name" : "USCoreGenderIdentityExtension",
  "title" : "US Core Gender Identity Extension",
  "status" : "retired",
  "date" : "2025-04-22",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "name" : "HL7 International / Cross-Group Projects",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    },
    {
      "system" : "email",
      "value" : "cgp@lists.HL7.org"
    }]
  }],
  "description" : "This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Patient"
  },
  {
    "type" : "element",
    "expression" : "RelatedPerson"
  },
  {
    "type" : "element",
    "expression" : "Person"
  },
  {
    "type" : "element",
    "expression" : "Practitioner"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "definition" : "An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else.",
      "comment" : "This represents an individual's identity, ascertained by asking them what that identity is.",
      "min" : 0
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "GenderIdentity"
        }],
        "strength" : "extensible",
        "valueSet" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1021.32"
      }
    }]
  }
}

```
