Health NZ | Te Whatu Ora FHIR Screening Implementation Guide - Local Development build (v0.9.3) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

How NSS gender information is mapped into FHIR representation

Subject gender

Appears primarily in the .gender element of the FHIR Patient instance (NzPatient profile).

'Gender diverse' is a special case with an additional mapping using the genderOriginalText extension.

gender in National Screening Solution	FHIR AdministrativeGender coding in Patient.gender CodeableConcept	gender.genderOriginalText (extension to NzPatient profile in NZ Base IG) valueString
Female	#female	none
Male	#male	none
Unknown	#unknown	none
Gender Diverse	#other	"Gender Diverse"

Sex assigned at birth

Maps directly to the FHIR Patient instance (NzPatient profile) using the special extension from the NZ Base IG.

Sex Assigned At Birth in National Screening Solution	FHIR AdministrativeGender coding in Patient.sex-at-birth CodeableConcept
Female	#female
Male	#male
Other	#other