updated

input/fsh/conceptmaps/client-registration.fsh

@@ -1,28 +1,3 @@
-Instance:     AdministrativeSexToAdministrativeGender
-InstanceOf:   ConceptMap
-Title:     "Administrative Sex To Administrative Gender"
-Description:  "Mapping to and from FHIR Administrative Sex coding to FHIR Administrative Gender."
-Usage:        #definition
-
-* name = "AdministrativeSexToAdministrativeGender"
-* description = "Mapping to and from FHIR Administrative Sex coding to FHIR Administrative Gender."
-* title = "ConceptMap to and From administrative sex to administrative gender"
-* status = #active
-* experimental = false
-* date = "2024-01-30"
-
-* group[+]
-  * source = $SEX
-  * target = $GENDER
-  * insert ElementMap(M, male, equivalent)
-  * insert ElementMap(F, female, equivalent)
-
-* group[+]
-  * source = $GENDER
-  * target = $SEX
-  * insert ElementMap(male, M, equivalent)
-  * insert ElementMap(female, F, equivalent)
-
 Instance:     ProprietaryEducationLevelToLOINCEducationLevel
 InstanceOf:   ConceptMap
 Title:     "Proprietary Education Level to LOINC Education Level"

input/fsh/examples.fsh

@@ -16,7 +16,6 @@ Description: "Is used to document demographics and other administrative informat
 * name[+][nickname].use = #nickname
 * name[=][nickname].given[+] = "Smitty"
 
-* gender = #female
 * birthDate = "1990-12-12"
 * birthDate.extension[birthTime].valueDateTime = "1983-05-22T16:40:17+02:00"
 * birthDate.extension[IsEstimatedDOB].valueBoolean = false
@@ -29,7 +28,7 @@ Description: "Is used to document demographics and other administrative informat
 * extension[religion].valueCodeableConcept.coding.system = "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation"
 * extension[religion].valueCodeableConcept.text = "Christian (non-Catholic, non-specific)"
 * managingOrganization = Reference(OrganizationExample)
-* extension[AdministrativeSexToAdministrativeGenderMap].valueCanonical = "http://openhie.org/fhir/zambia-immunizations/StructureMap/AdministrativeSexToAdministrativeGender"
+* extension[sex].valueCodeableConcept = $SEX#F
 
 Instance: SpouseRelatedPersonExample
 InstanceOf: SpouseRelatedPerson
@@ -59,7 +58,6 @@ Description: "A patient's highest education level attained"
 * category.coding.system  = "http://terminology.hl7.org/CodeSystem/observation-category"
 * subject = Reference (ImmunizationPatientExample)
 * performer = Reference(OrganizationExample)
-* extension[PropietaryEducationLevelToLOINCEducationLevel].valueCanonical = "http://openhie.org/fhir/zambia-immunizations/StructureMap/PropietaryEducationLevelToLOINCEducationLevel"
 
 Instance: TargetFacilityEncounterExample
 InstanceOf: TargetFacilityEncounter

input/fsh/extensions.fsh

@@ -16,13 +16,12 @@ Description: "This is an extension to capture whether the patient's date of birt
 * ^context[+].type = #element
 * ^context[=].expression = "Patient.birthDate"
 
-Extension: StructureMaps
-Id: structure-map
-Title: "Structure Map"
-Description: "Structure maps used in this implementation guide."
+Extension: AdministrativeSex
+Id: administrative-sex
+Title: "Administrative Sex"
+Description: "This is an extension to capture that patient's administrative sex."
+* value[x] only CodeableConcept
+* valueCodeableConcept from AdministrativeSex (required)
 * value[x] 1..
-* value[x] only Canonical(StructureMap)
 * ^context[+].type = #element
-* ^context[=].expression = "Patient"
-* ^context[+].type = #element
-* ^context[=].expression = "Observation"
+* ^context[=].expression = "Patient"

input/fsh/smartcare.fsh

@@ -56,7 +56,6 @@ Description: "Is used to document demographics and other administrative informat
 * name[nickname].use 1..1
 * name[nickname].use = #nickname
 
-* gender 1..1
 * birthDate 1..1
 * birthDate.extension contains patient-birthTime named birthTime 0..1 MS
 * birthDate.extension[birthTime] ^definition =
@@ -78,8 +77,7 @@ Description: "Is used to document demographics and other administrative informat
 * extension[religion].valueCodeableConcept.coding.system 1..1
 * extension[religion].valueCodeableConcept.coding.code 1..1
 
-* extension contains structure-map named AdministrativeSexToAdministrativeGenderMap 1..1
-* extension[AdministrativeSexToAdministrativeGenderMap].valueCanonical = "http://openhie.org/fhir/zambia-immunizations/StructureMap/AdministrativeSexToAdministrativeGender"
+* extension contains AdministrativeSex named sex 1..1
 
 * maritalStatus 0..1 MS
 * maritalStatus.coding 1..1
@@ -191,8 +189,6 @@ Description: "A patient's highest education level attained"
 * valueCodeableConcept.coding.code 1..1
 * valueCodeableConcept.coding.system 1..1
 * valueCodeableConcept from VSLOINCEducationLevelAttained (required)
-* extension contains structure-map named PropietaryEducationLevelToLOINCEducationLevel 1..1
-* extension[PropietaryEducationLevelToLOINCEducationLevel].valueCanonical = "http://openhie.org/fhir/zambia-immunizations/StructureMap/PropietaryEducationLevelToLOINCEducationLevel"
 
 Profile: TargetFacilityEncounter
 Parent: Encounter

input/fsh/terminology.fsh

@@ -153,4 +153,12 @@ Title: "HumanName Codes"
 Description: "A List of HumanName Codes Exlcuding Nickname"
 * ^experimental = false
 * include codes from system $HumanName
-* exclude $HumanName#nickname
+* exclude $HumanName#nickname
+
+ValueSet: AdministrativeSex
+Id: vs-administrative-sex
+Title: "Administrative Sex"
+Description: "A List of Administrative Sex codes."
+* ^experimental = false
+* $SEX#M "Male"
+* $SEX#F "Female"