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NemsisSexToAdministrativeGender

ePatient.25 Sex (source of truth per ADR-007; ePatient.13 Gender legacy fallback uses the same 9919xxx codes) -> FHIR administrative-gender. Single-target so FML translate() is deterministic; the US Core birthsex mapping lives in cm-nemsis-birthsex. Also maps the NV/PN absence codes to `unknown`. us-core-patient requires gender (min 1) and US Core requires every subject reference to point at a us-core-patient, so leaving it absent makes the whole document non-conformant, not just the Patient. `unknown` is FHIR's own answer for 'the gender is not known', which is exactly the receiver's situation whether the field was refused, not recorded, or not applicable. Those rows are equivalence=wider — NEMSIS is MORE specific than the FHIR code, so they must never be reversed (the reverse mapper refuses wider rows); the precise NV/PN is preserved in the conversion issue ledger.

Machine-readable

../cm-nemsis-sex.json

Preview

{
  "resourceType": "ConceptMap",
  "id": "cm-nemsis-sex",
  "url": "https://emsinterop.com/fhir/ConceptMap/cm-nemsis-sex",
  "version": "0.3.1",
  "name": "NemsisSexToAdministrativeGender",
  "status": "draft",
  "description": "ePatient.25 Sex (source of truth per ADR-007; ePatient.13 Gender legacy fallback uses the same 9919xxx codes) -> FHIR administrative-gender. Single-target so FML translate() is deterministic; the US Core birthsex mapping lives in cm-nemsis-birthsex.\n\nAlso maps the NV/PN absence codes to `unknown`. us-core-patient requires gender (min 1) and US Core requires every subject reference to point at a us-core-patient, so leaving it absent makes the whole document non-conformant, not just the Patient. `unknown` is FHIR's own answer for 'the gender is not known', which is exactly the receiver's situation whether the field was refused, not recorded, or not applicable. Those rows are equivalence=wider \u2014 NEMSIS is MORE specific than the FHIR code, so they must never be reversed (the reverse mapper refuses wider rows); the precise NV/PN is preserved in the conversion issue ledger.",
  "group": [
    {
      "source": "https://profiles.ihe.net/PCC/mPSC/CodeSystem/NEMSIS",
      "target": "http://hl7.org/fhir/administrative-gender",
      "element": [
        {
          "code": "9919001",
          "display": "Female",
          "target": [
            {
              "code": "female",
              "display": "Female",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "9919003",
          "display": "Male",
          "target": [
            {
              "code": "male",
              "display": "Male",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "9919005",
          "display": "Unknown",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "code": "7701001",
          "display": "Not Applicable",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Not Applicable is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        },
        {
          "code": "7701003",
          "display": "Not Recorded",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Not Recorded is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        },
        {
          "code": "7701005",
          "display": "Not Reporting",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Not Reporting is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        },
        {
          "code": "8801019",
          "display": "Refused",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Refused is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        },
        {
          "code": "8801021",
          "display": "Unresponsive",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Unresponsive is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        },
        {
          "code": "8801023",
          "display": "Unable to Complete",
          "target": [
            {
              "code": "unknown",
              "display": "Unknown",
              "equivalence": "wider",
              "comment": "NEMSIS Unable to Complete is more specific than administrative-gender#unknown; not reversible"
            }
          ]
        }
      ]
    }
  ],
  "identifier": {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:emsinterop:conceptmap:cm-nemsis-sex"
  }
}