Should birthsex be part of the profile?
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The us-core birth-sex extension has been added to ILCore Patient
For those who need to record sex at birth, there is a us-core extension that can be used:
http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex
Does not adhere to the 80/20 rule, can be discussed in the future