# | | Name | Source | Ver | Description |
1 | | Individual Gender Identity | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | An individual's personal sense of being a man, woman, boy, girl, nonbinary, or something else. This represents an individual’s identity, ascertained by asking them what that identity is.
In the case where the gender identity is communicated by a third party, for example, if a spouse indicates the gender identity of their partner on an intake form, a Provenance resource can be used with a Provenance.target referring to the Patient, with a targetElement extension identifying the gender identity extension as the target element within the Patient resource. When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/). |
2 | | Patient Proficiency | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | Proficiency level of the communication. |
3 | | Practitioner Animal Species | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | This extension should be used to specifiy that a practitioner or RelatedPerson resource is a service animal. |
4 | | Practitioner Job title | hl7.fhir.uv.extensions.r4#1.0.0 | R4 | The job title may be independent of the role. For example, a surgeon (role) may have a title of Head of Surgery. Some titles may overlap with roles and could be represented as discrete PractitionerRoles, but some titles may be independent of role. |
5 | | VhDir Accessibility | hl7.fhir.uv.vhdir#current | R4 | Accessibility options offered to the patient/consumer |
6 | | VhDir Communication Proficiency | hl7.fhir.uv.vhdir#current | R4 | Level of proficiency |
7 | | VhDir Digitalcertificate | hl7.fhir.uv.vhdir#current | R4 | A digital certificate, used to identify a user or group of users, or for encrypted communications |
8 | | VhDir Practitioner Endpoint Reference | hl7.fhir.uv.vhdir#current | R4 | The technical details of an endpoint that can be used for electronic services |
9 | | VhDir Practitioner Qualification | hl7.fhir.uv.vhdir#current | R4 | Extension to practitioner.qualification adding the status of the qualification, where it is valid, and the history of the qualification |