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+# Motivation
+The background context and problem this pull request is addressing
+
+Example: The current FHIR Patient profile (Participant) does not include a critical field, birth sex, 
+that is contained in the input data. This means that assigned sex at birth data does not get captured in the FHIR server.
+
+# Approach
+The solution to the problem
+
+Example: Add an extension to the Participant profile to capture the Patient's assigned sex at birth.