Representing Patient-Identified Sexual Orientation

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Type Standard / Implementation Specification Standards Process Maturity Implementation Maturity Adoption Level Federally required Cost Test Tool Availability
Standard for observations
Final
Production
Rating 2
No
Free
N/A
Standard for observation values
Final
Production
Rating 2
Yes
Free
N/A
Standard for observation values
Final
Production
Rating 3
Yes
Free
N/A
Limitations, Dependencies, and Preconditions for Consideration Applicable Value Set(s) and Starter Set(s)
  • Collect discrete structured data on patient gender identity, sex, and sexual orientation following recommendations issued in a report by The Fenway Institute and the Institute of Medicine.
  • See LOINC projects in the Interoperability Proving Ground. 
  • For more information about observations and observation values, see Appendix II for an informational resource developed by the Health IT Standards Committee. 
  • LOINC® code: 76690-7 Sexual orientation
  • ONC’s 2015 Edition certification requirements reference the following value set for sexual orientation.  Codes from (i) through (iii) are SNOMED CT® and (iv) through (vi) are from HL7 Version 3:

(i) Lesbian, gay or homosexual.38628009
(ii) Straight or heterosexual. 20430005
(iii) Bisexual. 42035005
(iv) Something else, please describe.nullFlavor OTH
(v) Don’t know. nullFlavor UNK
(vi) Choose not to disclose. nullFlavor ASKU

Comment

Please consider a separate…

Please consider a separate vocabulary term for asexual, a fairly common category.

Sexual Orienation

We think that the Applicable Value Set(s) and Starter Set(s) provide appropriate answer options to measure sexual orientation. Knowledge of this information is essential to providing affirming culturally competent health care to lesbian, gay and bisexual patients.


Chris Grasso, MPH

Associate Vice President for Informatics and Data Services

Fenway Health

The answer list for the…

The answer list for the LOINC term listed below 
System Answer ID 1 Bisexual /snomed.info/sct ©: 42035005 Bisexual (finding)  LA22877-7 2 Heterosexual snomed.info/sct ©: 20430005 Heterosexual (finding)                        LA22876-9 
Homosexual //snomed.info/sct ©: 38628009 Homosexual (finding)                    LA22875-1 
Other LA46-8 5 Asked but unknown                                                                    LA20384-6 
Unknown ://snomed.info/sct ©: 261665006 Unknown (qualifier value) HL7     LA4489-6 

Not aware that there is as of yet a federal requirement to use any particular list, SNOMED CT or otherwise.