Data used to categorize individuals for identification, records matching, and other purposes.

Data Element


The pronoun(s) specified by the patient to use when referring to the patient in speech, in clinical notes, and in written instructions to caregivers. Personal pronouns* are words used instead of a noun or a noun phrase used to refer to people. Understanding which pronoun(s) to use when referring to someone is important for providing affirming health care. Avoiding incorrect pronoun use and patient misgendering is crucial in transgender and gender-diverse care. It is important to reliably exchange personal pronouns that the individual has specifically reported they want used. The information could be considered a primary (first class) element associated with the demographic information for the patient. However, it may require representation as an observation about the patient. See also CDC’s pronoun recommendations (1); and Affirming Transgender Youths’ Names and Pronouns in the Electronic Medical Record (2) for additional context. Local policy will determine how pronouns are chosen for infants and other similar situations. Policy and local custom will determine what to use when this attribute is not present, or when multiple are present. Different pronouns may be used in one care setting than another care setting. The pronouns used in the work environment may be different than those in the care setting. (1) (2) * Referring to pronouns as “Personal” is something that is not universal across languages, hence the internationally-focused Gender Harmony project uses the general phrase “Pronoun”. In English speaking countries, this element may be called “Personal pronouns.”


Cornell Health Comments on Draft USCDI v5

Collecting and using the pronouns used by the patient helps set the patient at ease and helps to establish trust. Having this information also helps us identify health related trends within the LGBTQ+ community and helps us measure how well we are meeting the needs of the different groups we serve. Without this information, lesbian, gay, bisexual, and transgender (LGBT) patients and their specific health care needs cannot be identified, the health disparities they experience cannot be addressed, and important health care services may not be delivered. Understanding sexual orientation, gender identity, sex assigned at birth, name used, and pronouns, as well as their anatomical inventory, is necessary in order to provide culturally affirming and responsive health care.


NCPDP Comments on USCDI draft v5

NCPDP supports the use of LOINC for the data element Pronoun in the NCPDP SCRIPT Standard v2017071.

Provider support for Pronouns in USCDI v5

Patient trust is central to the effectiveness of medical care, impacting individuals' willingness to access care, to accept and adhere to medical advice.  When a patient has shared with a provider or caregiver their preferred Pronouns and this data has been captured in a health IT system, we owe it to the individual to share this information along with other core demographic data.  Routine exchange of this data, when it is available, will contribute to equitable access to and utilization of care by individuals who may otherwise experience unnecessary challenges and impediments as a part of the care process.

Please Include Pronouns in Draft USCDI v4

Consistent with Vizient’s prior comments regarding USCDI v3, Vizient support including a data element for collection of person identified pronouns. Person reported pronouns, when used in conjunction with other gender and sex-related data elements, are an important part of care, and a standardized data field will provide accuracy and allow providers to deliver more patient-centered care.

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