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STATUS:

Status
colourBlue
titleproposal
, NOT IMPLEMENTED - UNDER DISCUSSION

Resource affected

Patient

Decision

Wycliffe Waweru on July 18th/ 2023 ????

Approved by

Interdepartmental Metrics Working Group​
10 Aug 2023 (provided by Wycliffe Waweru

Initial implementation

Expected early August

Last update

Jul 3/ Q4 2023

Definition

An individual's physical and/or emotional attraction to another individual of the same gender, opposite gender, or both genders. Sexual orientation is independent of gender identity and biological sex (aka sex assigned at birth).

Based on term https://loinc.org/76690-7/  

Initial standard values [July 2023]

Based on LOINC Answer List https://loinc.org/LL3323-4 for term https://loinc.org/76690-7/

Code

Code System

DisplayCode Ref

aka / description

LOINC

SNOMED CT

ICD-10/11

M

Male

http://hl7.org/fhir/v3/AdministrativeGender

LA2-8

F

Female

LA3-6

UNK

Unknown

http://hl7.org/fhir/v3/NullFlavor

LA4489-6

In LOINC ValueSet LL3323-4

ST

pcorn

Heterosexual

Straight

LA22876-9

20430005

X

LE

pcorn

Female Homosexual

Lesbian

LA22875-1

Homosexual

89217008*

just Homosexual

GA

pcorn

Male Homosexual

Gay

76102007*

just Homosexual

BI

pcorn

Bisexual

LA22877-7

42035005

X

OTH

null flavor

Other

LA46-8

???

X

ASKU

null flavor

Asked but unknown

Person asked and does not know or is not sure

Sexual orientation undecided

LA20384-6

1064711000000108

X

DC

pcorn

Decline to answer

(see note)

Prefer not to say

Asked but unknown

not given – patient refused

LA31066-6

UNK

null flavor

Unknown

LA4489-6

440583007

X

*SNOMED CT: Female Homosexual and Male Homosexual can be mapped to Homosexual 38628009

Sources: LOINC | UK NHS | HealthIT | pcornet | verified with SNOMED BROWSER

Note: FHIR does NOT plan to add an option for “decline to answer”

Values that we will add when the request is validated

Code

Answer

Code Ref

LOINC

SNOMED CT

ICD-10/11

I [?]

Intersex

n/a

N [?]

Decline to answer

n/a

Code

(to assigned by PSI)

LOINC Answer ID

Answer

Aka

BSX

LA22877-7

Bisexual

HET

LA22876-9

Heterosexual

HOM

LA22875-1

Homosexual

OTH

LA46-8

Other

PNS

LA20384-6

Asked but unknown

Prefer not say?

UNK

LA4489-6

Unknown

...

AS

Asexual

pcorn

QU

Queer

pcorn

QS

Questioning

pcorn

MU

Multiple Sexual Orientations

pcorn

SE

Something Else

pcorn

Other value sets considered, but not used


Orientation not listedStraight or Heterosexual
Gay , Lesbian or Homosexual
Bisexual
Pansexual
Queer
Asexual
Two-spirit
Questioning/not sure
Choose not to disclose
Other, please describe

LOINC 76690-7

Heterosexual | LA22876-9
Homosexual | LA22875-1
Bisexual | LA22877-7
Other | LA46-8
Asked but unknown | LA20384-6
Unknown | LA4489-6

SNOMED CT US / HL7 v3

Straight or heterosexual | 20430005
Lesbian, gay or homosexual | 38628009
Female Homosexual | 89217008
Male Homosexual | 76102007
Bisexual | 42035005
Something else, please describe. nullFlavor | OTH
Choose not to disclose. nullFlavor | ASKU
Don't know. nullFlavor | UNK

XXXXX

Straight or heterosexual
Lesbian or gay
Bisexual
Something else
Don’t know
Decline to answer
Queer, pansexual, and/or questioning

XXXXXX

Heterosexual or straight
Gay, lesbian, or same-gender loving
Bisexual


Questioning, unsure, or patient doesn't know
Declined to answer
Unknown

Asexual
Bisexual or pansexual
Gay or lesbian
Straight (heterosexual)
Queer
I am questioning/not sure of my sexuality

Straight or heterosexual
Lesbian or gay
Bisexual
Queer, pansexual, and/or questioning
Something else
Don’t know
Decline to answer

Same-Gender Loving
Lesbian
Gay
Bisexual
Straight
Pansexual
Asexual
Queer
Questioning


Orientation not listed

USCDI v3 draft
Straight or Heterosexual
Gay , Lesbian or Homosexual
Bisexual
Pansexual
Queer
Asexual
Two-spirit
Questioning/not sure
Choose not to disclose
Other, please describe

XXXXX

Straight
Lesbian
Gay
Bisexual
Pansexual
Queer
Asexual
Same-Gender Loving
Questioning

XXXXX

Straight (heterosexual)
Gay or lesbian
Bisexual or pansexual
Queer
Asexual
I am questioning/not sure of my sexuality

National Patient-Centered Clinical Research

Asexual
Bisexual
Gay
Lesbian
Queer
Questioning
Straight
Something Else
Multiple Sexual Orientations
Decline to Answer
No Information
Unknown
Other

Release history

Version

Date

Released as

1.0

Deployment of XXXX

References