STATUS: PROPOSAL , NOT IMPLEMENTED - UNDER DISCUSSION

Resource affected	Patient
Decision	Wycliffe Waweru and XXXXXXXX on July 18th 2023 ????
Initial implementation	Expected early August
Last update	Jul 18th 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 https://loinc.org/76690-7/

Initial standard values [July 2023]

Code	Display	LOINC	SNOMED CT
	Heterosexual	LA22876-9	20430005
	Homosexual	LA22875-1	38628009
	Bisexual	LA22877-7	42035005
OTH	Other	LA46-8
ASKU	Asked but unknown	LA20384-6
UNK	Unknown	LA4489-6

Values that we will add when the request is validated

As of July 2023, we are not considering the need for further values

Code	Answer	Code Ref	LOINC	SNOMED CT	ICD-10/11

Other value sets considered, but not used

LOINC 76690-7

SNOMED CT US / HL7 v3

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
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

http://hl7.org/fhir/us/cdmh/CodeSystem/pcornet-sexual-orientation
the National Patient-Centered Clinical Research Network - LINK

Code	Display	Definition
AS	Asexual	Person has an Asexual orientation.
BI	Bisexual	Person has a Bisexual orientation.
GA	Gay	Person has a Gay sexual orientation.
LE	Lesbian	Person has a Lesbian sexual orientation.
QU	Queer	Person has a Queer sexual orientation.
QS	Questioning	Person has a sexual orientation of Questioning.
ST	Straight	Person has a Straight sexual orientation.
SE	Something Else	Person has sexual orientation of Something Else.
MU	Multiple Sexual Orientations	Person has Multiple sexual orientations.
DC	Decline to Answer	Person has declined to answer about their sexual orientataion.
NI	No Information	There is no information about the Persons sexual orientation
UN	Unknown	Persons sexual orientation is unknown.
OT	Other	Persons sexual orientation is Other.

Release history

Version	Date	Released as
1.0		Deployment of XXXX

Sexual Orientation

Definition

Initial standard values [July 2023]

Values that we will add when the request is validated

Other value sets considered, but not used

Release history