Sexual Orientation

STATUS: proposal , NOT IMPLEMENTED - UNDER DISCUSSION

Resource affected	Patient
Approved by	Interdepartmental Metrics Working Group 10 Aug 2023 (provided by @Wycliffe Waweru
Initial implementation	Expected early 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	Display	aka / description	LOINC	SNOMED CT	In LOINC ValueSet LL3323-4

Code	Code System	Display	aka / description	LOINC	SNOMED CT	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	LA22875-1 Homosexual	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

Code	Answer	Code Ref
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

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

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

Version	Date	Released as
1.0		Deployment of XXXX

References

ValueSet: PCORNet Sexual Orientation (from US Common Data Models Harmonization)
ValueSet from Answer List https://loinc.org/LL3323-4 for term https://loinc.org/76690-7/: https://fhir.loinc.org/ValueSet/LL3323-4 [canonical URL: http://loinc.org/vs/LL3323-4]

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

References

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