Representing Patient Gender Identity

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Federally required	Cost	Test Tool Availability
Standard for observations	LOINC®	Final	Production	No	Free	N/A
Standard for observation values	SNOMED CT® U.S. Edition	Final	Production	Yes	Free	N/A
Standard for observation values	HL7® Version 3 Null Flavor	Final	Production	Yes	Free	N/A

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
An article in JAMIA provides helpful information for planning and implementing sexual orientation and gender identity data collection in electronic health records. Even though clinicians and their patients would benefit from having these data in patient records, this does not suggest that it is the sole responsibility of clinicians and their staffs to collect these sensitive data. When patients provide a response to this question in a patient portal, it could contradict with the information collected by providers. For more information about observations and observation values, see Appendix II for an informational resource developed by the Health IT Standards Committee. The Gender Harmony Project is updating the representation of several sex-related concepts, including gender identity. Their proposed value set (extensible for other use cases) for gender identity does not include the concepts of Female-to-Male (FTM)/Transgender Male/Trans Man, Male-to-Female (MTF)/Transgender Female/Trans Woman, or Additional gender category or other, please specify. HL7 Version 3 code: OTH that are included in the ONC value set which was established in regulation and incorporated by reference.	Gender identity. LOINC code: 76691-5 Male. SNOMED CT U.S. Edition code 446151000124109 Female. SNOMED CT U.S. Edition code 446141000124107 Female-to-Male (FTM)/Transgender Male/Trans Man. SNOMED CT U.S. Edition code: 407377005 Male-to-Female (MTF)/Transgender Female/Trans Woman. SNOMED CT U.S. Edition code: 407376001 Identifies as non-conforming gender (SNOMED CT U.S. Edition synonyms include: Genderqueer; Identifies as neither exclusively male nor female, Non-binary gender) SNOMED CT U.S. Edition code: 446131000124102 Additional gender category or other, please specify. HL7 Version 3 code: OTH Choose not to disclose. HL7 Version 3 code: ASKU

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

An article in JAMIA provides helpful information for planning and implementing sexual orientation and gender identity data collection in electronic health records.
Even though clinicians and their patients would benefit from having these data in patient records, this does not suggest that it is the sole responsibility of clinicians and their staffs to collect these sensitive data.
When patients provide a response to this question in a patient portal, it could contradict with the information collected by providers.
For more information about observations and observation values, see Appendix II for an informational resource developed by the Health IT Standards Committee.
The Gender Harmony Project is updating the representation of several sex-related concepts, including gender identity. Their proposed value set (extensible for other use cases) for gender identity does not include the concepts of Female-to-Male (FTM)/Transgender Male/Trans Man, Male-to-Female (MTF)/Transgender Female/Trans Woman, or Additional gender category or other, please specify. HL7 Version 3 code: OTH that are included in the ONC value set which was established in regulation and incorporated by reference.

Comment

Submitted by kwboone on 2017-11-20

Please consider appropriate…

Please consider appropriate vocabulary for preferred pronoun. It would be extremely helpful to improve the patient-provider experience.

Submitted by pwilson@ncpdp.org on 2017-11-20

NCPDP - Comment

NCPDP currently uses sex/gender values of (M)ale, (F)emale and (U)nknown. NCPDP is evaluating future modifications to include additional gender identity concepts.

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Representing Patient Gender Identity

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Please consider appropriate…

NCPDP - Comment

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