Sexual Orientation - Cal-PM SOGI Enhancement
As part of the SOGI Enhancements, the California User Group (CAUG) requested the ability to capture an individual’s Sexual Orientation more accurately.
Dictionaries to capture Sexual Orientation and Sexual Orientation (Please Describe) have been added to client demographics. The existing dictionary used to capture sexual orientation data titled Are you heterosexual, lesbian, gay, bisexual, transgender or do you question your sexual orientation will continue to be used for Cal-OMS state reporting requirements but has been moved to an Extended Dictionary Element of the new Sexual Orientation dictionary.
These enhancements impact the following forms:
- Update Client Data
- Admission > Demographics
- Admission (Outpatient) > Demographics
- Discharge > Demographics
- Discharge (Outpatient) > Demographics
- Pre Admit > Demographics
- Pre Admit Discharge > Demographics
Enhancements
A new dictionary to capture sexual orientation is added as a single-select field. The dictionary codes and values are populated with the USCDI V2 standards.
- Dictionary File: Client
- Data Element: 731 (Locked)
- Description: Sexual Orientation
| Code | Value |
|---|---|
| 20430005 | Straight or heterosexual |
| 38628009 | Lesbian, gay or homosexual |
| 42035005 | Bisexual |
| ASKU | Chose Not To Disclose |
| OTH | Something else, please describe |
| UNK | Do Not Know |
A corresponding free text field is added to capture Sexual Orientation (Please Describe). This field is enabled and required if Something else, please describe is selected in the Sexual Orientation field.
The existing field in client demographics Are you heterosexual, lesbian, gay, bisexual, transgender or do you question your sexual orientation? has become an Extended Dictionary Element (EDE) of the new Sexual Orientation dictionary and has a default mapping.
| Sexual Orientation | EDE |
|---|---|
| Straight or heterosexual | Heterosexual/Straight |
| Lesbian, gay or homosexual | Lesbian (if Client Sex = F) Gay (if Client Sex = M) |
| Bisexual | Bisexual |
| Chose Not To Disclose | Declined to State |
| Something else, please describe | No Default Mapping |
| Do Not Know | Unsure/Questioning |
Program Maintenance
The prompt in Program Maintenance to Require Sexual Orientation Response During Admission has been updated. When this prompt is set to 'Yes' for a specific program, the new Sexual Orientation field is required during Admission.
Cal-OMS Reporting
Despite being moved to an Extended Dictionary Element of the new Sexual Orientation dictionary, the Cal-OMS Reporting for 'LGBT (CID-20)' will continue to pull from the Are you heterosexual, lesbian, gay, bisexual, transgender or do you question your sexual orientation dictionary.
Table Updates
The SYSTEM.patient_current_demographics and SYSTEM.patient_demographic_history tables now have a new column:
- sexual_orientation_other
The SYSTEM.view_episode_summary_admit, SYTEM.view_episode_summary_current, and SYSTEM.view_episode_summary_discharge now have these columns:
- sexual_orientation_value
- sexual_orientation_code
- sexual_orientation_other
Conversion
After installing Avatar Cal-PM 2022 Update 80, client demographics data is converted. The purpose of this conversion is to leverage existing information to pre-populate the updated Sexual Orientation dictionary rather than introduce a blank field to client demographics. The conversion logic is as follows:
| Previous Selection for “Are you heterosexual….” | Selection after conversion for Sexual Orientation field |
|---|---|
| Heterosexual/Straight | Straight or heterosexual (20430005) |
| Lesbian (female) | Lesbian, gay or homosexual (38628009) |
| Gay (male) | Lesbian, gay or homosexual (38628009) |
| Bisexual | Bisexual (42035005) |
| Unsure/Questioning | Do Not Know (UNK) |
| Declined to State | Chose Not To Disclose (ASKU) |
| Transgender | Something else, please describe (OTH) Note: Additionally, the corresponding field Sexual Orientation (Please Describe) field will be populated with Transgender. |