Standards Harmonization Breakdown for Sex and Gender TerminologyCONCEPT CODEAASKUPHC1490DDFFWFN/AFemale2407377005TN/AN/A4461410001241074.46151E+144.46131E+14IN/AN/AN/AMMMaleMN/A1GN/A407376001IN/AN/ANBNNAA0N/AOOTHON/ASN/AN/AN/AN/AT12271241000119109N/AN/AN/AN/AN/AUNUUUNK0 or blankUNKXU N/AN/AXN/A
Value Set Source Names and Concept Names are alphabetized. CONCEPT NAME Ambiguousasked but unknownCisgender/Not transgender (finding)diverseGender Diverse (includes persons who reported their gender as being other than male or female. It includes persons who reported being unsure of their gender, being both male and female, or neither male nor female)FemaleFemaleFemaleFemaleFemaleFemaleFemaleFemale-to-male transsexual (finding)Female to MaleFTM (female-to-male)genderqueerIdentifies as female gender (finding)Identifies as male gender (finding)Identifies as non-conforming gender (finding)Indeterminate (includes intersex or cannot be uniquely identified or classified as male or female at birth) IndeterminateIntersexIntersex or IndeterminateMaleMaleMaleMaleMaleMaleMale to Female MTF (male-to-female)Male-to-female transsexual (finding)NonbinaryNon-binaryNon-DiscloseNon-sexedNot ApplicableNot applicableNot Applicable (includes if question is not appropriate to ask eg., inappropriate to ask children)Not ProvidedNot specifiedNot StatedOtherotherOther or unknown otherotherOtherPerson prefers not to sayprefer not to answerquestioning Self-reported as TransgenderTransgender identity (finding)Transgender-femaleTransgender-maletransgenderedtranssexual two-spiritUndifferentiatedUndifferentiated (stillbirths only)UnknownunknownUnknown Unknown (includes not stated, not recorded, a value is applicable but not known)Undeterminedunknown Unknown / Inadequately DescribedUnknown UnsexableUnsure
CODE SYSTEM NAMEAdministrative sex (HL7)NullFlavorPHIN VS (CDC Local Coding System)N/AN/AAdministrativeGenderAdministrative sex (HL7)N/AN/AN/AHL7 v3N/ASNOMED-CTPHIN VS (CDC Local Coding System)N/AN/ASNOMED-CTSNOMED-CTSNOMED-CTN/AN/AN/AN/AAdministrativeGenderAdministrative sex (HL7)HL7 v3N/AN/AN/APHIN VS (CDC Local Coding System)N/ASNOMED-CTN/AHL7 v3HL7 v3N/aN/AAdministrative sex (HL7)N/AN/AN/AN/AAdministrative sex (HL7)NullFlavorN/AHL7 v3N/AN/AN/AN/AN/AN/aSNOMED-CTHL7 v 3Hl7 v 3N/AN/AN/AAdministrativeGenderN/AAdministrative sex (HL7)NullFlavorN/AN/AN/AN/AN/AN/AN/AN/A
Notes (Sources for Concept Names missing Code Systems will be listed here)German LawCanadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)German LawGermany, Canadian Institute for Health Information (CIHI), Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC), x12, USHIK HITSP, IAIABC (International Association of Industrial Accident Boards and Commissions), NCPDPAustralia, Canadian Institute for Health Information (CIHI), Center for Addiction and Mental Health (Canada), Saskatchewan eHealth, US Office of Minority Health (OMH), United States Census Bureau 2020, US 2015 RuleNCPDP (v.50)Center for Addiction and Mental Health (Canada) Center for Addiction and Mental Health (Canada) Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)AustraliaAustralia, Center for Addiction and Mental Health (Canada) Australia (METeOR)Germany, German Law, Canadian Institute for Health Information (CIHI), Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC), xDT (Provided by Germany), x12, USHIK HITSP, IAIABC (International Association of Industrial Accident Boards and Commissions), NCPDPAustralia, Canadian Institute for Health Information (CIHI),Center for Addiction and Mental Health (Canada), Saskatchewan eHealth, US Office of Minority Health (OMH), United States Census Bureau 2020, US 2015 RuleNCPDP (v.50)Center for Addiction and Mental Health (Canada) X12X12X12Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)X12NCPDP (v.50)AustraliaCanadian Institute for Health Information (CIHI) Germany Australia, Canadian Institute for Health Information (CIHI),Center for Addiction and Mental Health (Canada) AustraliaCenter for Addiction and Mental Health (Canada) Center for Addiction and Mental Health (Canada) X12Center for Addiction and Mental Health (Canada) Center for Addiction and Mental Health (Canada) Center for Addiction and Mental Health (Canada) Canadian Institute for Health Information (CIHI) US 2015 RuleNCPDP (v.50)Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)xDT (Provided by Germany)Germany, xDT, x12, IAIABC (International Association of Industrial Accident Boards and Commissions), NCPDPAustraliaAustralia (METeOR), Canadian Institute for Health Information (CIHI), Saskatchewan eHealthX12Center for Addiction and Mental Health (Canada)
SOURCELink to original source(s), extra sources, or Implementations and SDO site VALUE SET CODE/IDENTIFIEROIDVALUE SET NAMEAPPLICATION/PROGRAM USED VALUE SET DESCRIPTION/DEFFINITIONVALUE SET CONTEXTPERMANCE OF VALUES OVER TIME CLINICAL SEX (CS) OR GENDER ID (GID) VALUE SET VERSION VALUE SET EFFECTIVE DATE
PHINVADSPHVS_AdministrativeGender_HL7_V32.16.840.1.113883.1.11.1Administrative Gender (HL7 V3) Administrative Gender based upon HL7 V3 vocabulary. This value set contains only male, female and undifferentiated concepts.GID15/23/2019 15:02XXX
PHINVADSPHVS_AdministrativeSex_HL7_2x2.16.840.1.114222.4.11.927Administrative Sex (HL7) HL7 version 2.5 User-Defined Table 0001 Administrative sex codeCS105/23/2019 11:38:16XXXXXX
PHINVADSPHVS_CurrentSex_NND2.16.840.1.114222.4.11.7190Current Sex (NND) N/ACS205/23/2019 08:51:46XXXXX
PHINVADSPHVS_FemaleGender_NCHS1.3.6.1.4.1.19376.1.7.3.1.1.13.8.43Female Gender (NCHS) To reflect the sex of the deceased as femaleGID205/23/2019 08:44:13X
PHINVADSPHVS_GenderIdentity_CDC2.16.840.1.114222.4.11.756Gender Identity Patient identified gender identity (i.e., an individual’s personal sense of being a man, woman, or other gender, regardless of the sex that person was assigned at birth)GID205/23/2019 11:28:14XXXXXXXX
PHINVADSPHVS_GenderIdentity_CDC2.16.840.1.114222.4.11.7610Gender Identity (STD) Patient identified gender identity (i.e., an individual’s personal sense of being a man, woman, or other gender, regardless of the sex that person was assigned at birth)GID105/23/2019 11:49:49XXXXX
PHINVADSPHVS_GenderIdentity_CDC1.3.6.1.4.1.19376.1.7.3.1.1.13.8.42Male Gender (NCHS) To reflect the sex of the deceased as male GID205/23/2019 09:13:24X
PHINVADSPHVS_GenderIdentity_CDC2.16.840.1.114222.4.11.1038Sex (MFU)Constrained list of sex codes in use by public health. Keyword: Administrative Sex.CS105/23/2019 08:51:46XXX
PHINVADSPHVS_GenderIdentity_CDC2.16.840.1.114222.4.11.3403Gender (Syndromic Surveillance)N/AGID105/23/2019 16:05:14XXXX
Standards Australia (Saludax) Australia Saludax Gender Identity A Gender Identity data element is provided and is defined as: The behavioural, cultural or psychological traits typically associated with a specific sex, indicating the sex with which the individual considers he or she is, or desires to be, associated. Gender is not the same as sex, which is determined by biology.xxxxxxx
Standards Australia (Saludax) Australia Saludex SexA Sex data element is provided and is defined as: Biological distinction between male and female.xxxxxx
METeOR (Australia) Gender (METeOR identifier: 635978)1, Gender, code X (METeOR identifier: 635994)Australia METeOR GenderThe way in which a person identifies their masculine or feminine characteristics. A person's gender relates to their deeply held internal and individual sense of gender and is not always exclusively male or female. It may or may not correspond to their sex assigned at birth.xxx
METeOR (Australia) Sex (METeOR identifier: 269716)1, Sex, code A (METeOR identifier: 602450)2Australia METeOR SexSex is the biological distinction between male and female. Where there is an inconsistency between anatomical and chromosomal characteristics, sex is based on anatomical characteristics.xxxx
Cancer Registry (Germany)German Cancer RegistryThe German cancer registry law provides for the following characteristics:xxxx
Canadian Institute for Health Information (CIHI) https://confluence.hl7.org/download/attachments/48234540/20181016_CIHI%20Sex%20and%20Gender%20Standards%20-%20Health%20Terminologies.pdf?version=1&modificationDate=1557336665417&api=v2Gender Canadian Patient Experiences Survey A code used to indicate the gender of the patient <2017xxxx
Canadian Institute for Health Information (CIHI) https://confluence.hl7.org/download/attachments/48234540/20181016_CIHI%20Sex%20and%20Gender%20Standards%20-%20Health%20Terminologies.pdf?version=1&modificationDate=1557336665417&api=v2Gender (Intending to capture Sex)Discharge Abstract DatabaseThe sex of the patient. Gender is one alpha character describing the sex of the patient. <2017xxxx
Canadian Institute for Health Information (CIHI) https://confluence.hl7.org/download/attachments/48234540/20181016_CIHI%20Sex%20and%20Gender%20Standards%20-%20Health%20Terminologies.pdf?version=1&modificationDate=1557336665417&api=v2Sex Home Care Reporting Systemn/a<2017xx
Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)https://confluence.hl7.org/download/attachments/48234540/20181016_CIHI%20Sex%20and%20Gender%20Standards%20-%20Health%20Terminologies.pdf?version=1&modificationDate=1557336665417&api=v2Sex at Birth A code that identifies the category assigned to an individual at birth that is typically based on their reproductive system and other physical characteristics. (Reference: Statistics Canada)2018xxxx
Canadian Institute of Health Information (CIHI), Statistics Canada, and Ontario Ministry of Health and Long-Term Care (MOHLTC)https://confluence.hl7.org/download/attachments/48234540/20181016_CIHI%20Sex%20and%20Gender%20Standards%20-%20Health%20Terminologies.pdf?version=1&modificationDate=1557336665417&api=v2Gender A code that refers to the socially constructed roles, behaviors, identities and expressions of girls, women, boys, men and gender diverse people by a given society (Reference: Canadian Institutes of Health Research).2018xxxxx
Center for Addiction and Mental Health (Canada) http://www.camhx.ca/Publications/Resources_for_Professionals/ARQ2/arq2.pdfGender Identity How would you identify your gender identity?2007xxxxxxxxxxxxx
German law /eGKhttps://www.bundesverfassungsgericht.de/SharedDocs/Pressemitteilungen/EN/2017/bvg17-095.htmlGender The German legislation was changed in 20182018xxx
HL7 Administrative Gender (provided by Germany) See http://wiki.hl7.de/index.php?title=GeschlechtThe gender of a person used for administrative purposes.v4
HL7 Gender Identityhttp://hl7.org/fhir/2018Jan/valueset-gender-identity.html2.16.840.1.113883.4.642.3.972Gender IdentityThis example value set defines a set of codes that can be used to indicate a patient's gender identity.4.0.0XXxxxxx
ONC (LOINC)https://s.details.loinc.org/AnswerList/LL3322-6.htmlLL3322-61.3.6.1.4.1.12009.10.1.2156Gender identity Gender identity answers as specified by the Office of the National Coordinator for Health IT (ONC).LOINC version 2.65xxxxx
xDT (Provided by Germany)Gender of the patientThe gender of the patient is transmitted in the xDT standard of the KBV in field 3110:xxxx
X12007060 EDI StandardGender CodeCode indicating the sex of the individualxxxxxxxx
USHIK HITSPIdentify the sex structure of a person or animal. Excluded are codes related to clinical gender.xxx
IAIABC (International Association of Industrial Accident Boards and Commissions)http://www.iaiabc.org/Document.asp?DocID=5874Gender Code Claims StandardsThe IAIABC EDI Claims Standards are used by claims administrators to report workers' compensation first report of injury and subsequent report of injury claims data to U.S. jurisdictions.xxx
IAIABC (International Association of Industrial Accident Boards and Commissions)Code = X12 1068Employee Gender CodeMedical StandardsThe IAIABC EDI Medical Standards are used by claims administrators to report workers’ compensation medical bill data to U.S. jurisdictions. These standards are based on the October 2003 X12 standards, referred to as Version 5, Release 1, Sub-release 0 (005010) ©2004 Data Interchange Standards Association, Inc. (DISA) in its capacity as Secretariat to X12xxx
NCPDPCode v.51+GenderCode v.51+xxx
NCPDPCode v.50-GenderCode v.50-xxxx
OMOP Athena view
Saskatchewan eHealthGenderGender: Health Registries use Birth Certificates, Passports, Immigration Documents and the New Born Registry as official gender identifiers.xxx
US Office of Minority Health (OMH)Sex Data StandardThe data standard for sex is male and female. Sex data collection applies to survey participants of all ages.xx
United States Census Bureau 2020Sex asked since 1790A QUESTION ABOUT THE SEX OF EACH PERSON IS USED TO CREATE STATISTICS ABOUT MALES AND FEMALES AND TO PRESENT OTHER DATA BY SEX.Mar-18xx
US 2015 Rule(n) Sex1) Standard. Birth sex must be coded in accordance with HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor (incorporated by reference in § 170.299), attributed as follows:2015x
US 2015 Rule(o) Sexual Orientation and Gender Identity(1) Standard. Sexual orientation must be coded in accordance with, at a minimum, the version of SNOMED CTsupreg; codes specified in paragraph (a)(4) of this section for paragraphs (o)(1)(i) through (iii) of this section and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor (incorporated by reference in § 170.299), for paragraphs (o)(1)(iv) through (vi) of this section, attributed as follows:2015
US 2015 Rule(2) Standard Gender Identity Gender identity must be coded in accordance with, at a minimum, the version of SNOMED CT® codes specified in paragraph (a)(4) of this section for paragraphs (o)(2)(i) through (v) of this section and HL7 Version 3 Standard, Value Sets for AdministrativeGender and NullFlavor (incorporated by reference in § 170.299), for paragraphs (o)(2)(vi) and (vii) of this section, attributed as follows:2015xx
Standards (HL7 v.3)AdministrativeGenderUS ONC Interoperability Standards Advisory (ISA)
The American Clinical Laboratory Association (ACLA)
JAMIA: The PRIDE Study