Clinical Terminology Update: Sexual Orientation, Gender Identity and Expression (SOGIE)

Enhancement updates provide short alerts to new, fixed or improved Connect Care functions...
  • SOGIE Problem List & Diagnosis Terminology
As of February 10, 2022, outdated clinical terminology related to sexual orientation, gender, identity and expression (SOGIE) in Connect Care is modified or replaced in pick-lists. Prescribers will find that these changes better align with the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5).  

Where do the enhancements apply?

Standardized medical terminology is used when entering health conditions in problem lists, identifying the "chief complaint" associated with an encounter and selecting admission, visit or discharge diagnoses. 

What terms have changed?

The following terms have changed. When searching for appropriate terms for problems or diagnoses, older terms will be recognized as synonyms for new terms which will be presented for selection (e.g., prescribers will be able to search for “Transsexualism” or “Gender identity disorder” and be led to “Gender dysphoria”).
  • Sex, gender and orientation identifiers:
    • “Anorgasmia of male” and “Anorgasmia of female” has been replaced by “Anorgasmia”
    • “Male erectile disorder” has been replaced by “Erectile disorder”
    • “Female orgasmic disorder” has been replaced by “Orgasmic disorder”
  • “Gender dysphoria” has replaced the following terms: 
    • “Gender identity disorder”
    • “Transsexualism”
  • The term “reassignment” has been replaced by “confirmation:”
    • “Trans-sexualism, status post gender reassignment surgery” has been removed; users are encouraged to use “Gender dysphoria, status post gender reassignment surgery”

What happens to prior terminology selections?

The changes are not retroactive and so old problem lists and diagnoses will remain as originally entered. However, when problem lists are reviewed and updated (problem list reconciliation), prescribers are provided with an opportunity to substitute equivalent current terms.

More information