description: The US Core Observation Sexual Orientation Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to refer to it for scope and usage definitions. This profile meets the requirements of the U.S. Core Data for Interoperability (USCDI) *Sexual Orientation* Data Element. It sets minimum expectations for the Observation resource to record, search, and fetch sexual orientation observations associated with a patient. It specifies which core elements, extensions,  vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreObservationSexualOrientationProfile
type: Observation
elements:
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 5}
  status:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/observation-status'}
    mustSupport: true
    index: 0
  effective:
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant]
    index: 4
  code:
    short: Sexual Orientation
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 76690-7, system: 'http://loinc.org'}
    index: 1
  effectiveTiming: {type: Timing, mustSupport: true, choiceOf: effective, index: 7}
  valueCodeableConcept:
    short: Sexual Orientation
    binding: {strength: extensible, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1240.11'}
    mustSupport: true
    index: 10
  effectiveInstant: {type: instant, mustSupport: true, choiceOf: effective, index: 8}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 2
  performer:
    type: Reference
    short: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Who is responsible for the observation'
    refers: ['http://hl7.org/fhir/StructureDefinition/PractitionerRole', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-careteam', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson']
    index: 9
  effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 6}
package_version: 8.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sexual-orientation
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 8.0.0-ballot
required: [subject]