Current wording Ballot Review Questions Chapters 4 and 7: "#1 In all product families there is debate around use of observations to represent the Gender Harmony concepts. In order to support immediate exchange of Gender Harmony concepts a SOGI profile component using the existing base standard constructs was created that uses a PATIENT_OBSERVATION_GROUP consisting of an Observation (OBX) segment, a Participation (PRT) segment and a Comment (NTE) segment inserted in the respective message structures. It is published here: www.hl7.org/permalink/?SOGIGuidance. This profile is using a different approach from the person specific constructs this document proposes. We are seeking feedback from the community around which solution is more acceptable / implementable / appropriate."

Since we have already implemented the SOGI profile component solution to meet regulatory reporting requirements, we prefer to continue using observations to represent Gender Harmony concepts as opposed to implementing three new segments (GSP, GSR and GSC)