A subsea wellhead assembly includes a production tree and a tubing hanger assembly having a tubing hanger and an orientation adapter. A passage is formed through a side wall of the orientation adapter for porting communication from within a main bore of the wellhead assembly. When the tubing hanger assembly lands in the wellhead, a key on the orientation adapter engages a helical profile on an inner surface of the main bore and rotates the orientation adapter so that the passage registers with a passage in the tree. Fluid and electricity communicates through the registered passages. Examples of connectors between the respective passages include spheriseal connectors and electrical wet connects.