Published in:
01-12-2020 | Concise Research Report
Challenges with Accuracy of Gender Fields in Identifying Transgender Patients in Electronic Health Records
Authors:
Dinah Foer, MD, David M. Rubins, MD, MS, Anthony Almazan, BA, Kit Chan, MD, David W. Bates, MD, Ole-Petter R. Hamnvik, MBBChBAO, MMSc, MRCPI
Published in:
Journal of General Internal Medicine
|
Issue 12/2020
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Excerpt
Healthcare institutions must now demonstrate that their electronic health record (EHR) has the capacity to collect gender identity data
1, and gender-related demographic fields are promoted as best practice for implementation
2,
3. However, the utility of gender identity fields in retrospectively identifying transgender patients, which is important for clinical care as well as population health management, remains unknown. This represents a critical first step in closing the gender identity gap in healthcare. In this study, we assessed the accuracy of gender identity fields in the EHR by comparing their accuracy with keyword search or problem list diagnoses, which have previously been used to identify transgender patients in the absence of gender identity fields
4,
5. …