TY  - THES
AB  - Sex and gender are commonly thought to be synonymous, and both are generally classified using the binary categories of male and female. Existing standards applying to electronic health records (EHRs) all use, or until very recently have used, only these two  categories plus “unknown” or “not-specified” with the latter options existing more for irretrievable or absent information than for purposes of documenting a diverse set of possible expected answers.  Evidence is mounting that the binary options may not be adequate for many populations, including but not limited to intersex and transgendered patients. This paper examines the supporting basis for more inclusive and clear gender and sex classifications in EHRs, provides an argument that Meaningful Use Stage 3 should include a requirement for such a classification scheme, and proposes a framework for such requirements that would meet the needs of the affected population, providers, and vendors taking into account the experiences gathered by trailblazing providers and vendors since the IoM report of 2011.
AD  - Oregon Health and Science University
AU  - Moscoe, Gwendolyn
DA  - 2014
DO  - 10.6083/M4HQ3XNJ
DO  - DOI
ED  - Fletcher, Justin
ED  - Advisor
ID  - 2812
KW  - Demography
KW  - Gender Identity
KW  - Electronic Health Records
KW  - Meaningful Use
KW  - Transgender Persons
KW  - transgender people
L1  - https://digitalcollections.ohsu.edu/record/2812/files/3580_etd.pdf
L2  - https://digitalcollections.ohsu.edu/record/2812/files/3580_etd.pdf
L4  - https://digitalcollections.ohsu.edu/record/2812/files/3580_etd.pdf
LK  - https://digitalcollections.ohsu.edu/record/2812/files/3580_etd.pdf
N2  - Sex and gender are commonly thought to be synonymous, and both are generally classified using the binary categories of male and female. Existing standards applying to electronic health records (EHRs) all use, or until very recently have used, only these two  categories plus “unknown” or “not-specified” with the latter options existing more for irretrievable or absent information than for purposes of documenting a diverse set of possible expected answers.  Evidence is mounting that the binary options may not be adequate for many populations, including but not limited to intersex and transgendered patients. This paper examines the supporting basis for more inclusive and clear gender and sex classifications in EHRs, provides an argument that Meaningful Use Stage 3 should include a requirement for such a classification scheme, and proposes a framework for such requirements that would meet the needs of the affected population, providers, and vendors taking into account the experiences gathered by trailblazing providers and vendors since the IoM report of 2011.
PB  - Oregon Health and Science University
PY  - 2014
T1  - Beyond the binary: a proposal for uniform standards for gender identity and more descriptive sex classifications in electronic medical records
TI  - Beyond the binary: a proposal for uniform standards for gender identity and more descriptive sex classifications in electronic medical records
UR  - https://digitalcollections.ohsu.edu/record/2812/files/3580_etd.pdf
Y1  - 2014
ER  -