Utilization of electronic health record sex and gender demographic fields: a metadata and mixed methods analysis.

ABSTRACT:

Objectives

Despite federally mandated collection of sex and gender demographics in the electronic health record (EHR), longitudinal assessments are lacking. We assessed sex and gender demographic field utilization using EHR metadata.

Materials and methods

Patients ≥18 years of age in the Mass General Brigham health system with a first Legal Sex entry (registration requirement) between January 8, 2018 and January 1, 2022 were included in this retrospective study. Metadata for all sex and gender fields (Legal Sex, Sex Assigned at Birth [SAAB], Gender Identity) were quantified by completion rates, user types, and longitudinal change. A nested qualitative study of providers from specialties with high and low field use identified themes related to utilization.

Results

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SUBMITTER: Foer D 

PROVIDER: S-EPMC10990507 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature