Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California 94114, USA.
J Am Med Inform Assoc. 2013 Jul-Aug;20(4):700-3. doi: 10.1136/amiajnl-2012-001472. Epub 2013 Apr 30.
Transgender patients have particular needs with respect to demographic information and health records; specifically, transgender patients may have a chosen name and gender identity that differs from their current legally designated name and sex. Additionally, sex-specific health information, for example, a man with a cervix or a woman with a prostate, requires special attention in electronic health record (EHR) systems. The World Professional Association for Transgender Health (WPATH) is an international multidisciplinary professional association that publishes recognized standards for the care of transgender and gender variant persons. In September 2011, the WPATH Executive Committee convened an Electronic Medical Records Working Group comprised of both expert clinicians and medical information technology specialists, to make recommendations for developers, vendors, and users of EHR systems with respect to transgender patients. These recommendations and supporting rationale are presented here.
跨性别患者在人口统计信息和健康记录方面有特殊需求;具体而言,跨性别患者可能有一个不同于其当前法定姓名和性别的选定姓名和性别认同。此外,特定于性别的健康信息,例如,有子宫颈的男性或有前列腺的女性,在电子健康记录 (EHR) 系统中需要特别注意。世界跨性别健康专业协会 (WPATH) 是一个国际性的多学科专业协会,发布了针对跨性别和性别多样化人群护理的公认标准。2011 年 9 月,WPATH 执行委员会召集了一个电子病历工作组,由经验丰富的临床医生和医疗信息技术专家组成,就跨性别患者向电子病历系统的开发者、供应商和用户提出建议。这里介绍了这些建议和支持理由。