Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Pathology and Laboratory Medicine, Royal University Hospital, University of Saskatchewan, Saskatchewan Health Authority, Saskatoon, Saskatchewan, Canada.
J Appl Lab Med. 2021 Jan 12;6(1):210-218. doi: 10.1093/jalm/jfaa214.
Providing a positive patient experience for transgender individuals includes making the best care decisions and providing an inclusive care environment in which individuals are welcomed and respected. Over the past decades, introduction of electronic medical record (EMR) systems into healthcare has improved quality of care and patient outcomes through improved communications among care providers and patients and reduced medical errors. Promoting the highest standards of care for the transgender populations requires collecting and documenting detailed information about patient identity, including sex and gender information in both the EMR and laboratory information system (LIS).
As EMR systems are beginning to incorporate sex and gender information to accommodate transgender and gender nonconforming patients, it is important for clinical laboratories to understand the importance and complexity of this endeavor. In this review, we highlight the current progress and gaps in EMR/LIS to capture relevant sex and gender information.
Many EMR and LIS systems have the capability to capture sexual orientation and gender identity (SOGI). Fully integrating SOGI into medical records can be challenging, but is very much needed to provide inclusive care for transgender individuals.
为跨性别者提供积极的患者体验包括做出最佳的护理决策，并提供一个包容的护理环境，让个人受到欢迎和尊重。在过去的几十年中，电子病历（EMR）系统在医疗保健中的引入通过改善护理提供者和患者之间的沟通以及减少医疗错误，提高了护理质量和患者结果。为了提高对跨性别群体的最高护理标准，需要收集和记录有关患者身份的详细信息，包括 EMR 和实验室信息系统（LIS）中的性别和性别信息。
随着 EMR 系统开始纳入性别和性别信息，以适应跨性别和性别不一致的患者，临床实验室了解这一努力的重要性和复杂性非常重要。在这篇综述中，我们强调了 EMR/LIS 中捕获相关性别和性别信息的当前进展和差距。
许多 EMR 和 LIS 系统都有能力捕获性取向和性别认同（SOGI）。将 SOGI 完全整合到医疗记录中可能具有挑战性，但为跨性别者提供包容的护理非常有必要。
