Thanks Janice

Thanks Nicole

Hi Joel,

eHealth Ontario provincial registries and repositories currently capture gender/ sex in varying ways. The variances in data representation essentially reflect the differences in data capture using either administrative gender or administrative sex that already exist in the HL7 standards that they are based on:

HL7 v2 (Administrative Sex): https://www.hl7.org/fhir/v2/0001/index.html
HL7 v3(Administrative Gender): http://hl7.org/fhir/v3/AdministrativeGender/cs.html
HL7 FHIR (Administrative Gender): https://www.hl7.org/fhir/valueset-administrative-gender.html

More detailed information can be found in the EHR data dictionary about the data elements in different data holdings capturing sex/gender in our standards (filter Data Element with keyword = Gender and then keyword = Sex)

https://www.ehealthontario.on.ca/images/uploads/standards_docs/Data_Dictionary.xlsx

Suggest to also assess others as they could be instructive to this project:

How the US Office of the National Coordinator for Health IT (ONC) handles gender identity/patient sex/sexual orientation in their Interoperability Standards Advisory .
https://www.healthit.gov/isa/section-i-vocabularycode-setterminology-standards-and-implementation-specifications

CAMH: Guidelines on sex and gender identity in Mental Health and Addiction Services
http://www.camhx.ca/Publications/Resources_for_Professionals/ARQ2/arq2.pdf

Regards,
Janice

Good afternoon

Currently in Sk Health Registries uses Birth Certificates, Passports, Immigration Documents and the New Born Registry as official gender identifiers. The application used only supports Male, Female and Unknown in the instances where there gender is Unknown. The regional labs also use Other which requires a resolution to Unknown if that truly is the case or if the gender just wasn't entered at order entry.


Thanks
Nicole Jaster
Clinical Informatics Specialist
eHealth Saskatchewan

Hi Joel,

I'm going to leave it with the jurisdictions to reply .

Finnie

Thanks Finnie. Are there any other standards that have been developed by other jurisdictions?