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My organisation bought a new electronic health record from the biggest EHR company and there's something really cool that is totally different from the half dozen systems I've used before: there are multiple sex and gender fields so the medical record can accurately show the patient's preferred name, correct pronoun, medical-care relevant, and organ-specific information. So if I understand right, front end staff will just see correct pronoun. Medical providers can see a flag indicating trans.

@Latkes omg. This has been such a huge problem for us, despite having a fancy gender clinic we can't seem to get it right w/ front office staff in the rest of the hospital. We are transitioning in the next couple years to be 100% Epic (right now we schedule & bill w/ Epic but use Cerner for the actual medical stuff) so maybe we can actually fix it!

Felix @Latkes

@mcmoots For this (and some other) issues I'm pretty sold on the idea that the structure of the chart can serve as a sort of authority that models appropriate behavior for the staff and providers