Gender Terminology
under review
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Tina Koro (IntakeQ)
Hi All (I'm Tina, new on the Product team for IntakeQ, along with Tyson).
We're working on updating Sex & Gender for our patient profile, and would like your feedback. The purpose is to allow our practitioners to capture Sex for claims & biologically relevant medical purposes, and capture Gender identity for appropriate relational care.
A new "Sex" field will map to claim forms, supporting the accepted values for claims submissions (per current instructions on the CMS-1500): Male, Female, or blank.
The "Gender" field will have the following standard options: Male, Female, and Non-Binary. It will continue to be customizable so that you can additional gender options to suit your patients.
Both of these fields will be "mappable" so that your forms can capture this information & map to the patient profile.
An rough example is attached.
Please chime in with your feedback! Thanks.
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John Connor Barnhart, MD
Tina Koro (IntakeQ) This is fantastic news and will be appreciated by my patients! Wanted to note that male/female are terms usually reserved for biological Sex, while man/woman would be more appropriate binary Gender terms to offer. Non-binary is good to include, as is a “something else” option. There’s a whole lot more gender terms that could be included, but it’s good to know that we’ll be able to customize the list to suit our needs.
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Okichie Davis, LPC, LCPC, ACS, NCC
Tina Koro (IntakeQ)"Female/male" are terms for sex assigned at birth, "woman/man" are terms for gender.
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Tina Koro (IntakeQ)
Okichie Davis, LPC, LCPC, ACS, NCC John Connor Barnhart, MD Thank you so much for your quick responses!! From what I'm seeing as definitions put forth by GLAAD (shown below), man/woman fits well to capture Gender Identity.
GLAAD worked with Facebook to inform their "Gender" options- shown below - which are the Female, Male, Nonbinary, and "more" options we would want to support.
Would it be helpful for your practices to capture Gender as well as Gender Identity? Or one or the other? Alternately, we could use the one, customizable "Gender" field to allow each practices to develop their own categorizations as they see fit, and use the Gender field to capture Gender or Gender Identity :)
Let me know what you think.
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Tina Koro (IntakeQ)
Here's another idea- Instead of "Gender", label the field "Gender Identity", with the following standard options, with the ability to customize more.
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Griffith Jones
Tina Koro (IntakeQ) The majority of my patients identify as queer and I have a significant number of trans identifying patients. For biological sex I think the options of: Male, Female, and Intersex are appropriate. For gender I think male, female, and nonbinary is fine, I also like the idea of the more options tab you highlight above, or a write in option. Thank you for listening!
Mollie Wolf, LMT
Tina Koro (IntakeQ) Having this list as a dropdown gets tricky, as it sort of implies that someone isn't a "real man" or "real woman" if they are transgender, which I'd never want people to have to choose between. For me, the relevant information is actually just pronoun -- I don't actually need to know someone's gender or gender identity (although I'm much more interested in personal identity than in how the world sees them) but I do need to know how to refer to them in the third person. And as someone noted below, it would be great if pronoun could be added to the name at the top of any client record and in their appointments!
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Tina Koro (IntakeQ)
Mollie Wolf, LMT Thanks for your input. For insurance claims and e-prescribing we do need to provide limited options to indicate Sex to align with legally recognized values. For Gender, to your point, we won't include trans as a hard-coded option- but you can continue to customize your own list! We will be rolling out separate fields for Sex and Gender. We will continue looking into adding pronouns to the patient record.
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Elexia Gonazalez Lowe
"Female/male" are terms for sex assigned at birth, "woman/man" are terms for gender. Please include a separation between sex assigned at birth and gender, and in gender, please also include a choose not to share option. And also include the ability to note pronouns. I do like the ability to add gender, I've added nonbinary, transgender and agender...however, it doesn't make sense to have that drop down next to "female/male" as opposed to "woman/man"
Marwin Margolies
Here is how I would love to see this organized:
--a "legal sex" field that can be important for billing, with m, f, non-binary, and a blank option if someone doesnt want it there- these are 3 options that are legally recognized
--gender field with lots of options and also a write your own option
--pronoun field that has some options but also write your own
--pronouns persistently attached to name & visible in all staff-facing areas of chart- notes, appt tiles, anywhere name appears
Carole Rumberger
Marwin Margolies There is a difference between legal sex and sex at birth. It is very important for a medical provider to know a patient's birth sex.
Marwin Margolies
Oh, theres also tons of great gender options the way they have it- I created a custom field for gender, and use the default gender area for "gender marker on insurance card." In my intake forms, it says that instead of just gender, but it populates to the "gender" area. I have the custom gender field populate from client's response on the form which is just a text box to fill in their own, and also a custom field for pronouns.
Tyson Edwards
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Mohammed Joz
There are several issues with Gender (field) ... which needs to remain as male and female for insurance billing and other e-prescribing, however a field "Gender Identity" should be created and the Gender (field) should be changed to "Sex" If using insurance, select the sex on file with the client’s policy. Insurance companies require this information for billing.
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Ryan Christensen
This is most important for me! It is isolating currently for nonbinary folks. thank you
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Ryne Evans
this is an insurance setting. You can create a custom field on the client profile for gender identity.
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Tali Ganir
Check this article, is this helpful?
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David
It would appear that "Gender" as it is in the patients details should be renamed "Sex" and the options should be Male, Female, Intersex.
A second item for "Gender" can then be added.
On my intake form patients choose their sex (male, female, intersex) in one question. A follow-up question then asks for the gender they identify as.
However, what they choose as their sex is incorrectly labeled as "Gender".
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