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Strategies for Effectively Documenting Sexual Orientation and Gender Identity in Electronic Health Record
Julia Frangella1, Carlos Otero1, Daniel Luna1
1Health Informatics Department, Hospital Italiano de Buenos Aires. C.A.B.A. Argentina.
Abstract:
In this communication we identify strategies for effectively documenting Sexual Orientation and Gender Identity in Electronic Health Records. For this review a multidisciplinary group composed by three physicians, a nurse, an engineer and a lawyer analyzed the evidence in bibliography related to the topic and summarized the results. After analyzing the information, we summarized and classified them into three major topics: To request, to store and to display and access to the information. How to standardize those data and where data specifically will be populated in EHRs have not been answered yet. The target of all of these efforts should be: to be sensitive with the needs of the patient and to ensure high quality of care.
Related Concept Videos
Methods of Documentation I: Source-Oriented Records
In an SOR, each discipline involved in patient care maintains a separate medical record section. This record-keeping method enables easy tracking of patient progress and ensures healthcare staff have access to up-to-date information.
Key Attributes include the following:
Purpose of Health Records I
Here's a breakdown of how health records serve these purposes:
Purpose of Health Records II
Data Reporting and Recording
Trigonometric Identities II
Personal Identity

