this is a tricky topic and has considerable sensitivities by those involved.
Don't touch the administrative sex as there are established process for dealing with this and any changes will likely affect Medicare billing and a host of other standard interfaces.
Need to look at the clinical notes to see the detail about transitioning etc and specific patient details.
Vince is not aware of Gender identification being implemented in any systems.
It was noted that the current systems for handling Gender identification were not as good as they could be.
Medical Objects Feedback (Anthony Cruice):
1) accept disposition of PV1-9 having a value in an example.
changes made to table "PV1 Patient Visit" during meeting, including:
change "†††" comment ie added "if used internally it becomes optional".
Jared to change examples by valuing them.
Jared changed the text on-line with text similar to the following - "Field is required for addressing when messages are to be sent by a messaging service. Filed is optional when message is used internally."
In table PV1 and the row PV1-9 the optionality from "R" (required) to "C" (conditional).
Changed the comment in the row PV1-9 by removing "when in Australia" text.
Medical Objects (Jared Davison):
mainly formatting
Jared to show changes at the next meeting after he's made the changes.
David McKillop:
mainly formatting and updating of METeOR codes; hence Jared will review these and report back to committee at the next meeting.
Oridashi (Brett Esler):
1) Section 3.4.7.8 IAM-8:
IAM-7 should be IAM-6 which is an error in the international standard. Good pick up Brett. Accepted.
ORC-12: Changes made on-line during meeting.
Vince McCauley:
Changes were done on-line during meeting
To do: look at 2nd last of Vince's items (PID-23) which is work for a working group; PID-23 text or code and potential have on list with other groups.
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