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Sex - Cal-PM SOGI Enhancement

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As part of the SOGI Enhancements, the California User Group (CAUG) requested updates for how to capture a client’s Sex with a specific request to inactivate the options:

  • Transgender (F to M) 
  • Transgender (M to F)

This allows organizations the ability to more accurately collect Sex as either Sex assigned at birth or legal Sex definitions.

► Before/ After Examples
‘Sex’ Field Before Enhancements

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‘Sex’ Field After Enhancements

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The existing dictionary Sex dictionary was updated so that the Transgender values are inactive.

  • Dictionary File: Client
  • Data Element: 3 (Locked)
  • Description: Sex

 

Code Value Status
F Female Active
FTM Transgender (F to M) Inactive
M Male Active
MTF Transgender (M to F) Inactive
U Unknown Registry Setting Hide Unknown in Gender

O

 Other Registry Setting Hide Other in Gender
 
Sex Extended Dictionary Elements

The following dictionaries are extended elements from the Sex field. No changes have been made to these Extended Dictionary Elements as part of this product update. Since the Sex field will keep or convert all values, the Extended Dictionary Elements will inherit the existing mappings for M, F, U or O.

  • OSHPD Sex
  • Gender (837 Professional / Institutional)
  • Cal-OMS Gender
  • CSI Gender
  • Hl7 Administrative Gender Value Set
Women’s Health History

The Women’s Health History form and the Client Pregnancy section within Cost Reporting Data Maintenance have been updated to only validate and allow for an entry if the Client Sex is Female. Prior to installing this product update, the Client Sex of Transgender Female to Male would also allow entries into these forms.

Conversion

Upon installation of Avatar Cal-PM 2022 Update 80, a conversion of existing demographic data will occur. The purpose of this conversion was to leverage existing information to populate the Sex field if the previously selected code was inactivated.

  • If client’s Sex field was set to Transgender (M to F) (MTF) prior to this update installation, the Sex field will be populated to Male (M).
  • If client’s Sex field was set to Transgender (F to M) (FTM) prior to this update installation, the Sex field will be populated to Female (F).