Transgender and Gender Diverse (TGD)

Persons who have a gender identity that differs from the sex that they were assigned at birth, including transgender and gender fluid. In this study, persons who are not sure about their gender identities are included in the term “gender non-binary,” among TGD persons.

Sex and Gender Demographics Fields (Appendix B)

Refers to patient sex information and gender information. In the EHR system studied, sex and gender demographics fields consist of three subfields: (1) sex assigned at birth, (2) legal sex, and (3) gender identity. Sex at birth refers to the sex an individual was assigned at birth. Legal sex refers to the registered or administrative sex. Gender identity refers to an individual’s recorded gender identity. Legal Sex is a required field for patient registration; the other two fields are optional and may be patient-, provider-, or administratively recorded. Field values for each term are detailed in Appendix A.

Sexual Orientation and Gender Identity (SOGI)

An umbrella term that includes EHR-based demographic information related to sexual orientation as well as gender and sex demographics. Sexual orientation is not a required field and is not assumed to be correlated with sex and gender demographics. This study does not examine sexual orientation data.

^*Terminology can be fluid and may vary across patients and change over time. This study used cross-sectional data and therefore reflects a single data point for each participant.