The Gender Harmony attributes and value sets do not allow the entire transgender population to be captured from a statistical analysis perspective. In the Canadian context, an individual’s sex at birth may be different than their recorded sex or gender since in some provinces and territories, individuals are able to change their sex on their health card. As such, the recorded sex or gender field can not be reliably used to identify an individual’s sex at birth.

(Comment 35 - imported by: Ron G. Parker)