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  1. V2 Specification Feedback
  2. V2-25506

Update GT1-9 and IN1-43 definitions to align with PID-8 and Gender Harmony

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • V2.x Message Specification (V2)
    • V2.9.1
    • Financial Mgmt
    • Guarantor (GT1)
      Insurance (IN1)
    • Financial Management (Chapter 6)
    • 6.5.5.9, 6.5.6.43
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      The goal of the Gender Harmony updates to the v2 base standard is to not significantly change the definition/usage of the existing fields, so we don't want to change the existing description. Update the descriptions of GT1-9 and IN1-43 appending with the following text:

       

      This field has historically been used to variably exchange both sex and gender values and therefore this field is not clearly defined. This field is expected to continue to be used as it has been in existing implementations and use of this field is subject to local existing interpretation and/or implementation guides. The GSP and GSR segments should be used to exchange more rigorously defined sex or gender concept. 

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      The goal of the Gender Harmony updates to the v2 base standard is to not significantly change the definition/usage of the existing fields, so we don't want to change the existing description. Update the descriptions of GT1-9 and IN1-43 appending with the following text:   This field has historically been used to variably exchange both sex and gender values and therefore this field is not clearly defined. This field is expected to continue to be used as it has been in existing implementations and use of this field is subject to local existing interpretation and/or implementation guides. The GSP and GSR segments should be used to exchange more rigorously defined sex or gender concept. 
    • Chris Cioffi / Chris Johnson: 8-0-0
    • Clarification
    • Non-substantive
    • V2.9.1

      The definitions for GT1-9 (Guarantor Administrative Sex) and IN1-43 (Insured's Administrative Sex) contradict the element names in that they contain the word "gender" instead of "sex". We should update those definitions to clarify how those fields are intended to be used in relation to the other Gender Harmony project related changes in this version, particularly the new GSP, GSR and GSC segments that are defined in Chapter 3 and used in some message structures in Chapter 6. I'm not certain but I think the intention for IN1-43 was to align with the X12 2010C (Subscriber Demographic Information) loop DMG03 (Gender Code) element. So, we should be clear that these fields are intended for financial purposes only and do not indicate anything about the subscriber's or guarantor's clinical sex or gender identity. The FM work group might want to consult with the PA work group to ensure that the revised definitions of GT1-9 and IN1-43 are consistent with any changes they make to the PID-8 definition as part of V2-25410.

      Tagging kathy_walsh, f_hall, and Rongparker in case they would like to comment on this issue.

            RikiM Ulrike Merrick
            nradov Nick Radov
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              Created:
              Updated:
              Resolved: