Gender Mismatch
These topics describe the Gender Mismatch alert.
Purpose
To identify concepts within a radiology procedure report that do not align with the patient sex given in the report header/demographics.
Details
The natural language processing (NLP) identifies male and female concepts in the procedure report and compares them with the value (M or F) in the administrativeGender field (part of the report metadata that are contained in the CDA document).
Reports that include documentation of the patient as transgender, or undergoing or having had gender reassignment procedure(s), are excluded from this alert.
For these Assist alerts to fire, customer exam descriptions must include the following:
Modality and/or number of views
Laterality
Body part
For example: US ABDOMEN COMPLETE or XR ABDOMEN 3 VIEWS
Modalities, exams, and sections
The NLP reasons over specific modalities, exams, and/or report sections for each individual alert, and for some alerts, certain types are deliberately excluded in order to prevent false positive alerts. A summary of the inclusions and exclusions for the gender mismatch alert are provided below.
Included | Excluded | |
|---|---|---|
Modalities | All | - |
Exam types | All except fetal Only exams that include the abdomen and pelvis | Fetal US exams Fetal exams, as well as non-fetal exams restricted to the head, neck, chest, and/or extremities |
Report sections | Indications Findings |
|
Impression Recommendations | 3. Comparison |
*If an original report is signed with an unresolved gender mismatch alert and an addendum is create from that report, a gender mismatch will not appear when an addendum is created, UNLESS a new gender mismatch is in the newly created addendum or the original report is copied into the addendum. Due to the number of false positive alerts that result from addenda, the Addendum section was removed from the NLP reasoning for the gender mismatch alert.
Body structures
The male and female body structures included in the reasoning are given below.
Included | Excluded | |
|---|---|---|
Female structures | Cervix** Clitoris Endometrium Fallopian tubes Labia Myometrium Ovary Uterus Vagina Vulva | -- |
Male Structures | Epididymis Penis Prostate Seminal vesicle Scrotum Testes Vas deferens |
**Note that the female concept, cervix, has restricions based on exam types included in the NLP reasoning (See section named "modalites, exams, and sections" above).
Examples for testing
The following examples are provided to help you test the Assist alerts in FFI. The dictation phrases are for demonstration purposes only and may not be clinically accurate.
Issue being tested | Patient sex | exam type | Report section | Dictation phrase | Expected Assist Alert |
|---|---|---|---|---|---|
Male anatomical concept on female patient | Female | CT Abdomen/Pelvis | Findings | The prostate appears normal in size and contour. | Gender mismatch - prostate |
Female anatomical concept on male patient | Male | CT Abdomen/Pelvis | Findings | There is a two-centimeter mass on the left ovary. | Gender mismatch - ovary |