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We are reviewing our practice with samples received from patients with gender reassignment, which particularly affects the reference ranges.   Are you aware of any national guidance about this? What do you do?
Theoretical solutions are to select the gender at the point of request and leave the responsibility to the requester, which is the easiest solution but would cause chaos in the records;  or to set an alert for them in the Pathology system;  or to keep a record of patients as long as they give consent, but this would be complex to implement.

Thank you
Javier

Dr J Gomez
Consultant Chemical Pathologist
Head of the Biochemistry and Immunology Department EPA
Eastern Pathology Alliance

NNUH ex. 2927 | tel. 01603 286927 | bleep 0961
PA Biochemistry: Julie Kahler - ex. 3427 | tel. 01603 287427 | [log in to unmask]<mailto:[log in to unmask]>
Secretary Clinics: Paula Holmes - tel. 01603 288170 | [log in to unmask]<mailto:[log in to unmask]>


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