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Montrealer vows to continue hunger strike for βXβ gender on Quebec health card
(www.winnipegfreepress.com)
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This is actually how it's handled in a lot of electronic medical records. There is a different indicator for sex/gender assigned at birth and current gender. I've not seen a specific indicator for intersex, but I've not encountered an intersex patient so far in my career.
I work in medical IT and see pronouns for patients listed with the patient info (UC Davis). So we are logging that information too.