Mehta, ShivaniWaad, AlexBrooks, MadelineSiegel, Scott D.2022-08-032022-08-032022-04-22Mehta S, Waad A, Brooks M, Siegel SD (2022) ‘‘I think there’s only two fields for that’’: Hospital registrar attitudes andpractices for collecting patient gender identity data,Transgender HealthX:X, 1–4, DOI: 10.1089/trgh.2021.0083.2380-193Xhttps://udspace.udel.edu/handle/19716/31158This is the accepted version of the following article: Mehta S, Waad A, Brooks M, Siegel SD (2022) “I think there's only two fields for that”: Hospital registrar attitudes and practices for collecting patient gender identity data, Transgender Health X:X, 1–4, DOI: 10.1089/trgh.2021.0083, which has now been formally published in final form at Transgender Health at https://doi.org/10.1089/trgh.2021.0083. This original submission version of the article may be used for non-commercial purposes in accordance with the Mary Ann Liebert, Inc., publishers’ self-archiving terms and conditions. This article will be embargoed until 04/22/2023.Purpose: This study aimed to understand the experiences of hospital registrars in collecting gender identity data. Methods: A qualitative study that thematically analyzed key informant interviews with 37 registrars regarding their attitudes and practices in collecting gender identity data. Results: Collection of gender identity is influenced by (1) system-level barriers, (2) discrepancies in source of truth for documentation, and (3) registrars' underlying attitudes and behaviors. Conclusions: Findings demonstrate that person- and system-level barriers can interfere with the accurate and respectful collection of gender identity data, which is critical for tracking and addressing lesbian, gay, bisexual, transgender, and queer health disparities.en-USattitudeselectronic health recordgender identityqualitativeArticle