ONC Update 2025: Patient Demographics

DrChrono has updated how patient information is stored and managed in the DrChrono system to meet new healthcare data standards for USCDI v3 (United States Core Data for Interoperability). The modifications are to ensure compliance with the latest standards and to enhance the overall quality and accuracy of patient information within the DrChrono EHR platform.

Why This Update Matters

Help ensure your patient information is accurately recorded
Allow better information sharing between different healthcare systems
Are required by healthcare regulations that all systems must follow by December 31, 2025

What Has Changed

Users will notice some new or expanded fields for patient information in the system. These changes make it easier to record complete and accurate details about patients.

Let's take a closer look!

Patient Information Section

Requirement	Update
Race field dropdown options	Removed "Decline to Specify" Added "Asked but Unknown" Added "Unknown"
Race sub-category	Dropdown option is available
Ethnicity sub-categories	When a user selects Hispanic or Latino as their ethnicity, the ethnicity subcategory field will only display for users to choose single/multiple options relevant to Hispanic or Latino identities.
Sex field dropdown options	Removed "Declined to Specify" Added "Asked but Declined"
Sex for Clinical Use field This field can be enable via request. (For internal use) Feature flag name is enable_patient_demo_sex	located under the Sex field is not required to enter data single select dropdown menu includes null/blank male female specified unknown
Sexual orientation field	Dropdown menu changes Added "Sexually attracted to neither male nor female sex" Removed "Lesbian or Gay" Added "Homosexual (Lesbian or Gay)" Removed "Choose not to disclose" Added "Asked But Declined"
Gender identity field	Added new dropdown menu options identifies as nonbinary gender identifies as non-conforming gender identifies as female gender identifies as male gender Removed Male-to-Female (MTF)/Transgender Female/Trans Woman option Female-to-Male (FTM)/Transgender Male/Trans Man option Added Male-to-female transsexual Female-to-male transsexual Removed "Choose not to disclose" Added "Asked But Declined"
Pronouns field	located between Sexual Orientation and Race. not required to enter data single select dropdown menu includes default value of null he/him/his/his/himself she/her/her/hers/herself they/them/their/theirs/themselves ze/zir/zir/zirs/zirself xie/hir ("here")/hir/hirs/hirself co/co/cos/cos/coself en/en/ens/ens/enself ey/em/eir/eirs/emself yo/yo/yos/yos/yoself ve/vis/ver/ver/verself
Tribal affiliation field	located between Race and Subcategories field will only display when "American Indian" is selected as the race. tribal affiliations are specific to American Indian only not required to enter data a multi-select field
Suffix field	Added free text field (ie: Sr., Jr., etc.)
Date of death field	Added field
Preferred language	Added field
Previous name	Added field

Care Team Members

Term

Update

Practitioner profile

Name
Identifier (ie: NPI or Nurse ID)
Role
- single select dropdown menu
Location (physical address of the practitioner or organization)
Contact information (phone number or email address)
Status (the current engagement of the care team member)
- single select dropdown menu options include
  - null or blank
  - proposed
  - active
  - suspended
  - inactive
  - entered in error
Reference
- single select dropdown menu options include
  - null or blank
  - patient
  - practitioner
  - related person
  - organization
Related person profile (ie: family, caregivers, guardians, etc.)
- name
- identifier (employee ID or guardian ID)
- role (ie: primary caregiver)
- location (physical address)
- contact information (phone number or email address)
- reference
  - single select dropdown menu options include
    - null or blank
    - patient
    - practitioner
    - related person
    - organization

Learn more about Patient Chart Demographics

Why This Update Matters

What Has Changed

Patient Information Section

Care Team Members

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