Gaps in patient data have long hindered researchers鈥� ability to quantify the extent of health injustices and disparities. This is attributed to several issues, one of which may be discordance between self-identity and the race and ethnicity labels provided in the minimum federal reporting requirements, determined by the Office of Management and Budget (OMB). Disconnects between the OMB classifications and self-perceptions of race and ethnicity can result in population miscounts and misclassification, particularly among Asian, Black, Latino, and Native American individuals. Further, an increasing number of people in the United States select 鈥渙ther race鈥� or decline to self-identify on the census and other surveys.