Practical challenges in integrating genomic data into the electronic health record
- PMID: 24071798
- PMCID: PMC4201621
- DOI: 10.1038/gim.2013.131
Practical challenges in integrating genomic data into the electronic health record
Abstract
Genetic testing has had limited impact on routine clinical care. Widespread adoption of electronic health records presents a promising means of disseminating genetic testing into diverse care settings. Practical challenges to integration of genomic data into electronic health records include size and complexity of genetic test results, inadequate use of standards for clinical and genetic data, and limitations in electronic health record capacity to store and analyze genetic data. Related challenges include uncertainty in the interpretation of regulatory requirements for return of results, and privacy concerns specific to genetic testing. Successful integration of genomic data may require significant redesign of existing electronic health record systems.
Conflict of interest statement
DISCLOSURE
The authors declare no conflict of interest.
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References
-
- Hsiao CJ, Hing E. Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001–2012. NCHS Data Brief. 2012;111:1–8. - PubMed
-
- Murdoch TB, Detsky AS. The inevitable application of big data to health care. JAMA. 2013;309:1351–1352. - PubMed
-
- Blumenthal D, Tavenner M. The “meaningful use” regulation for electronic health records. N Engl J Med. 2010;363:501–504. - PubMed
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