Mitchell Joyce A
University of Missouri-Columbia, Columbia, MO 65211, USA.
Stud Health Technol Inform. 2004;106:63-74.
The Human Genome Project (HGP) and e-Health are two fundamental changes that will alter the way we approach human health and life. These two scientific and societal forces will inevitably impact each other. This paper not only explores the ways that the HGP will change health care but also investigates the ways that e-Health systems will be influenced by the genomic data. The Electronic Medical Record (EMR) is discussed at length, including the probable impact on the laboratory, pharmacy, computerized provider order entry (CPOE), and other components. Thirteen points of a possible genomic future involving the EMR are presented. The genomic impact on other e-Health systems includes those at all levels of data: population, disease, patient, tissue and organ banks, cellular and for specific genes. The genomic impact on consumer health systems is explored, including Internet consumer information resources and the movement for direct-to-consumer genetic testing. The paper concludes that technology and trends of e-Health will enable the upcoming revolution caused by the health implications of the research emanating from the Human Genome Project.
人类基因组计划（HGP）和电子健康是将改变我们对待人类健康和生活方式的两项根本性变革。这两种科学和社会力量将不可避免地相互影响。本文不仅探讨了人类基因组计划改变医疗保健的方式，还研究了电子健康系统将如何受到基因组数据的影响。文中详细讨论了电子病历（EMR），包括其对实验室、药房、计算机化医嘱录入（CPOE）及其他组件可能产生的影响。本文提出了涉及电子病历的基因组未来的十三个要点。基因组对其他电子健康系统的影响涵盖了各个数据层面：人群、疾病、患者、组织和器官库、细胞以及特定基因。文中还探讨了基因组对消费者健康系统的影响，包括互联网消费者信息资源以及直接面向消费者的基因检测趋势。本文的结论是，电子健康的技术和趋势将推动由人类基因组计划研究的健康影响所引发的即将到来的革命。
