Hoffman M A
Cerner Corporation, 2800 Rockcreek Parkway, Kansas City, MO 64117, USA.
J Biomed Inform. 2007 Feb;40(1):44-6. doi: 10.1016/j.jbi.2006.02.010. Epub 2006 Mar 15.
The integration of patient-specific genomic information into the electronic medical record (EMR) will create many opportunities to improve patient care. Key to the successful incorporation of genomic information into the EMR will be the development of laboratory information systems capable of appropriately formatting molecular diagnostic and cytogenetic findings in the EMR. Due to the lack of granular genomics-related content in existing medical vocabularies, the adoption of new standards for describing clinically significant genomic information will be an important step toward recognizing the genome-enabled EMR. Appropriate capture of patient-specific genomic results in the EMR will generate new opportunities to utilize this information in clinical decision support, including automated response to pharmacogenomic-based risks.
将患者特定的基因组信息整合到电子病历(EMR)中将创造许多改善患者护理的机会。成功将基因组信息纳入EMR的关键在于开发能够在EMR中对分子诊断和细胞遗传学结果进行适当格式化的实验室信息系统。由于现有医学词汇中缺乏详细的基因组学相关内容,采用描述具有临床意义的基因组信息的新标准将是迈向认可基于基因组的EMR的重要一步。在EMR中适当地获取患者特定的基因组结果将为在临床决策支持中利用这些信息创造新机会,包括对基于药物基因组学的风险进行自动响应。