将基因组数据整合到电子健康记录中的实际挑战。
Practical challenges in integrating genomic data into the electronic health record.
机构信息
Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
出版信息
Genet Med. 2013 Oct;15(10):772-8. doi: 10.1038/gim.2013.131. Epub 2013 Sep 26.
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.
摘要
遗传检测对常规临床护理的影响有限。广泛采用电子健康记录为将遗传检测推广到不同的护理环境提供了有希望的手段。将基因组数据整合到电子健康记录中存在一些实际挑战，包括遗传检测结果的大小和复杂性、临床和遗传数据标准的使用不足，以及电子健康记录存储和分析遗传数据的能力有限。相关挑战包括对结果回报的监管要求的解释存在不确定性，以及遗传检测特有的隐私问题。成功整合基因组数据可能需要对现有电子健康记录系统进行重大重新设计。
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