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纳入健康数据标准于实施药物基因组学系统之中:范围性回顾。

The inclusion of health data standards in the implementation of pharmacogenomics systems: a scoping review.

机构信息

Assistant Professor, Department of Pharmacy Practice & Administration, College of Pharmacy, Western University of Health Sciences, 309 E 2nd street, Pomona, CA 91766, USA.

Research Assistant, Department of Pharmacy Practice & Administration, College of Pharmacy, Western University of Health Sciences, Pomona, CA 91766, USA.

出版信息

Pharmacogenomics. 2020 Nov;21(16):1191-1202. doi: 10.2217/pgs-2020-0066. Epub 2020 Oct 30.

Abstract

Despite potential benefits, the practice of incorporating pharmacogenomics (PGx) results in clinical decisions has yet to diffuse widely. In this study, we conducted a review of recent discussions on data standards and interoperability with a focus on sharing PGx test results among health systems. We conducted a literature search for PGx clinical decision support systems between 1 January 2012 and 31 January 2020. Thirty-two out of 727 articles were included for the final review. Nine of the 32 articles mentioned data standards and only four of the 32 articles provided solutions for the lack of interoperability. Although PGx interoperability is essential for widespread implementation, a lack of focus on standardized data creates a formidable challenge for health information exchange. Standardization of PGx data is essential to improve health information exchange and the sharing of PGx results between disparate systems. However, PGx data standards and interoperability are often not addressed in the system-level implementation.

摘要

尽管有潜在的好处,但将药物基因组学(PGx)结果纳入临床决策的实践尚未广泛普及。在这项研究中,我们对最近关于数据标准和互操作性的讨论进行了综述,重点是在卫生系统之间共享 PGx 测试结果。我们对 2012 年 1 月 1 日至 2020 年 1 月 31 日期间的 PGx 临床决策支持系统进行了文献检索。最终综述纳入了 32 篇文章中的 32 篇。在这 32 篇文章中,有 9 篇提到了数据标准,只有 4 篇文章为缺乏互操作性提供了解决方案。尽管 PGx 互操作性对于广泛实施至关重要,但对标准化数据的关注不足给卫生信息交换带来了巨大挑战。PGx 数据的标准化对于改善健康信息交换以及不同系统之间 PGx 结果的共享至关重要。然而,PGx 数据标准和互操作性在系统层面的实施中往往没有得到解决。

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