RT Book, Section
A1 Kannry, Joseph
A1 Kushniruk, Andre
A1 Denny, Joshua C.
A1 Hoffman, Mark
A1 Levy, Howard
A1 Williams, Marc S.
A2 Murray, Michael F.
A2 Babyatsky, Mark W.
A2 Giovanni, Monica A.
A2 Alkuraya, Fowzan S.
A2 Stewart, Douglas R.
SR Print(0)
ID 1102707694
T1 Effectively Integrating Genomic Clinical Decision Support into the EHR
T2 Clinical Genomics: Practical Applications in Adult Patient Care
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 9780071622448
LK accessmedicine.mhmedical.com/content.aspx?aid=1102707694
RD 2024/04/19
AB This  chapter  will  look  at  the  present  state  and  challenges  of  integrating  genomic  test  results  and  genomic  decision  support  (GDS)  into  an  electronic  health  record  (EHR).  The  fundamental  premise  of  this  chapter  is  that  EHRs  are  becoming  increasingly  prevalent  and  that  any  intervention  that  seeks  to  change  clinical  outcomes  will  have  to  do  so  through  the  EHR.  Where  possible  in  this  chapter,  the  present  state  and  challenges  will  be  compared  and  contrasted  in  commercial  and  internally  developed  EHRs.  Commercial  EHRs  while  significantly  more  prevalent  may  have  initially  less  flexibility  to  accept  genomic  test  results  and  to  provide  GDS  especially  in  the  age  of  regulated  meaningful  use.  The  meaningful  use  of  EHRs  is  defined  by  the  CMS  EHR  incentive  program  funded  through  the  HITECH  acts  as  part  of  the  American  Recovery  and  Reinvestment  Act  of  2009.  For  purposes  of  this  chapter,  we  define  GDS  as  a  form  of  computerized  clinical  decision  support  or  clinical  decision  support  system  (CDSS).  This  chapter  will  also  examine  the  present  state  of  and  challenges  with  usability  in  regards  to  genomic  test  results  and  genomic  CDS.