Applied Bimatics - An Informatics & eHealth Blog

I am a clinician with a passion for informatics. This blog is about my eHealth journey exploring interoperability in Electronic Medical Records (EMR/EHR), Patient Safety, Pharmacovigilance, Data Analytics, Clinical Research and Bioinformatics in a clinical context. Comparing Canadian, Indian and Middle Eastern healthcare systems and services. Join our open facebook group here: https://www.facebook.com/groups/clinical.bioinformaticians/


Genomic Data in Electronic Health Records

Image credit: skeeze @ pixabay.com

Integrating the genomic data into EHR systems has been a long cherished dream for many EHR vendors. However, pulling genomic data into EHR is a complex task because of the volume of genomic data and the difficulty in interpretation. The Institute of Medicine (IOM) has convened a collaborative called DIGITizE under Dr. Sandy Aronson and Dr. John David Nolen to standardize this integration and to study the privacy, security and scalability issues.

One proposed solution is to let the labs store the raw data and exchange the metadata with EHR systems using the emerging HL7’s FHIR standard. A prototyping work attached an FHIR application protocol interface (API) layer to proprietary sequencing platforms and EHRs in order to expose gene variant data for presentation to the end-user. [ 1 ]Representatives from Cerner, Epic, and Allscripts are involved in this collaborative.

EHR & eMERGE Network

The Electronic Medical Records and Genomics (eMERGE) Network is another initiative started in 2007 by National Human Genome Research Institute (NHGRI). The goal was to combine DNA biorepositories with electronic medical record (EMR) systems for large scale, high-throughput genetic research in support of implementing genomic medicine.

The network demonstrated that EMR phenotyping to develop cohorts for genome-wide studies was a robust approach to genetic discovery, defined approaches for enhancing privacy of shared EMR data, and engaged patients and communities in consent and data sharing. The eMERGE aspires to make the results of genomic association studies available to healthcare providers to aid decision making.

References:

1. Alterovitz G, Warner J, Zhang P, Chen Y, Ullman-Cullere M, Kreda D, Kohane IS. SMART on FHIR Genomics: Facilitating standardized clinico-genomic apps. J Am Med  Inform Assoc. 2015 Jul 21. pii: ocv045. doi: 10.1093/jamia/ocv045

Labels: , , ,



Post a Comment

All comments, questions and criticisms welcome. Relevant comments with hyperlinks will be accepted. Though this form is not CommentLuv enabled, interesting and useful comments will be acknowledged with DoFollow links in the body of the post. Irrelevant comments and spam will be deleted.

Links to this post:

Create a Link

<< Home

About Me

As a Dermatologist and Informatician my research mainly involves application of bioinformatics techniques and tools in dermatological conditions. However my research interests are varied and I have publications in areas ranging from artificial intelligence, sequence analysis, systems biology, ontology development, microarray analysis, immunology, computational biology and clinical dermatology. I am also interested in eHealth, Health Informatics and Health Policy.

Address

Bell Raj Eapen
Hamilton, ON
Canada