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Pragmatic and Ethical Challenges of Incorporating the Genome into the Electronic Medical Record.


ABSTRACT: Recent successes in the use of gene sequencing for patient care highlight the potential of genomic medicine. For genomics to become a part of usual care, pertinent elements of a patient's genomic test must be communicated to the most appropriate care providers. Electronic medical records may serve as a useful tool for storing and disseminating genomic data. Yet, the structure of existing EMRs and the nature of genomic data pose a number of pragmatic and ethical challenges in their integration. Through a review of the recent genome-EMR integration literature, we explore concrete examples of these challenges, categorized under four key questions: What data will we store? How will we store it? How will we use it? How will we protect it? We conclude that genome-EMR integration requires a rigorous, multi-faceted and interdisciplinary approach of study. Problems facing the field are numerous, but few are intractable.

SUBMITTER: Nishimura AA 

PROVIDER: S-EPMC4489153 | biostudies-literature | 2014 Dec

REPOSITORIES: biostudies-literature

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Pragmatic and Ethical Challenges of Incorporating the Genome into the Electronic Medical Record.

Nishimura Adam A AA   Tarczy-Hornoch Peter P   Shirts Brian H BH  

Current genetic medicine reports 20141201 4


Recent successes in the use of gene sequencing for patient care highlight the potential of genomic medicine. For genomics to become a part of usual care, pertinent elements of a patient's genomic test must be communicated to the most appropriate care providers. Electronic medical records may serve as a useful tool for storing and disseminating genomic data. Yet, the structure of existing EMRs and the nature of genomic data pose a number of pragmatic and ethical challenges in their integration. T  ...[more]

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