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Integrating Genomic Data into the Electronic Health Record Lessons Learned

Integrating Genomic Data into the Electronic Health Record Lessons Learned. Nephi Walton MD MS FACMG Genomic Medicine Institute. EHR Genomic Data Integration. Genomic Indicators now available in Epic Evolving functionality – not perfect

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Integrating Genomic Data into the Electronic Health Record Lessons Learned

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  1. Integrating Genomic Data into the Electronic Health RecordLessons Learned • Nephi Walton MD MS FACMG • Genomic Medicine Institute

  2. EHR Genomic Data Integration • Genomic Indicators now available in Epic • Evolving functionality – not perfect • Discrete data viewed very differently from scanned reports • More visible and potentially actionable – bad things happen (Loeys-Dietz) • New type of data – how will physicians react/use the data • Define type of information should be displayed with the variant • Need for “gatekeeper” to vet variants prior to adding • Need for a way to provide context around variants

  3. Infobutton Implementation • Challenges • EHR team gets lots of requests – difficult to get on the radar • A system-wide integration is not a simple process • Who will oversee content • Lack of available content • Lack of understanding of utility • Where will it be deployed for genomics

  4. Infobutton Implementation • Solutions • Employ clinical informatics fellow • Identify individual who will be responsible for content • Demonstrate benefit outside of genetics then apply to genomics • Open Infobutton gives access to more sources • Identify Infobuttoninformation sources

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