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Explore the challenges and solutions in integrating genomic data into electronic health records, including the need for "gatekeepers" to vet variants and implementing Infobutton for better access to information sources.
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Integrating Genomic Data into the Electronic Health RecordLessons Learned • Nephi Walton MD MS FACMG • Genomic Medicine Institute
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
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
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