Practical challenges in integrating genomic data into the electronic health record

Genetics in Medicine

(2013)

doi:10.1038/gim.2013.131

Received: 24 April 2013
Accepted: 18 July 2013
Published online: 26 September 2013

Abstract

Genetic testing has had limited impact on routine clinical care. Widespread adoption of electronic health records presents a promising means of disseminating genetic testing into diverse care settings. Practical challenges to integration of genomic data into electronic health records include size and complexity of genetic test results, inadequate use of standards for clinical and genetic data, and limitations in electronic health record capacity to store and analyze genetic data. Related challenges include uncertainty in the interpretation of regulatory requirements for return of results, and privacy concerns specific to genetic testing. Successful integration of genomic data may require significant redesign of existing electronic health record systems.
Genet Med advance online publication 26 September 2013