Genomic Medicine, Health Information Technology, and Patient Care

BY IN Journal Club, Medical informatics, Viewpoint NO COMMENTS YET , , , ,

In this viewpoint article, Chute and Kohane propose three key criteria that must be met to enable the health care system to address the genomic medicine challenge and ultimately enhance the genomic understanding of medicine to usher in improvements in health care effectiveness by the end of this decade:

  1. the emergence of a coherent, consistent, and uniform naming convention for genomic variants
  2. an authenticated, well-annotated, curated, and freely accessible knowledge base of genomic associations, risks, and warnings in machine-readable form
  3. modular, standards-based decision-support rules that can be integrated into any EHR environment with associated, easily readable documentation and guidance

With successful implementation of these three key criteria, clinical organizations will be able focus on the simpler questions:

  1. whether to use the offered decision-support rules or existing clinical decision support rules on genomic variation for individualized medicine
  2. whether the offered decision-support rules are recommendations or order overrides

Chute CG, Kohane IS (2013). Genomic medicine, health information technology, and patient care. JAMA 309(14):1467-8.

So, what do you think ?