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Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records

BACKGROUND: Genetic testing is increasingly used as a tool throughout the health care system. In 2011 the number of clinically available genetic tests is approaching 2,000, and wide variation exists between these tests in their sensitivity, specificity, and clinical implications, as well as the pote...

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Autores principales: Darcy, Diana C, Lewis, Eleanor T, Ormond, Kelly E, Clark, David J, Trafton, Jodie A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229457/
https://www.ncbi.nlm.nih.gov/pubmed/22047175
http://dx.doi.org/10.1186/1472-6963-11-294
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author Darcy, Diana C
Lewis, Eleanor T
Ormond, Kelly E
Clark, David J
Trafton, Jodie A
author_facet Darcy, Diana C
Lewis, Eleanor T
Ormond, Kelly E
Clark, David J
Trafton, Jodie A
author_sort Darcy, Diana C
collection PubMed
description BACKGROUND: Genetic testing is increasingly used as a tool throughout the health care system. In 2011 the number of clinically available genetic tests is approaching 2,000, and wide variation exists between these tests in their sensitivity, specificity, and clinical implications, as well as the potential for discrimination based on the results. DISCUSSION: As health care systems increasingly implement electronic medical record systems (EMRs) they must carefully consider how to use information from this wide spectrum of genetic tests, with whom to share information, and how to provide decision support for clinicians to properly interpret the information. Although some characteristics of genetic tests overlap with other medical test results, there are reasons to make genetic test results widely available to health care providers and counterbalancing reasons to restrict access to these test results to honor patient preferences, and avoid distracting or confusing clinicians with irrelevant but complex information. Electronic medical records can facilitate and provide reasonable restrictions on access to genetic test results and deliver education and decision support tools to guide appropriate interpretation and use. SUMMARY: This paper will serve to review some of the key characteristics of genetic tests as they relate to design of access control and decision support of genetic test information in the EMR, emphasizing the clear need for health information technology (HIT) to be part of optimal implementation of genetic medicine, and the importance of understanding key characteristics of genetic tests when designing HIT applications.
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spelling pubmed-32294572011-12-03 Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records Darcy, Diana C Lewis, Eleanor T Ormond, Kelly E Clark, David J Trafton, Jodie A BMC Health Serv Res Debate BACKGROUND: Genetic testing is increasingly used as a tool throughout the health care system. In 2011 the number of clinically available genetic tests is approaching 2,000, and wide variation exists between these tests in their sensitivity, specificity, and clinical implications, as well as the potential for discrimination based on the results. DISCUSSION: As health care systems increasingly implement electronic medical record systems (EMRs) they must carefully consider how to use information from this wide spectrum of genetic tests, with whom to share information, and how to provide decision support for clinicians to properly interpret the information. Although some characteristics of genetic tests overlap with other medical test results, there are reasons to make genetic test results widely available to health care providers and counterbalancing reasons to restrict access to these test results to honor patient preferences, and avoid distracting or confusing clinicians with irrelevant but complex information. Electronic medical records can facilitate and provide reasonable restrictions on access to genetic test results and deliver education and decision support tools to guide appropriate interpretation and use. SUMMARY: This paper will serve to review some of the key characteristics of genetic tests as they relate to design of access control and decision support of genetic test information in the EMR, emphasizing the clear need for health information technology (HIT) to be part of optimal implementation of genetic medicine, and the importance of understanding key characteristics of genetic tests when designing HIT applications. BioMed Central 2011-11-02 /pmc/articles/PMC3229457/ /pubmed/22047175 http://dx.doi.org/10.1186/1472-6963-11-294 Text en Copyright ©2011 Darcy et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Debate
Darcy, Diana C
Lewis, Eleanor T
Ormond, Kelly E
Clark, David J
Trafton, Jodie A
Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title_full Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title_fullStr Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title_full_unstemmed Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title_short Practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
title_sort practical considerations to guide development of access controls and decision support for genetic information in electronic medical records
topic Debate
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3229457/
https://www.ncbi.nlm.nih.gov/pubmed/22047175
http://dx.doi.org/10.1186/1472-6963-11-294
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