The Electronic Medical Records and Genomics (eMERGE) Network is a National Human Genome Research Institute (NHGRI)–funded consortium which has been developing tools and practices for the utilization of electronic medical records (EMR) and genomic information towards patient healthcare. As collaborative effort between 9 different centers, eMERGE is targeted towards the utilization of phenotypic information to find out causative factors for genetic disorders, pharmacogenomics studies, predisposition of individuals to certain conditions such childhood obesity, autism and the integration of the results genetic studies into EMRs [1].
Any study of such a nature requires that the quality of data found in both the EMR and the genetic repository meet a certain level of uniformity and quality. This can be a challenge for most EMR systems. There is an inherent variation in the EMRs due to different styles of implementation of the EMR systems, difference in data recording styles of different physicians and the variations due to disease requirements for the patients. In addition to these, there is a large amount of medical information captured as free notes. The processing of such information requires natural language processing which is still in the research arena. The area is not mature enough to guarantee uniform and good quality information to facilitate clinical decision support systems [2]. To give good phenotypic information for genetic studies, and integrated EHR needs to have information regarding the mutations present in an individual and also the family history, though the family member may not exhibit the clinical syndrome [2]. Such details however may not be available in most EHR systems today. The size of the genetic data is...
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...aucett, R. Li, T. A. Manolio, et al., "The Electronic Medical Records and Genomics (eMERGE) Network: past, present, and future," Genet Med, vol. 15, pp. 761-71, Oct 2013.
[2] K. Marsolo and S. A. Spooner, "Clinical genomics in the world of the electronic health record," Genet Med, vol. 15, pp. 786-91, Oct 2013.
[3] A. G. Ury, "Storing and interpreting genomic information in widely deployed electronic health record systems," Genet Med, vol. 15, pp. 779-785, 10//print 2013.
[4] J. L. Kannry and M. S. Williams, "Integration of genomics into the electronic health record: mapping terra incognita," Genet Med, vol. 15, pp. 757-760, 10//print 2013.
[5] J. F. Peterson, E. Bowton, J. R. Field, M. Beller, J. Mitchell, J. Schildcrout, et al., "Electronic health record design and implementation for pharmacogenomics: a local perspective," Genet Med, vol. 15, pp. 833-41, Oct 2013.
In conclusion, it is important for nurses to have proper training and information in the area of genetics and genomics so that it can be used in daily clinical practice (Thompson & Brooks, 2011). Using this information with clients and conducting a detailed genetic nursing assessment is a valuable component of being an effective health care provider and can help clients recognize, prevent, and/or treat diseases that are unique to their particular
Versel, N. (2013, November). Taking a close look at electronic health records. Retrieved from http://health.usnews.com/health-news/hospital-of-tomorrow/articles/2013/11/05/taking-a-close-look-at-electronic-health-records
Friedman, D. J., Parrish, G., & Ross, D. A. (2013). Electronic Health Records and US Public Health: Current Realities and Future Promise. American Journal of Public Health, 103(9), 1560-1567
Savel, R. H., & Munro, C. L. (2013, November). Promise and pitfalls of the electronic health
Computers have totally proliferated the world of medicine. They are used to monitor vital signs, to operate artificial hearts and to compile and store medical histories. Though not directly related to our well being, the last use is of utmost importance. Today, the use of medical databases and computer...
Health informatics is best described as the point where information science, medicine, and healthcare all meet. It encompasses the resources, devices, and methods required to optimize the acquisition, storage, retrieval, and the use of information in health and biomedicine. Health informatics incorporates tools such as: computers (hardware and softwar...
Unfortunately, the quality of health care in America is flawed. Information technology (IT) offers the potential to address the industry’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans. The EHR, then, serves as a resource that aids clinicians in decision-making by providing comprehensive patient information.
Electronic Health Record (EHR) is a digital collection of patient health information instead of paper chart that captures data at the point of collection, supports clinical decision-making and integrates data from multiple sources in any care delivery settings. The health record includes patient’s demographics, progress notes, past medical history, vital signs, medications, immunizations, laboratory data and radiology reports. National Alliance for the Health Information Technology defines EHR as, “ an electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more
Structured data should be entered into the EHR for first degree relatives for more than 20% of all the patients.
Miller, R., & Sim, I. (2004). Use of electronic medical records: Barriers and solutions. Retrieved June 29, 2011, from http://content.healthaffairs.org/content/23/2/116.short
National Genome Research Institute. "Genetic Information and the Workplace Report." Genetic Information and the Workplace Report. National Genome Research Institute, 20 Jan. 1998. Web. 28 Apr. 2014.
Wright, A., Henkin, S., Feblowitz, J., McCoy, A., Bates, D., & Sittig, D. (2013). Early results of the meaningful use program for electronic health records. New England Journal of Medicine, 368(8), 779-780. http://dx.doi.org/doi: 10.1056/NEJMc1213481
Our clinical knowledge is expanding. The researcher has first proposed the concept of electronic health record (EHR) to gather and analyze every clinical outcome. By late 1990s computer-based patient record (CPR) replaced with the term EHR (Wager et al., 2009). The process of implementing EHR occurs over a number of years. An electronic record of health-related information on individual conforms interoperability standards can create, manage and consult with the authorized health professionals (Wager et al., 2009). This information technology system electronically gather and store patient data, and supply that information as needed to the healthcare professionals, as well as a caregiver can also access, edit or input new information; this system function as a decision support tools to the health professionals. Every healthcare organization is increasingly aware of the importance of adopting EHR to improve the patient satisfaction, safety, and lowering the medical costs.
The purpose of the Electronic Health Record is to provide a comprehensive, standardized and universal digital version of a patient 's health records. The availability of a patient 's digital health record provides health information and data for critical thinking and evidence based decision-making, aggregates patient data for quality assurance and research. The Electronic Health Record has been, "identified as a strategy for effectively and efficiently coordinating and maintaining documentation of patients health histories and as a secure method of providing more informed clinical decision making" (MNA, 2006).
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