Implementation of a patient-facing genomic test report in the electronic health record using a web-application interface

BMC Medical Informatics and Decision Making
Marc S WilliamsGregory J Moore

Abstract

Genomic medicine is emerging into clinical care. Communication of genetic laboratory results to patients and providers is hampered by the complex technical nature of the laboratory reports. This can lead to confusion and misinterpretation of the results resulting in inappropriate care. Patients usually do not receive a copy of the report leading to further opportunities for miscommunication. To address these problems, interpretive reports were created using input from the intended end users, patients and providers. This paper describes the technical development and deployment of the first patient-facing genomic test report (PGR) within an electronic health record (EHR) ecosystem using a locally developed standards-based web-application interface. A patient-facing genomic test report with a companion provider report was configured for implementation within the EHR using a locally developed software platform, COMPASS™. COMPASS™ is designed to manage secure data exchange, as well as patient and provider access to patient reported data capture and clinical display tools. COMPASS™ is built using a Software as a Service (SaaS) approach which exposes an API that apps can interact with. An authoring tool was developed that allowed crea...Continue Reading

References

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Citations

Oct 23, 2019·Journal of General Internal Medicine·Katrina Armstrong
Sep 12, 2019·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Gabriel RecchiaAlexandra L J Freeman
Mar 28, 2019·Frontiers in Public Health·Belinda L BurnsKristen J Nowak
Sep 4, 2021·Yearbook of Medical Informatics·Peter TaberKensaku Kawamoto
Nov 16, 2021·Frontiers in Genetics·Heidi MarjonenKati Kristiansson

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Methods Mentioned

BETA
exome sequencing

Software Mentioned

OAuth2
AngularJS
GenomeConnect
Net
SQL Server
ONCHIT
OpenNotes
OpenInfobutton
SMART
SimulConsult®

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