Evidence map›Paper›PMID 31737042›Full record

ArticleFrontiers in genetics2019

Genomic Information for Clinicians in the Electronic Health Record: Lessons Learned From the Clinical Genome Resource Project and the Electronic Medical Records and Genomics Network.

Marc S Williams, Casey Overby Taylor, Nephi A Walton, Scott R Goehringer, Samuel Aronson, Robert R Freimuth, Luke V Rasmussen, Eric S Hall, Cynthia A Prows, Wendy K Chung and 7 more

Abstract read
In one paragraph

Article in Frontiers in genetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Genetically guided precision medicine clinical decision support tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
  3. Effect of genetics clinical decision support tools on health-care providers' decision making: a mixed-methods systematic review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Pooled it
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  16. Data Challenges for Externally Controlled Trials: Viewpoint.Journal of medical Internet research · 2023
    Article
  17. Article
  18. Introducing HL7 FHIR Genomics Operations: a developer-friendly approach to genomics-EHR integration.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Marc S WilliamsGenomic Medicine Institute, Geisinger, Danville, PA, United States.
Casey Overby TaylorGenomic Medicine Institute, Geisinger, Danville, PA, United States.
Nephi A WaltonGenomic Medicine Institute, Geisinger, Danville, PA, United States.
Scott R GoehringerGenomic Medicine Institute, Geisinger, Danville, PA, United States.
Samuel AronsonPartners HealthCare, Boston, MA, United States.
Robert R FreimuthDepartment of Health Sciences Research, Mayo Clinic, Rochester, MN, United States.
Luke V RasmussenDepartment of Preventive Medicine, Northwestern University, Chicago, IL, United States.
Eric S HallDepartment of Pediatrics, University of Cincinnati College of Medicine, and Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Cynthia A ProwsDivisions of Human Genetics and Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Wendy K ChungDepartments of Pediatrics and Medicine, Columbia University, New York, NY, United States.
Alexander FedotovIrving Institute for Clinical and Translational Research, Columbia University, New York, NY, United States.
Jordan NestorDepartment of Medicine, Division of Nephrology, Columbia University, New York, NY, United States.
Chunhua WengDepartment of Biomedical Informatics, Columbia University, New York, NY, United States.
Robb K RowleyNational Human Genome Research Institute, Bethesda, MD, United States.
Georgia L WiesnerDivision of Genetic Medicine, Department of Internal Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Gail P JarvikDepartments of Medicine (Medical Genetics) and Genome Sciences, University of Washington, Seattle, WA, United States.
Guilherme Del FiolDepartment of Biomedical Informatics, University of Utah, Salt Lake City, UT, United States.

Funding

The Clinical Genome Resource - Expert Curation and EHR IntegrationU41HG009650 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BERG, JONATHAN S · 2017 to 2020
$13.3M
NRSA Training CoreTL1TR001875 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N, TAYLOR, JACQUELYN Y · 2016 to 2025
$8.9M
Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
NCATS NIH HHS TL1 TR001875NHGRI NIH HHS U01 HG008666NHGRI NIH HHS U41 HG009650
6 · The paper itself

Abstract

Genomic knowledge is being translated into clinical care. To fully realize the value, it is critical to place credible information in the hands of clinicians in time to support clinical decision making. The electronic health record is an essential component of clinician workflow. Utilizing the electronic health record to present information to support the use of genomic medicine in clinical care to improve outcomes represents a tremendous opportunity. However, there are numerous barriers that prevent the effective use of the electronic health record for this purpose. The electronic health record working groups of the Electronic Medical Records and Genomics (eMERGE) Network and the Clinical Genome Resource (ClinGen) project, along with other groups, have been defining these barriers, to allow the development of solutions that can be tested using implementation pilots. In this paper, we present "lessons learned" from these efforts to inform future efforts leading to the development of effective and sustainable solutions that will support the realization of genomic medicine.

Indexed as

clinical decision supporteducationelectronic health recordgenomicsimplementationinfobuttoninteroperabilityknowledge synthesis

Identifiers

PMID31737042
PMCPMC6830110

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.