Evidence map›Paper›PMID 34230635›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

A qualitative study of prevalent laboratory information systems and data communication patterns for genetic test reporting.

Aly Khalifa, Clinton C Mason, Jennifer Hornung Garvin, Marc S Williams, Guilherme Del Fiol, Brian R Jackson, Steven B Bleyl, Stanley M Huff

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Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

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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

8 authors.

Aly KhalifaDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, USA. aly.khalifa@utah.edu.ORCID http://orcid.org/0000-0002-7084-1345
Clinton C MasonDepartment of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Jennifer Hornung GarvinDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Marc S WilliamsGenomic Medicine Institute, Geisinger, Danville, PA, USA.
Guilherme Del FiolDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Brian R JacksonDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Steven B BleylDepartment of Pediatrics, School of Medicine, University of Utah, Salt Lake City, UT, USA.
Stanley M HuffDepartment of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe availability of genetic test data within the electronic health record (EHR) is a pillar of the US vision for an interoperable health IT infrastructure and a learning health system. Although EHRs have been highly investigated, evaluation of the information systems used by the genetic labs has received less attention-but is necessary for achieving optimal interoperability. This study aimed to characterize how US genetic testing labs handle their information processing tasks.

methodsWe followed a qualitative research method that included interviewing lab representatives and a panel discussion to characterize the information flow models.

resultsTen labs participated in the study. We identified three generic lab system models and their relevant characteristics: a backbone system with additional specialized systems for interpreting genetic results, a brokering system that handles housekeeping and communication, and a single primary system for results interpretation and report generation.

conclusionLabs have heterogeneous workflows and generally have a low adoption of standards when sending genetic test reports back to EHRs. Core interpretations are often delivered as free text, limiting their computational availability for clinical decision support tools. Increased provision of genetic test data in discrete and standard-based formats by labs will benefit individual and public health.

Indexed as

Clinical Laboratory Information SystemsCommunicationElectronic Health RecordsGenetic TestingHumansQualitative Research

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Registered trials

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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.