4.6 Article

A research agenda to support the development and implementation of genomics-based clinical informatics tools and resources

Journal

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/jamia/ocac057

Keywords

genomics; clinical informatics; clinical decision support systems

Funding

  1. National Human Genome Research Institute [U01HG010225-02S1]

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This article introduces the objectives and results of the 13th genomic medicine meeting hosted by the Genomic Medicine Working Group of the National Advisory Council for Human Genome Research. The meeting aimed to develop a research strategy for Genomics-based Clinical Informatics Tools and Resources (GCIT) to improve the detection, treatment, and reporting of genetic disorders in clinical settings. The discussions focused on identifying barriers and gaps in the use of GCIT in genomic medicine and proposing solutions.
Objective The Genomic Medicine Working Group of the National Advisory Council for Human Genome Research virtually hosted its 13th genomic medicine meeting titled Developing a Clinical Genomic Informatics Research Agenda. The meeting's goal was to articulate a research strategy to develop Genomics-based Clinical Informatics Tools and Resources (GCIT) to improve the detection, treatment, and reporting of genetic disorders in clinical settings. Materials and Methods Experts from government agencies, the private sector, and academia in genomic medicine and clinical informatics were invited to address the meeting's goals. Invitees were also asked to complete a survey to assess important considerations needed to develop a genomic-based clinical informatics research strategy. Results Outcomes from the meeting included identifying short-term research needs, such as designing and implementing standards-based interfaces between laboratory information systems and electronic health records, as well as long-term projects, such as identifying and addressing barriers related to the establishment and implementation of genomic data exchange systems that, in turn, the research community could help address. Discussion Discussions centered on identifying gaps and barriers that impede the use of GCIT in genomic medicine. Emergent themes from the meeting included developing an implementation science framework, defining a value proposition for all stakeholders, fostering engagement with patients and partners to develop applications under patient control, promoting the use of relevant clinical workflows in research, and lowering related barriers to regulatory processes. Another key theme was recognizing pervasive biases in data and information systems, algorithms, access, value, and knowledge repositories and identifying ways to resolve them.

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