A Model Information Management Plan for Molecular Pathology Sequence Data Using Standards: From Sequencer to Electronic Health Record

Walter S. Campbell, Alexis B. Carter, Allison M. Cushman-Vokoun, Timothy C. Greiner, Rajesh C. Dash, Mark Routbort, Monica E. de Baca, James R. Campbell

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Incorporating genetic variant data into the electronic health record (EHR) in discrete computable fashion has vexed the informatics community for years. Genetic sequence test results are typically communicated by the molecular laboratory and stored in the EHR as textual documents. Although text documents are useful for human readability and initial use, they are not conducive for data retrieval and reuse. As a result, clinicians often struggle to find historical gene sequence results on a series of oncology patients within the EHR that might influence the care of the current patient. Second, identification of patients with specific mutation results in the EHR who are now eligible for new and/or changing therapy is not easily accomplished. Third, the molecular laboratory is challenged to monitor its sequencing processes for nonrandom process variation and other quality metrics. A novel approach to address each of these issues is presented and demonstrated. The authors use standard Health Level 7 laboratory result message formats in conjunction with international standards, Systematized Nomenclature of Medicine Clinical Terms and Human Genome Variant Society nomenclature, to represent, communicate, and store discrete gene sequence data within the EHR in a scalable fashion. This information management plan enables the support of the clinician at the point of care, enhances population management, and facilitates audits for maintaining laboratory quality.

Original languageEnglish (US)
Pages (from-to)408-417
Number of pages10
JournalJournal of Molecular Diagnostics
Volume21
Issue number3
DOIs
StatePublished - May 2019

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Molecular Sequence Data
Information Management
Molecular Pathology
Electronic Health Records
Health Level Seven
Management Audit
Systematized Nomenclature of Medicine
Point-of-Care Systems
Informatics
Information Storage and Retrieval
Human Genome
Terminology
Genes
Patient Care
Mutation
Population

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Molecular Medicine

Cite this

A Model Information Management Plan for Molecular Pathology Sequence Data Using Standards : From Sequencer to Electronic Health Record. / Campbell, Walter S.; Carter, Alexis B.; Cushman-Vokoun, Allison M.; Greiner, Timothy C.; Dash, Rajesh C.; Routbort, Mark; de Baca, Monica E.; Campbell, James R.

In: Journal of Molecular Diagnostics, Vol. 21, No. 3, 05.2019, p. 408-417.

Research output: Contribution to journalArticle

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