Comments on: Future of the EHR: Exponential Increase in Storage http://healthsystemcio.com/2010/03/20/future-of-the-ehr-exponential-increase-in-storage-expected/ healthsystemCIO.com is the sole online-only publication dedicated to exclusively and comprehensively serving the information needs of healthcare CIOs. Wed, 08 Feb 2012 15:59:28 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Gerry Higgins http://healthsystemcio.com/2010/03/20/future-of-the-ehr-exponential-increase-in-storage-expected/#comment-308 Gerry Higgins Fri, 26 Mar 2010 12:43:01 +0000 http://healthsystemcio.com/?p=1870#comment-308 DrByte- You have raised some of the most critical, and completely ignored, components of the need for a usable way for the busy physician to understand and implement genomic data. In all its arrogance about funding "translational genomics", the NIH and HHS has put little thought into how to actually present comprehensible genomic data in an EHR or similar HIT application. Clinical Decision Support Systems may provide one solution - see www.warfarindosing.org as an example for accurate determination of Coumidin dose. I suggest that we need more "intersectionalists" like myself (excuse the grandiosity), who have training in bioinformatics/genomics and who actually work in a non-academic hospital clinical IT setting. There are no good ways to represent genomic data in the EHR, although the NIH has funded some small research projects at places like the University of Virginia ('The Genome-Enabled EHR'). DrByte-

You have raised some of the most critical, and completely ignored, components of the need for a usable way for the busy physician to understand and implement genomic data.

In all its arrogance about funding “translational genomics”, the NIH and HHS has put little thought into how to actually present comprehensible genomic data in an EHR or similar HIT application.

Clinical Decision Support Systems may provide one solution – see http://www.warfarindosing.org as an example for accurate determination of Coumidin dose.

I suggest that we need more “intersectionalists” like myself (excuse the grandiosity), who have training in bioinformatics/genomics and who actually work in a non-academic hospital clinical IT setting. There are no good ways to represent genomic data in the EHR, although the NIH has funded some small research projects at places like the University of Virginia (‘The Genome-Enabled EHR’).

]]> By: DrByte http://healthsystemcio.com/2010/03/20/future-of-the-ehr-exponential-increase-in-storage-expected/#comment-306 DrByte Thu, 25 Mar 2010 21:33:21 +0000 http://healthsystemcio.com/?p=1870#comment-306 Enjoyed the article: I see three major factors even more critical than the actual storage of genomic data. 1. How will the data become information for the clinician so a decision can be quickly and accurately made? 2. How will the data be displayed so it can be interpreted by the clinician? A long dissertation on a genetic profile will not be appreciated nor correctly interpreted by healthcare providers? 3. What will be the ontology/codification standards for genomics? Without a well-thought out, comprehensive, rapidly responsive and fluid system, the data will be not retrieval, fully utilized or usable. Enjoyed the article: I see three major factors even more critical than the actual storage of genomic data.
1. How will the data become information for the clinician so a decision can be quickly and accurately made?
2. How will the data be displayed so it can be interpreted by the clinician? A long dissertation on a genetic profile will not be appreciated nor correctly interpreted by healthcare providers?
3. What will be the ontology/codification standards for genomics? Without a well-thought out, comprehensive, rapidly responsive and fluid system, the data will be not retrieval, fully utilized or usable.

]]> By: marcdparadis http://healthsystemcio.com/2010/03/20/future-of-the-ehr-exponential-increase-in-storage-expected/#comment-290 marcdparadis Wed, 24 Mar 2010 17:52:03 +0000 http://healthsystemcio.com/?p=1870#comment-290 Gerry - great post, medical genomics and medical proteomics will definitely have significant impacts on the practice of medicine and on quality of life. A quick postscript, the following companies are working hard to produce affordable whole genome sequencing: Illumina, Complete Genomics, and Pacific Biosciences. AthenaHealth, of course, already has EHR in the cloud and many other EHR vendors will too. Gerry – great post, medical genomics and medical proteomics will definitely have significant impacts on the practice of medicine and on quality of life.
A quick postscript, the following companies are working hard to produce affordable whole genome sequencing: Illumina, Complete Genomics, and Pacific Biosciences. AthenaHealth, of course, already has EHR in the cloud and many other EHR vendors will too.

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