Needing to blur the lines (a little) for clinical and bioinformatics
For those who are not familiar with the NHGRI sponsored Electronic Medical Records and Genomics ( eMERGE ) network, the first 4-year phase is drawing to a close. One of the results from this network, as shown in multiple publications and reports, is the feasibility of using longitudinal data in the EHR for genome-wide association studies (GWAS), and draws out some of the imperfections in those data. That's probably not unexpected, since we know EHRs have room to improve, and really provides results for EHR developers to learn from history and to plan for the future. As phase 1 draws to its conclusion, phase 2 will soon begin. One of the goals as per the RFA of eMERGE II is to evaluate how to incorporate genetic test results into the EHR. While there are invariably many ELSI and organizational issues related to this, it also begs an informatics question: how to best enter and display this type of information in the EHR? Traditionally (or perhaps just fro...