RT Book, Section A1 Kannry, Joseph A1 Kushniruk, Andre A1 Denny, Joshua C. A1 Hoffman, Mark A1 Levy, Howard A1 Williams, Marc S. A2 Murray, Michael F. A2 Babyatsky, Mark W. A2 Giovanni, Monica A. A2 Alkuraya, Fowzan S. A2 Stewart, Douglas R. SR Print(0) ID 1102707694 T1 Effectively Integrating Genomic Clinical Decision Support into the EHR T2 Clinical Genomics: Practical Applications in Adult Patient Care YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 9780071622448 LK accessbiomedicalscience.mhmedical.com/content.aspx?aid=1102707694 RD 2024/11/07 AB This chapter will look at the present state and challenges of integrating genomic test results and genomic decision support (GDS) into an electronic health record (EHR). The fundamental premise of this chapter is that EHRs are becoming increasingly prevalent and that any intervention that seeks to change clinical outcomes will have to do so through the EHR. Where possible in this chapter, the present state and challenges will be compared and contrasted in commercial and internally developed EHRs. Commercial EHRs while significantly more prevalent may have initially less flexibility to accept genomic test results and to provide GDS especially in the age of regulated meaningful use. The meaningful use of EHRs is defined by the CMS EHR incentive program funded through the HITECH acts as part of the American Recovery and Reinvestment Act of 2009. For purposes of this chapter, we define GDS as a form of computerized clinical decision support or clinical decision support system (CDSS). This chapter will also examine the present state of and challenges with usability in regards to genomic test results and genomic CDS.