Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams
With increasing patient interest in and access to pharmacogenomic testing, clinicians practicing in primary care are more likely than ever to encounter a patient seeking or presenting with pharmacogenomic test results. Gene-based prescribing recommendations are available to healthcare providers thro...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Personalized Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4426/11/12/1296 |
| _version_ | 1797503150310031360 |
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| author | Roseann S. Gammal Lucas A. Berenbrok Philip E. Empey Mylynda B. Massart |
| author_facet | Roseann S. Gammal Lucas A. Berenbrok Philip E. Empey Mylynda B. Massart |
| author_sort | Roseann S. Gammal |
| collection | DOAJ |
| description | With increasing patient interest in and access to pharmacogenomic testing, clinicians practicing in primary care are more likely than ever to encounter a patient seeking or presenting with pharmacogenomic test results. Gene-based prescribing recommendations are available to healthcare providers through Food and Drug Administration-approved drug labeling and Clinical Pharmacogenetics Implementation Consortium guidelines. Given the lifelong utility of pharmacogenomic test results to optimize pharmacotherapy for commonly prescribed medications, appropriate documentation of these results in a patient’s electronic health record (EHR) is essential. The current “gold standard” for pharmacogenomics implementation includes entering pharmacogenomic test results into EHRs as discrete results with associated clinical decision support (CDS) alerts that will fire at the point of prescribing, similar to drug allergy alerts. However, such infrastructure is limited to the few institutions that have invested in the resources and personnel to develop and maintain it. For the majority of clinicians who do not practice at an institution with a dedicated clinical pharmacogenomics team and integrated pharmacogenomics CDS in the EHR, this report provides practical tips for documenting pharmacogenomic test results in the problem list and allergy field to maximize the visibility and utility of results over time, especially when such results could prevent the occurrence of serious adverse drug reactions or predict therapeutic failure. |
| first_indexed | 2024-03-10T03:46:25Z |
| format | Article |
| id | doaj.art-f82de877ef724ded8a80b960c9c55ee4 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T03:46:25Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-f82de877ef724ded8a80b960c9c55ee42023-11-23T09:07:32ZengMDPI AGJournal of Personalized Medicine2075-44262021-12-011112129610.3390/jpm11121296Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care TeamsRoseann S. Gammal0Lucas A. Berenbrok1Philip E. Empey2Mylynda B. Massart3Department of Pharmacy Practice, Massachusetts College of Pharmacy and Health Sciences, Boston, MA 02115, USADepartment of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA 15261, USADepartment of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, PA 15261, USADepartment of Family Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA 15261, USAWith increasing patient interest in and access to pharmacogenomic testing, clinicians practicing in primary care are more likely than ever to encounter a patient seeking or presenting with pharmacogenomic test results. Gene-based prescribing recommendations are available to healthcare providers through Food and Drug Administration-approved drug labeling and Clinical Pharmacogenetics Implementation Consortium guidelines. Given the lifelong utility of pharmacogenomic test results to optimize pharmacotherapy for commonly prescribed medications, appropriate documentation of these results in a patient’s electronic health record (EHR) is essential. The current “gold standard” for pharmacogenomics implementation includes entering pharmacogenomic test results into EHRs as discrete results with associated clinical decision support (CDS) alerts that will fire at the point of prescribing, similar to drug allergy alerts. However, such infrastructure is limited to the few institutions that have invested in the resources and personnel to develop and maintain it. For the majority of clinicians who do not practice at an institution with a dedicated clinical pharmacogenomics team and integrated pharmacogenomics CDS in the EHR, this report provides practical tips for documenting pharmacogenomic test results in the problem list and allergy field to maximize the visibility and utility of results over time, especially when such results could prevent the occurrence of serious adverse drug reactions or predict therapeutic failure.https://www.mdpi.com/2075-4426/11/12/1296pharmacogenomicspharmacogeneticsprimary carefamily medicineelectronic health record |
| spellingShingle | Roseann S. Gammal Lucas A. Berenbrok Philip E. Empey Mylynda B. Massart Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams Journal of Personalized Medicine pharmacogenomics pharmacogenetics primary care family medicine electronic health record |
| title | Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams |
| title_full | Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams |
| title_fullStr | Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams |
| title_full_unstemmed | Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams |
| title_short | Documenting Pharmacogenomic Test Results in Electronic Health Records: Practical Considerations for Primary Care Teams |
| title_sort | documenting pharmacogenomic test results in electronic health records practical considerations for primary care teams |
| topic | pharmacogenomics pharmacogenetics primary care family medicine electronic health record |
| url | https://www.mdpi.com/2075-4426/11/12/1296 |
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