Ethical, legal, and social implications of incorporating genomic information into electronic health records

Ribhi Hazin, Kyle B. Brothers, Bradley A. Malin, Barbara A. Koenig, Saskia C. Sanderson, Mark A. Rothstein, Marc S. Williams, Ellen W. Clayton, Iftikhar J. Kullo

Research output: Contribution to journalReview article

52 Scopus citations

Abstract

The inclusion of genomic data in the electronic health record raises important ethical, legal, and social issues. In this article, we highlight these challenges and discuss potential solutions. We provide a brief background on the current state of electronic health records in the context of genomic medicine, discuss the importance of equitable access to genome-enabled electronic health records, and consider the potential use of electronic health records for improving genomic literacy in patients and providers. We highlight the importance of privacy, access, and security, and of determining which genomic information is included in the electronic health record. Finally, we discuss the challenges of reporting incidental findings, storing and reinterpreting genomic data, and nondocumentation and duty to warn family members at potential genetic risk.

Original languageEnglish (US)
Pages (from-to)810-816
Number of pages7
JournalGenetics in Medicine
Volume15
Issue number10
DOIs
StatePublished - Oct 2013

Keywords

  • clinical decision support, electronic health records
  • ethical, legal, and social implications
  • genomics
  • personalized medicine

ASJC Scopus subject areas

  • Genetics(clinical)

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    Hazin, R., Brothers, K. B., Malin, B. A., Koenig, B. A., Sanderson, S. C., Rothstein, M. A., Williams, M. S., Clayton, E. W., & Kullo, I. J. (2013). Ethical, legal, and social implications of incorporating genomic information into electronic health records. Genetics in Medicine, 15(10), 810-816. https://doi.org/10.1038/gim.2013.117