Informatics and Pharmacogenomics · 2020-02-04 · Labs (IP) Medications (IP) Nutrition/Diet Menu...
Transcript of Informatics and Pharmacogenomics · 2020-02-04 · Labs (IP) Medications (IP) Nutrition/Diet Menu...
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Informatics and Pharmacogenomics
Hamed Abbaszadegan, MD, MBA, FACP, FAMIAChief Health Innovation & Informatics Officer
Phoenix VA Health Care SystemClinical Associate Professor of Biomedical Informatics, Internal Medicine, & Pathology
University of Arizona College of Medicine-Phoenix
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Learning Objectives
• Formulate structural documentation• Describe the decision support infrastructure• Identify intelligent approaches to patients for PGx testing
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Clinical Informatics in Healthcare
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Structural Documentation
• Formalizes charting• Allows for standardization• Creates “back-end” data warehouse storage Mining• Most important, allows for Decision Support functionality
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Structural Documentation in Action
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Structured Consent
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Standardized Note
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Assessment/Plan
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Encounter
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Ultimate Goal Function of Results
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Decision Support Infrastructure
• Clinical Reminder Order Checks (CROC)• Logic:
– Citalopram:• IF the patient is to receive Citalopram AND has genotype results for CYP2C19
AND CYP2D6 available, THEN query phenotypes.– IF phenotype is CYP2C19 ultra-rapid phenotype AND CYP2D6 normal or intermediate
phenotype THEN CROC will fire when citalopram is ordered.
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Order Checks
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Order Check Details
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Rules
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Interface of Order Check
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Informatics Intelligence
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Telehealth Instant Connection
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Review Results