RT Journal Article
SR Electronic
T1 The Next Generation Precision Medical Record: A Framework for Integrating Genomes and Wearable Sensors with Medical Records
JF bioRxiv
FD Cold Spring Harbor Laboratory
SP 039651
DO 10.1101/039651
A1 Daryl Waggott
A1 Euan Ashley
A1 Anja Bog
A1 Anil Ankisettipalli
A1 Surbhi Sheth-Shah
A1 Enakshi Singh
A1 Megan Grove
A1 Prag Batra
A1 Mark H Wright
A1 Matthew Wheeler
A1 Jason Merker
A1 Werner Eberhardt
A1 Carlos D Bustamante
YR 2016
UL http://biorxiv.org/content/early/2016/02/14/039651.abstract
AB Current medical records are rigid with regards to emerging big biomedical data. Several examples that already exist in clinical practice include whole genome sequencing and wearable sensors for real time monitoring. Genome sequencing not only enables conventional diagnostic interrogation, but forms the fundamental baseline for precision health throughout out a patient’s lifetime. Mobile sensors enable tailored monitoring regimes for both reducing risk through precision health interventions and acute condition surveillance. To address the absence of these data in the EMR we worked with SAP Healthcare to reenvision a modern medical record with these components. The pilot project used 37 patient families with complex medical records, whole genome sequencing and some level wearable monitoring. Core functionality include patient timelines with integrated text analytics, personalized genomic curation and wearable alerts. The current phase is being rolled out to over 1500 patients in clinics across the hospital system. While fundamentally research, we believe this proof of principle platform is the first of its kind and represents the future of data driven clinical medicine.