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. 2016 Feb 5;23(2):413–419. doi: 10.1093/jamia/ocv111

Table 2:

Breakout discussion questions

Breakout A: Policies governing data access for research and personalization of care
  • 1. What current policies limit access to and the use of data for personalization of care?
    • What best practices, guidance, or strategies to “get to yes” exist?
    • [If a path to use does not exist], who should modify the existing policies and what would the wish list for that modification be?
  • 2. What policies exist around consent for reuse of data for personalizing care and enabling research? Are there precedents or analogous policy structures in other domains?

  • 3. What should be the policy basis (and incentives) for providers, patients, and vendors to provide access to data across medical record systems?

Breakout B: Policies regarding knowledge representation
  • 1. Are policies and/or best practice guidelines needed for initial and future reannotation and interpretation of genomic and other high-volume data for clinical purposes, given that annotation and interpretation is expected to change as scientific understanding grows?

  • 2. Are policies and/or best practice guidelines needed to support representing data and knowledge in electronic clinical systems in a manner that facilitates automated decision support logic as well as representation in human-readable formats (ie, documentation formats)?

  • 3. What is needed to incorporate the approaches from Nos. 1 and 2 in health IT environments so that knowledge can be applied to screening, patient management, tracking, and reporting?

Breakout C: Policies for data integrity and preservation
  • 1. What policy issues could affect the integrity and persistence of the data needed to achieve the goals of personalizing medicine?

  • 2. What policies are needed to permit data to be safely shared across distributed platforms?

  • 3. What research is needed to identify policy gaps and barriers that impact persistence and integrity of the data and how should this research be funded?