Integration of Patient-Generated Test Results with Those from Accredited Laboratories

In response to my note yesterday about direct-access-testing (DAT) (see:New Definition for DTC Lab Testing Prompted by EverlyWell Business Model), Andrea Pitkin, Ph.D., commented in the form of a presentation she had made at the last ASCLS annual meeting. She makes a number of important observations that I hope to comment on in upcoming days. For this note, I will address the following point copied from her comment:How are consumer testing and Patient Generated Health Data (PGHD) integrated and used within the medical record?Some apps allow upload to the physician's EHR. They should not be comingled with laboratory performed testing as they are different. The largest issue is one of trust.Does the physician trust from a medical and legal perspective, results performed by consumers (who may have invalidated the home pregnancy test when dropped in the toilet) versus health professional performed testing? How are results kept separate in EHR modules and clinical displays? These new methods and perhaps specimens or transcutaneous analysis should have different LOINC codes so all users can identify these differences in health data.I personally think that it's time for one of the various lab standards/accreditation agencies to begin to grapple with what Andrea refers to as Patient Generated Health Data (PGHD). To what extent should it be be integrated, but not comingled, with test results generated in accredited clinical laboratories? This topic is n...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Clinical Lab Testing Diagnostics Direct Access Testing (DAT) Electronic Health Record (EHR) Health Wearable Healthcare Information Technology Lab Industry Trends Lab Standards Medical Consumerism Point-of-Care Testing Public Health R Source Type: blogs