Table 2 Variation in the steps for the current manual process.
From: Reanalysis of genomic data, how do we do it now and what if we automate it? A qualitative study
Step | Variation |
|---|---|
Step 1 | Clinician books in or advises their patient to return in 2–3 years |
At patient/family request | |
Another specialist involved in a patient’s care initiates request or rerefers patient to genetic service | |
Clinician request shortly after primary test (prenatal setting) | |
Laboratory flags cases where reanalysis may yield a diagnosis | |
Step 2 | Clinic or laboratory guideline |
Clinician discretion | |
Consulting clinicians’ discretion | |
Laboratory discretion (laboratory workforce capacity, volume of patients that would benefit) | |
Step 3 | Clinic or Laboratory department budget (may require other clinicians’ approval) |
State Government funded | |
Research projects | |
Step 4 | Formal or informal reconsent |
Part of the original consent form (cancer) | |
Step 6 | Liaison meetings between clinical teams and laboratories (in some departments) |
Step 9 | New or amended report |
Email, fax, phone | |
If laboratory triggered it might be an informal communication | |
Step 10 | Electronically entered in ERM |
Manually entered in electronic or paper medical record | |
Step 11 | Automatically booked into a return of results appointment |
Patient/family offered appointment to discuss finding | |
No new findings via telephone call |
