The absence of electronic health records in the physician practice setting poses a long-term challenge to advances in genomic, or personalized, medicine. That was message delivered by David Fenstermacher, chair of the department of biomedical informatics, at Moffitt Cancer Center, Tampa, Fla.

During his HIMSS talk, Fenstermacher discussed the projects underway at Moffitt. They require enormous data samples—measured in terabytes. Moffitt’s data warehouse now includes genetic information on 65,000 patients with profiles of 15,000 unique tissue samples.

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