Electronic Medical Records and Genomics (eMERGE) Network

National Human Genome Research Institute

National Institutes of Health
U.S. Department of Health and Human Services


Electronic Medical Records and Genomics (eMERGE) Network

Background

The Electronic Medical Records and Genomics (eMERGE) Network was announced in September 2007 (RFA HG-07-005). It is a National Institutes of Health (NIH)-organized and funded consortium of U.S. medical research institutions. The Network brings together researchers with a wide range of expertise in genomics, statistics, ethics, informatics, and clinical medicine from leading medical research institutions across the country to achieve its overall goals.

The primary goal of the eMERGE Network is to develop, disseminate, and apply approaches to research that combine DNA biorepositories with electronic medical record (EMR) systems for large-scale, high-throughput genetic research. In eMERGE Phase I (September 2007 - July 2011), each institution participating in the consortium led the studies of the relationship between genetic variation and at least two common human traits among the network participants, using the technique of genome-wide association analysis. Such studies involve testing hundreds of thousands of genetic variants called single nucleotide polymorphisms (SNPs) throughout the genome in people with and without a condition of interest. A fundamental question is whether electronic medical record (EMR) systems can serve as resources for such complex genomic analysis of disease susceptibility and therapeutic outcomes, across diverse patient populations. In addition, the consortium includes a focus on social and ethical issues such as privacy, confidentiality, and interactions with the broader community. During the past four years, the network has established a rich culture of collaboration. During Phase I, the network established a rich culture of collaboration.

Given the success of eMERGE Phase I, the eMERGE Network has transitioned to Phase II (August 2011 - July 2015). A key goal of eMERGE Phase II is to explore the best avenues to incorporate genetic variants into EMR for use in clinical care such as improvement of genetic risk assessment, prevention, diagnosis, treatment, and/or accessibility of genomic medicine (RFA-HG-10-009 and RFA-HG-10-010). Consent, education, regulation and consultation issues related to the use of genomic data in clinical care will also be studied. eMERGE continues to discover genomic variants associated with clinical conditions identified using EMRs and to develop algorithms for electronic phenotyping. To expand the number and diversity of participating eMERGE sites under the currently available budget, two new sites that include racial/ethnic minorities and rural populations were included in the eMERGE Network in 2011. In August 2012, two new sites that include pediatric populations were included in the eMERGE Network.

As eMERGE has become increasingly known in the scientific community, a wide range of institutions are interested in collaboration with eMERGE given that genomic research in biorepositories linked to electronic medical records and application of genomic results to clinical care has been or will be initiated in those institutions. To facilitate collaboration, external institutions may apply for affiliate membership to the eMERGE Network. Information about affiliate membership such as benefits, criteria for participation, and application process can be found at the eMERGE webpage.

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Workshops

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Network Members

Map of eMERGE Network Members

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Sites in Phases I and II

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Additional Sites in Phase II

Additional Pediatric Sites in Phase II

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External Scientific Panel

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Network Structure

Chart showing Steering Committee in center; NHGRI, Coordinating Center and Genotyping Center around

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Phase II Network biorespositories, EMR Characteristics, and study samples

 
Institution Repository size; Ancestry GWA study size (% Female) EMR description Selected Network Phenotyping led by site
Children's Hospital of Philadelphia 60,000;
38% AA
45,000
(50% female)
Epic EMR since 2001 Asthma, atopic dermatitis, ADHD, lipids
Cincinnati Children's Hospital Medical Center; Boston Children's Hospital Combined
10,000;
9.8% AA, 3.3% HL
5,360
(41.9% female)
CCHMC: Epic EMR since early 2000s;
BCH: Cerner since early 1990s
Autism, appendicitis, childhood obesity
Geisinger Health System 22,000;
99.4% EA
4,191
(47.5% female)
Epic EMR since 1996 AAA, extreme obesity and related conditions, remission of diabetes after bariatric surgery
Group Health, University of Washington 6,381;
3.7% AA
3,606
(57% female)
EpicCare EMR since 2004 Dementia, C difficile diarrhea, Herpes zoster, carotid artery atherosclerosis disease
Marshfield Clinic 20,000;
99% EA
4,693 (58.4% female) Internally developed EMR (CattailsMD) since 1960 Cataracts, glaucoma, ocular HTN, age related macular degeneration, dry eye
Mayo Clinic 19,000;
93.5% EA
6,934 (38% female) GE Centricity and Cerner Peripheral arterial disease, RBC indices, CHD, VTE, cardio respiratory fitness, heart failure
Mt. Sinai School of Medicine 22,000;
24.1% EA, 30.6% AA, 43.8% HL
6,290
(52.4% female)
Epic EMR since 2000 Diabetic hypertensive chronic kidney disease, rapid declines in renal function, CHD, drug-induced liver injury
Northwestern University 11,000;
67.7% EA, 19.7% AA, 4.8% Asian
4,987
(83% female)
Epic outpatient and Cerner inpatient EMRs Type 2 diabetes, diverticulosis, lower GI non-syndromic polyp, Methicillin-resistant Staphylococcus aureus (MRSA)
Vanderbilt University 158,514; 56% EA,
34% AA
27,173
(58.9% female)
Internally developed EMR (StarChart) since 2000 QRS duration, hypothyroidism, resistant hypertension, ACE-inhibitor cough, statins for MI prevention
 
 
Key:  EA: European Americans   AA: African Americans   HL: Hispanic/Latino 

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eMERGE Products Dissemination

Number of eMERGE Publications by Year (through January 2014)
Number of eMERGE publications by year: Bar Chart with X-axis showing number of publications and Y-axis showing years ranging from 2007-2014 plus 2014 in development;  2007 - 1 publication;  2008 - 2 publication; 2009 - 7 publications; 2010 - 38; 2011 - 34; 2012 - 34; 2013 - 97; 2014 - 2; 2014 in development - 80.
 
eMERGE Publications: Number of Citations through January 2014
Pie Chart Showing the Number of Times eMERGE Publications were cited through January 2014 - with Phase II publications in parenthesis: Phenome/Genome Discovery or Replication - 924(181); CERC - 439(22); EMR/Phenotyping - 337(77); General/Other - 279(102); Privacy - 137(5). Total Number of Times Cited 2007 - January 2014: 2,116. Phase I Publications Only: 1729; Phase II Publications Only: 387

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Funding Announcements

  1. RFA-HG-14-025 [grants.nih.gov]: The Electronic Medical Records and Genomics (eMERGE) Network, Phase III - Study Investigators (U01) New
  2. RFA-HG-14-026 [grants.nih.gov]: The Electronic Medical Records and Genomics (eMERGE) Network, Phase III - Coordinating Center (U01) New
  3. RFA-HG-14-027 [grants.nih.gov]: The Electronic Medical Records and Genomics (eMERGE) Network, Phase III - Central Genome Sequencing and Genotyping Facility (U01) New
  4. RFA-HG-11-022: [grants.nih.gov] The Electronic Medical Records and Genomics (eMERGE) Network, Phase II - Pediatric Study Investigators (U01)
  5. RFA HG-10-010: [grants.nih.gov] The Electronic Medical Records and Genomics (eMERGE) Network, Phase II - Coordinating Center (U01)
  6. RFA HG-10-009: [grants.nih.gov] The Electronic Medical Records and Genomics (eMERGE) Network, Phase II - Study Investigators (U01)
  7. RFA-HG-07-005: [grants.nih.gov] Genome-Wide Studies in Biorepositories with Electronic Medical Record Data (U01)

Frequently Asked Questions for the Electronic Medical Records and Genomics (eMERGE) Network, Phase III RFAs New

Frequently Asked Questions for RFA - HG-11-022: The Electronic Medical Records and Genomics (eMERGE) Network, Phase II - Pediatric Study Investigators (U01)

Frequently Asked Questions for RFA - HG-10-009: The Electronic Medical Records and Genomics (eMERGE) Network, Phase II - Study Investigators (U01)

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Contacts

Rongling Li, NHGRI

Jacquiline Odgis, NHGRI

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Last Updated: August 11, 2014