While genetic counseling and testing for inherited breast/ovarian cancer susceptibility are widely available, little is known about how they impact health or health care behaviors. This study created a method to identify those who are eligible for counseling, those who receive counseling, and the reasons for that counseling, using automated analysis of the EMR. We developed and evaluated a MediClass application, allowing for comprehensive search of the EMR, including both coded and free-text data fields. The study demonstrated that individuals who are at risk and who receive genetic counseling for inherited breast/ovarian cancer susceptibility can be automatically identified. This study provides the basis for developing search and categorization algorithms for future large, collaborative studies.
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