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In Vivo Modeling of the Morbid Human Genome using Danio rerio
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OpenEHR modeling for genomics in clinical practice.

Cecilia Mascia1, Paolo Uva1, Simone Leo1

  • 1Center for Advanced Studies, Research and Development in Sardinia (CRS4), Loc. Piscina Manna, Ed.1, 09010 Pula, CA, Italy.

International Journal of Medical Informatics
|November 10, 2018
PubMed
Summary

Integrating genomic data into electronic health records is crucial for personalized medicine. This study introduces a novel openEHR archetype model for structured representation of genetic test results, enhancing healthcare informatics.

Keywords:
Electronic health recordGenomicsOpenEHRStructured dataVariant calling

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Area of Science:

  • Genomic Data Integration
  • Healthcare Informatics
  • Personalized Medicine

Background:

  • High throughput sequencing in personalized medicine presents significant healthcare informatics challenges.
  • Electronic health records require robust methods to manage large, complex genomic data and its provenance.
  • Standardized data representation is essential for effective clinical use.

Purpose of the Study:

  • To present a solution for integrating genomic data into electronic health records using openEHR archetypes.
  • To establish a structured format for representing genetic test results within healthcare systems.
  • To address the challenges of data size, complexity, and provenance tracking in genomic data management.

Main Methods:

  • Utilized the Variant Call Format as the foundational format for genetic test results within openEHR.
  • Evaluated existing openEHR archetypes for extensibility and identified needs for new development.
  • Developed eleven new openEHR archetypes and specialized an existing one for genomic data representation.

Main Results:

  • Successfully developed and applied eleven new openEHR archetypes for genomic data.
  • Specialized an existing archetype to effectively represent genomic data, including its provenance.
  • Demonstrated applicability to rare genetic diseases and compared the approach with HL7 FHIR.

Conclusions:

  • The proposed model enables structured representation of genetic test results in health records.
  • Supports automated processing and clinical decision support through different abstraction levels.
  • Extensible via external references, ensuring data provenance tracking and adaptability to future changes.