Korag and Sam,
As you may know, we have recently initiated a new SIG at HL7 called
Clinical-Genomics, focusing on the use of genomic data in clinical
scenarios. In particular I've been working on the usecase of tissue typing
where more and more genomic data are being used to make the new methods of
bone marrow transplantation more successful. In that SIG we have other
people working on usecases in the areas of genomic-based diagnostics and
clinical trials. in the later, patients are being tested for their genetic
profile and conclusions are made accordingly so that inappropriately
prescription could be avoided.

In all these usecases we are trying to find the commonalities in the data
representations (e.g., the representation of allele and its SNPs) and then
come up with a domain information model using the HL7 tooling. I agree with
you that genomic data are not just different data types and they do need
special attention.... :-)

I would be very happy to share this work or even collaborate with OpenEHR
members of are interested in this domain and use the OpenEHR tools.

At IBM Research we have been working intensively with a research center in
Canada (iCapture) where mass clinical and genomic data were correlated to
explore lung and hurt diseases (see InfoWorld article at
http://www.infoworld.com/article/03/03/26/HNicapture_1.html).
Thanks,
Amnon.

------------------------------------------
Amnon Shabo (Shvo), Ph.D.
Life Sciences Solutions
IBM Research Lab in Haifa


"Sam Heard" <sam.heard at bigpond.com>@openehr.org on 17/05/2003 01:10:52

Please respond to "Sam Heard" <sam.heard at bigpond.com>

Sent by:    owner-openehr-technical at openehr.org


To:    "Koray Atalag" <atalagk at hacettepe.edu.tr>,
       <openehr-technical at openehr.org>
cc:
Subject:    RE: Genetic information and RM (data types and structures)



Korag

This may well be the way to go soon - but I would think that an external
datatype would be better for the moment as the representation will probably
not be uniform (and openEHR should not impose uniformity in such a domain).

Also, we would see the genome as only forming part of the genetic record -
as there will need to be a lot of other information present to make
healthcare work.

What do you think?

Cheers, Sam Heard
____________________________________________
Dr Sam Heard
Ocean Informatics, openEHR
Co-Chair, EHR-SIG, HL7
Chair EHR IT-14-2, Standards Australia
Hon. Senior Research Fellow, UCL, London

105 Rapid Creek Rd
Rapid Creek NT 0810

Ph: +61 417 838 808

sam.heard at bigpond.com

www.openEHR.org
www.HL7.org
__________________________________________



> -----Original Message-----
> From: owner-openehr-technical at openehr.org
> [mailto:owner-openehr-technical at openehr.org]On Behalf Of Koray Atalag
> Sent: Thursday, 15 May 2003 11:10 PM
> To: openehr-technical at openehr.org
> Subject: Genetic information and RM (data types and structures)
>
>
> Hi,
>
> I had problems wth my membership with the list for a while so I could not
> catch up with recent stuff but during this time I had some time to
examine
> openEHR documents posted on the website. As a person who had
> previously been
> involved with bioinformatics and especially human genomic databases, some
> part in my mind still reminds me of the fact that one day all these
> information shall be integrated. Also personally, I believe the approach
> taken in openEHR shall form the baseline for future of EHR systems. So I
> would like this issue to be considered during these discussions. Enough
of
> good wishes, here is my question:
>
> Is there a specific way to represent genomic data of a patient (Either
> Nucleic Acid sequences or protein sequences) in the Reference Models or
is
> the general purpose text data type is thought to be the solution?
> I think it
> could be wise to create a new class with its own attributes, methods and
> constraints right into the RM because with this speed of biologic
> evolution
> I don't think the genetic code and concepts are going to change
> for a couple
> million years!
>
> Best regards,
>
> Koray Atalag
>
>
>
> -
> If you have any questions about using this list,
> please send a message to d.lloyd at openehr.org
>

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