Abstract
Technological and computational advancements used to generate and process large sets of biological data (omics data) are driving a critical change in the study of biomedical sciences and medicine. While genomics, transcriptomics, and proteomics, coupled with bioinformatics and biostatistics, are gaining momentum, for the most part, assessed individually with distinct approaches generating monothematic rather than integrated knowledge. The need for this type of data in a clinical setup is becoming more evident. Hence, integrating omics data in electronic health records (EHRs) is a basis for advancing toward personalized diagnosis and treatments. However, due to the heavy and complex nature of omics data, it is still an ongoing challenge to attempt to integrate them into EHRs in an easily interpretable manner. To this end, we present HER-Omics (HERO), a tool that combines both the patients’ EHR and their Omics data. HERO is lightweight, simple to use, and can be integrated with an existing EHR database. The workflow involves taking raw FASTQ files as input, performing the analysis, and giving a clear and readable output that will aid in the decision-making process. We illustrate the use of this tool by using demi transcriptomics data. This shows a proof of concept that we hope will be developed in a more advanced manner in the near future.
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References
Collins, F.S., Varmus, H.: A new initiative on precision medicine. N. Engl. J. Med. 372, 793–795 (2015). https://doi.org/10.1056/NEJMp1500523
Fernald, G.H., Capriotti, E., Daneshjou, R., Karczewski, K.J., Altman, R.B.: Bioinformatics challenges for personalized medicine. Bioinforma. Oxf. Engl. 27, 1741–1748 (2011). https://doi.org/10.1093/bioinformatics/btr295
Katsnelson, A.: Momentum grows to make “personalized” medicine more “precise.” Nat. Med. 19, 249 (2013). https://doi.org/10.1038/nm0313-249
Mirnezami, R., Nicholson, J., Darzi, A.: Preparing for precision medicine. N. Engl. J. Med. 366, 489–491 (2012). https://doi.org/10.1056/NEJMp1114866
Chute, C.G., Ullman-Cullere, M., Wood, G.M., Lin, S.M., He, M., Pathak, J.: Some experiences and opportunities for big data in translational research. Genet. Med. Off. J. Am. Coll. Med. Genet. 15, 802–809 (2013). https://doi.org/10.1038/gim.2013.121
O’Driscoll, A., Daugelaite, J., Sleator, R.D.: “Big data”, Hadoop and cloud computing in genomics. J. Biomed. Inform. 46, 774–781 (2013). https://doi.org/10.1016/j.jbi.2013.07.001
Bates, D.W., Saria, S., Ohno-Machado, L., Shah, A., Escobar, G.: Big data in health care: using analytics to identify and manage high-risk and high-cost patients. Health Aff. Proj. Hope. 33, 1123–1131 (2014). https://doi.org/10.1377/hlthaff.2014.0041
Lim, J.-H., et al.: Omics-based biomarkers for diagnosis and prediction of kidney allograft rejection. Korean J. Intern. Med. (2022). https://doi.org/10.3904/kjim.2021.518
Karczewski, K.J., Snyder, M.P.: Integrative omics for health and disease. Nat. Rev. Genet. 19, 299–310 (2018). https://doi.org/10.1038/nrg.2018.4
Legati, A., Giacopuzzi, E., Spinazzi, M., Lek, M.: Editorial: Application of omics approaches to the diagnosis of genetic neurological disorders. Front. Neurol. 12, 712010 (2021). https://doi.org/10.3389/fneur.2021.712010
Gjoneska, E., et al.: Conserved epigenomic signals in mice and humans reveal immune basis of Alzheimer’s disease. Nature 518, 365–369 (2015). https://doi.org/10.1038/nature14252
Borad, M.J., et al.: Integrated genomic characterization reveals novel, therapeutically relevant drug targets in FGFR and EGFR pathways in sporadic intrahepatic cholangiocarcinoma. PLoS Genet. 10, e1004135 (2014). https://doi.org/10.1371/journal.pgen.1004135
Häyrinen, K., Saranto, K., Nykänen, P.: Definition, structure, content, use and impacts of electronic health records: A review of the research literature. Int. J. Med. Inf. 77, 291–304 (2008). https://doi.org/10.1016/j.ijmedinf.2007.09.001
Wu, P.-Y., Cheng, C.-W., Kaddi, C.D., Venugopalan, J., Hoffman, R., Wang, M.D.: Omic and electronic health record big data analytics for precision medicine. IEEE Trans. Biomed. Eng. 64, 263–273 (2017). https://doi.org/10.1109/TBME.2016.2573285
Chen, E.S., Sarkar, I.N.: Mining the electronic health record for disease knowledge. In: Kumar, V.D., Tipney, H.J. (eds.) Biomedical Literature Mining. MMB, vol. 1159, pp. 269–286. Springer, New York (2014). https://doi.org/10.1007/978-1-4939-0709-0_15
Peters, S.G., Buntrock, J.D.: Big data and the electronic health record. J. Ambulatory Care Manage. 37, 206–210 (2014). https://doi.org/10.1097/JAC.0000000000000037
Kho, A.N., et al.: Practical challenges in integrating genomic data into the electronic health record. Genet. Med. Off. J. Am. Coll. Med. Genet. 15, 772–778 (2013). https://doi.org/10.1038/gim.2013.131
Multi-omics approaches to disease – PubMed. https://pubmed.ncbi.nlm.nih.gov/28476144/
Ritchie, M.D., Holzinger, E.R., Li, R., Pendergrass, S.A., Kim, D.: Methods of integrating data to uncover genotype-phenotype interactions. Nat. Rev. Genet. 16, 85–97 (2015). https://doi.org/10.1038/nrg3868
Robinson, D.R., et al.: Integrative clinical genomics of metastatic cancer. Nature 548, 297–303 (2017). https://doi.org/10.1038/nature23306
Brandão, M., Pondé, N., Piccart-Gebhart, M.: MammaprintTM: A comprehensive review. Future Oncol. Lond. Engl. 15, 207–224 (2019). https://doi.org/10.2217/fon-2018-0221
Lichtenstein, P., et al.: Environmental and heritable factors in the causation of cancer–analyses of cohorts of twins from Sweden, Denmark, and Finland. N. Engl. J. Med. 343, 78–85 (2000). https://doi.org/10.1056/NEJM200007133430201
Najafi, A., Emami, N., Samad-Soltani, T.: Integration of genomics data and electronic health records toward personalized medicine: A targeted review. Front. Health Inform. 10, 86 (2021). https://doi.org/10.30699/fhi.v10i1.299
Postmus, I., et al.: Pharmacogenetic meta-analysis of genome-wide association studies of LDL cholesterol response to statins. Nat. Commun. 5, 5068 (2014). https://doi.org/10.1038/ncomms6068
SQL - The Complete Reference.pdf. https://inspirit.net.in/books/database/SQL%20-%20The%20Complete%20Reference.pdf
SQL : The Complete Reference, Second Edition: The Complete Reference, Second Edition. Groff, J.R., Weinberg, P.N. 9780072225594, Mcgraw-hill (2002). https://books.google.com.mx/books?id=OgkmmR7-XxUC
The web framework for perfectionists with deadlines | Django. https://www.djangoproject.com/
Python Web Development with Django - Forcier, Bissex, Chun - Addison-Wesley (2009).pdf, https://theswissbay.ch/pdf/Gentoomen%20Library/The%20Actually%20Useful%20Programming%20Library/Django/Python%20Web%20Development%20with%20Django%20-%20Forcier%2C%20Bissex%2C%20Chun%20-%20Addison-Wesley%20%282009%29/Python%20Web%20Development%20with%20Django%20-%20Forcier%2C%20Bissex%2C%20Chun%20-%20Addison-Wesley%20%282009%29.pdf
Oswald, A.: Dart. Faber & Faber, London (2002)
seqTools.pdf, https://www.bioconductor.org/packages/devel/bioc/manuals/seqTools/man/seqTools.pdf
Liao, Y., Smyth, G.K., Shi, W.: The R package Rsubread is easier, faster, cheaper and better for alignment and quantification of RNA sequencing reads. Nucleic Acids Res. 47, e47 (2019). https://doi.org/10.1093/nar/gkz114
Blumenthal, D.: Launching HITECH. N. Engl. J. Med. 362, 382–385 (2010). https://doi.org/10.1056/NEJMp0912825
Hoffman, M.A.: The genome-enabled electronic medical record. J. Biomed. Inform. 40, 44–46 (2007). https://doi.org/10.1016/j.jbi.2006.02.010
Warner, J.L., Jain, S.K., Levy, M.A.: Integrating cancer genomic data into electronic health records. Genome Med. 8, 113 (2016). https://doi.org/10.1186/s13073-016-0371-3
Kim, D., Kim, J.H., Moore, J.H.: Translational bioinformatics: Integrating electronic health record and omics data. Pac. Symp. Biocomput. Pac. Symp. Biocomput. 26, 356–359 (2021)
Tenenbaum, J.D.: Translational bioinformatics: Past, present, and future. Genom. Proteom. Bioinform. 14, 31–41 (2016). https://doi.org/10.1016/j.gpb.2016.01.003
Sethi, P., Theodos, K.: Translational bioinformatics and healthcare informatics: computational and ethical challenges. Perspect. Health Inf. Manag. 6, 1h (2009)
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Habib, N. et al. (2023). HER-Omics, a Model of Transcriptomics Data Integration in EHRs. In: Kacprzyk, J., Ezziyyani, M., Balas, V.E. (eds) International Conference on Advanced Intelligent Systems for Sustainable Development. AI2SD 2022. Lecture Notes in Networks and Systems, vol 713. Springer, Cham. https://doi.org/10.1007/978-3-031-35248-5_31
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