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Semantics for rare disease phenotyping,
diagnostics, and discovery
Melissa Haendel, PhD
@ontowonka
@monarchinit
Prevailing clinical diagnostic pipelines leverage only
a tiny fraction of the available data
Prevailing clinical diagnostic pipelines leverage only
a tiny fraction of the available data
Under-utilized	data	à
Loss	of	discriminatory	power
?
The	(translational)	
chasm	of	semantic	despair
CD2H
The Human Phenotype Ontology
§ 11,813
phenotype	
terms
§ 217,351	disease	
-phenotype	
annotations
bit.ly/hpo-paper
https://monarchinitiative.org/
Fuzzy (semantic similarity) phenotype
matching
DOI:	10.1126/scitranslmed.3009262
OMIM
(brown)
MESH
(grey)
ORDO/Orphanet
(yellow)
SubClassOf
(solid	line)
Xref
(dashed	grey	line)
Hemolytic	anemia	
mappings	across	
resources
The	ontologies	inconsistently	map	to	each	other,	leading	to	
poor	interoperability	and	computability
New integrated ontology
Bayesian	OWL	Ontology	Merging	(kBOOM)	
Mungall et	al.			http://bit.ly/k-BOOM
http://bit.ly/mondo-repo
http://purl.obolibrary.org/obo/mondo.owl
Patients	can	and	should	be	empowered
to	help	with	all	of	this.
Plain language synonyms for computable
phenotypes
Global patient matchmaking
Computational	matching	of	rare	disease	patients	across	clinical	&	public	sources
Find	models	and	experts	for	functional	validation
bit.ly/mme-matchbox
patientarchive.org
bit.ly/exomiser-2017
With many thanks
Lawrence Berkeley
Chris Mungall
Suzanna Lewis
Jeremy Nguyen
Seth Carbon
Nicole Washington
Charite
Sebastian Kohler
Ga rv a n
Tudor Groza
Craig McNamara
RENCI
Jim Balhoff
Boston Children’s
Ingrid Holm
Catherine Brownstein
John Brownstein
E BI
Helen Parkinson
David Osumi-Sutherland
OH SU
Matt Brush
Kent Shefchek
Julie McMurry
Tom Conlin
Nicole Vasilevsky
Dan Keith
Maureen Hoatlin
Tim Putman
JP Gourdine
David Ellison
Gen omi cs E n gland/Queen
M a ry
Damian Smedley
Jules Jacobson
Tomasz Konopka
Pilar Cacheiro
J a ckson La boratory
Peter Robinson
Leigh Carmody
Hannah Blau
With	special	thanks	to	Julie	McMurry for	excellent	graphic	design
Johns Hopkins
Chris Chute
Casey Overby
Ada Hamosh
Scripps
Andrew Su
Ben Good
Chunlei Wu
Gregg Stupp
Sanford Health Imagenetics
Neal Boerkoel
Kayli Rageth
Murat Sincan
ClinGen
Heidi Rehm
Larry Babb
Harindra Arachchi

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