Computerized method and system for inferring genetic findings for a patient
A method and system in a computing environment for inferring genetic findings for a patient is provided. The method includes receiving a request for genetic findings for a person from another application or a user. The method further includes inquiring as to whether the person has the genetic findings. If not, the method automatically provides inferred genetic findings for the person. The inferred genetic findings are calculated using genetic findings for family members of the patient, linkage analysis, haplotype analysis, semantic test results for the person and/or population genetics information.
1. A method, implemented by a computing device, in a healthcare information technology system for providing inferred genetic findings for a person, the method comprising:
receiving a request issued by a user for genetic test results for a subject gene for a person;
incident to receiving the request, accessing a first data store to discover whether there exists the genetic test results for the person; and
when the genetic test results of the person are undiscovered, automatically inferring, at the computing device, one or more genetic findings, wherein the process of inferring comprises:
(a) accessing an inference table that associates genes with a plurality of modes of inheritance;
(b) identifying a mode of inheritance associated with the subject gene by querying the inference table with the subject gene;
(c) determining a traversal pattern of the subject gene within a family of the person as a function of the identified mode of inheritance;
(d) employing the traversal pattern to target at least one member of the family of the person that potentially carries the subject gene;
(e) accessing a second data store to discover whether there exists genetic test results for the at least one targeted member of the person's family; and
(f) when the genetic test results of the at least one targeted member of the person's family are discovered, calculating a probability that the person exhibits a mutated form of the subject gene using the genetic test results of the at least one targeted member of the person's family.
2. The method of claim 1 , wherein discovering whether there exists the genetic test results for the person comprises searching an electronic medical record (EMR) developed for the person.
3. The method of claim 2 , wherein the request is issued by a decision support rule in response to a clinical event or a clinical agent being associated with the person within the EMR.
4. The method of claim 1 , further comprising, when the mode of inheritance associated with the subject gene involves at least one of targeting the at least one member of the family of the person within the person's female ancestors, targeting the at least one member of the family of the person within any of the person's blood-related ancestors, or targeting the at least one member of the family of the person within the person's male ancestors or the person's decedents if the person is a male.
5. The method of claim 1 , further comprising, when the mode of inheritance associated with the subject gene represents an autosomal mode, targeting the at least one member of the family of the person within any of the person's blood-related ancestors.
6. The method of claim 5 , further comprising, when the mode of inheritance associated with the subject gene represents an X linked mode, targeting the at least one member of the family of the person within the person's female ancestors or the person's decedents.
7. The method claim 1 , further comprising, when the mode of inheritance associated with the subject gene represents a Y linked mode, targeting the at least one member of the family of the person within the person's male ancestors or the person's decedents if the person is a male.
8. The method of claim 1 , wherein the genetic test results for the at least one targeted member of the family of the person are obtained from an EMR for the at least one targeted member stored within a comprehensive healthcare system.
9. The method of claim 1 , further comprising:
obtaining cytogenetic observations for the person; and
utilizing the cytogenetic observations to support inferring the one or more genetic findings for the person.
10. The method of claim 1 , further comprising:
obtaining demographic information for the person; and
utilizing the demographic information for the person to support inferring the one or more genetic findings for the person.
11. The method of claim 1 , further comprising:
obtaining genetic marker information for the person; and
utilizing the genetic marker information for the person to support inferring the one or more genetic findings for the person.
12. The method of claim 1 , further comprising communicating to the user the calculated probability that the person exhibits a mutated form of the subject gene.
13. The method of claim 1 , further comprising inquiring whether the at least one targeted member of the family of the person has genetic markers associated with the subject gene.
14. The method of claim 13 , further comprising utilizing the genetic markers of the at least one target member of the family to support inferring the one or more genetic findings for the person.