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Gene & Protein in Disease                                                            Next gen (omics)



            electronic health records (EHRs) and their phenotypic   2.3. Integration of digital tools into health-care
            data, which can leverage modern Information Technology   systems
            in computer modeling, mining, and integrated analysis   In  addition  to  being  a  vital  tool  for  managing  the  vast
            of genomic data for the development of customized,   amounts of data produced by national health-care systems,
            preventive, and predictive medicine, and ultimately enable   modern computational tools are also being universally
            health-care practitioners to provide, among other things,   used in the health-care industry to improve the efficiency
            the right medicine at the right dosage to each patient.   and precision of medical services. However, there is wide
            Other examples include combining genetic data with   variability in terms of specific clinical functions across
            neuroimaging, wearable device data, and other Internet   EMRs, personal health records, artificial intelligence (AI),
            of Things modalities, despite “noisy” clinical data.  These   wearables, EHRs, e-prescriptions, and telemedicine, with
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            integrated studies are anticipated to significantly advance   the last three being the dominant ones. 5
            biomedical science, health care, and society’s advancement
            as more diversified data are gathered. The integration of   EHRs are being adopted by virtually all health-care
            transcriptomic, proteomic, and metabolomic data, which   systems, whereas e-prescriptions have been widely adopted
            could provide a comprehensive understanding of a patient’s   by the National Health Systems in Northern and Southern
            condition, represents a further step in fusing different types   Europe, such as Scandinavian countries, Italy, Spain,
            of health data, aiding clinical decision-making.   Greece, the UK, and Iceland, with Central and Eastern
                                                               Europe countries such as Germany, France, Austria,
            2.2. Emerging pathways for the integration of digital   Poland, Bulgaria, and Estonia lagging behind. Other areas
            health solutions in genetic medicine               of the world have also started adopting e-prescriptions,
            Digital health interventions possess the potential to   particularly  regions in  North America and  Central-East
            revolutionize genetics by offering personalized care   Asia. The adoption of e-prescriptions generally improves
            to patients. Among the most critical areas for eHealth   the efficacy of health-care systems, resource utilization, and
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            measures in resolving issues in genetics are disease   patient safety.  In terms of AI, the tool has been extensively
            prevention through early diagnosis and personalized   integrated over the years in the health-care industry, but it
            medicine. These interventions aid in offering personalized   is still in its early stages when it comes to national health
            screening strategies to people at high risk of developing   systems. As an example, Italy is experimenting with the
            a genetic disorder. Through targeted prevention, these   development of a national AI health-care system. 7
            measures can be initiated before symptom onset, thus   3. Applications and key areas of impact
            enhancing patient outcomes and curbing health-care
            costs. Moreover, digital health interventions can customize   3.1. Enhancing (digital) genetic counseling with AI
            individual treatments: for instance, pharmacogenomic   integration
            testing can pinpoint patients prone to adverse drug   Telemedicine and remote monitoring technologies have
            reactions or those requiring different dosages based on   revolutionized genetic counseling, especially for patients
            their genetic profile.                             without local access to these services. Digital technologies,

              As previously discussed, digital health constitutes a   potentially enhanced by AI, facilitate communication
            major impetus behind the revolution of genetic counseling   between geneticists and primary care physicians, improving
            services,  offering eHealth platforms to enhance patients’   coordinated care and patient outcomes. AI is also pivotal
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            access to genetic counseling services, even in underserved   in genomic data analysis (Figure 1), utilizing techniques
            areas. Having access to genetic data facilitates a better   such as unsupervised machine learning to discern patterns
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            understanding of genetic risk factors among patients,   within extensive genetic datasets.  These analyses can
            enabling physicians to make informed decisions about   reveal  new  discoveries  and  provide  deeper  insights  into
            treatments, and familiarizing patients with their health   genetic diseases and drug development targets.
            risks so that they can make informed decisions regarding   Due  to the  cost-effectiveness  of sequencing  entire
            their lifestyle change, genetic condition, and treatment   genomes, next-generation sequencing technologies
            options.                                           have become more widely used, translating to increased
              Overall, digital health interventions hold the potential   availability and demand for genomic data analysis tools.
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            to transform genetics by offering personalized, accessible,   Software for variant calling, annotation, and interpretation
            and patient-oriented care. However, it is imperative to   is designed according to the FAIR principles, ensuring
            ensure that data sharing occurs in a secure and ethical   that  data  are findable, accessible,  interoperable, and
            manner, safeguarding patients’ privacy and autonomy.  reusable. AI-powered chatbots are also transforming


            Volume 3 Issue 3 (2024)                         3                               doi: 10.36922/gpd.4128
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