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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>Biomedical Ontology in Action"
November</journal-title>
      </journal-title-group>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Issues in Representing Biological and Clinical Phenotypes Using Formal Models</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>Ying Tao</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Chintan Patel</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Carol Friedman</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Yves A. Lussier</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>Center for Biomedical Informatics and Dept. of Medicine, The University of Chicago</institution>
          ,
          <addr-line>Chicago, IL</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>Dept. of Biomedical Informatics, Columbia University</institution>
          ,
          <addr-line>New York, NY</addr-line>
          ,
          <country country="US">USA</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2006</year>
      </pub-date>
      <volume>8</volume>
      <issue>2006</issue>
      <abstract>
        <p>Representing phenotypes in a structured and standardized manner across different biological species poses significant challenges. We performed a modeling experiment to compare a model called the Canon model, and the PATO for representing a range of biological and clinical phenotypes. The formal nature of Canon model allows for complex representations, but lacks the simplicity offered by PATO. A phenotype model allowing flexible representation with unique semantic interpretation is desired.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>METHODS
We selected a diverse set of phenotypes from
Wormbase, OMIM and chest radiology report
(radiographic findings/phenotypes). We then
evaluated the PATO and Canon models by encoding
the phenotypes into each model.</p>
      <p>RESULTS AND DISCUSSION
Examples of the phenotype modeling experiment are
described in table 1. The flexibility of choosing the
entity from an external ontology in PATO can lead to
multiple representations, for example,
vulval_differentiation (mammalian phenotype
ontology) or vulva (anatomy ontology); it is not clear
how semantic equivalences can be inferred from such
representations. Developing a symbolic model that
can represent and reason with complex concepts such
as ‘penetrance’ is challenging. Furthermore, concepts
having deep nested structures need a more formal
representation framework to capture the knowledge
at finer granularity (e.g. slight interval decrease).
The Canon model with its logic based representation
allows for formal and complex representations but
the familiarity and acceptance of such a model
among end-users remains an open issue. We
conclude that using PATO with a formal description
logic language, as the one provided in Canon, would
provide a more expressive and less ambiguous
framework for representing clinical and biological
phenotypes, however additional studies are required
to evaluate the usability aspects of the combined
model.</p>
      <p>Phenotype
negatively regulates
vulval differentiation
(WormBase)
Cystic Fibrosis with
pancreatic insufficiency
in 80% (OMIM)
Slight interval
decrease in left pleural
effusion (Radiology
Report)
* represents concepts not present in the model
* These authors contributed equally to the work
Vulva
Differentiation | regulation | negative
Cystic Fibrosis
Pancreas | enzyme_function | Insufficient*
Pleural effusion | local_qualifier | left
Pleural effusion | temporal | decrease
Left Pleural Cavity | pathological change | pleural
effusion
Left Pleural Cavity | temporal | decrease
[phenotype: #ark1Fun]
(has-observation) → [differentiation]
(has-location) → [vulval]
(has-process*) → [negatively regulated]
[phenotype:
MIM:219700](has-observation) → [enzyme function]
(has-location) → [pancreas]
(has-degree) → [insufficient]
(has-penetrance) → [80%]
[phenotype: # BWH22.09]
(has_observation) → [pleural_effusion]
(has_location_qualifier) → [left]
(has_temporal) →
[decrease_in]</p>
      <p>(has_degree) → [slight]
(has_temporal) → [interval]
† Corresponding authors who have contributed equally</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <ref id="ref1">
        <mixed-citation>1. www.bioontology.org/wiki/index.php/PATO:Main_Page</mixed-citation>
      </ref>
      <ref id="ref2">
        <mixed-citation>
          2.
          <string-name>
            <surname>Friedman</surname>
            <given-names>C</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Huff</surname>
            <given-names>SM</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Hersh</surname>
            <given-names>WR</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Pattison-Gordon</surname>
            <given-names>E</given-names>
          </string-name>
          ,
          <string-name>
            <surname>Cimino</surname>
            <given-names>JJ</given-names>
          </string-name>
          :
          <article-title>The Canon Group's effort: working toward a merged model</article-title>
          .
          <source>J Am Med Inform Assoc</source>
          <volume>2</volume>
          :
          <fpage>4</fpage>
          -
          <lpage>18</lpage>
          (
          <year>1995</year>
          )..
        </mixed-citation>
      </ref>
    </ref-list>
  </back>
</article>