Real-World Examples

This section provides practical examples demonstrating Gospel’s capabilities across different use cases, from personal genomics to clinical applications and research.

Table of Contents

  1. Personal Genomics
  2. Athletic Performance Optimization
  3. Clinical Pharmacogenetics
  4. Nutritional Optimization
  5. Research Applications
  6. Integration Examples

Personal Genomics

Complete Personal Genome Analysis

This example demonstrates how to perform a comprehensive personal genome analysis covering all domains.

#!/bin/bash
# personal_genome_analysis.sh

# Step 1: Comprehensive analysis
echo "Starting comprehensive genome analysis..."
gospel analyze \
    --vcf personal_genome.vcf \
    --domains all \
    --include-regulatory \
    --include-structural \
    --include-networks \
    --population EUR \
    --min-confidence 0.7 \
    --output personal_analysis/ \
    --format all

# Step 2: Generate interactive visualizations
echo "Creating visualizations..."
gospel visualize \
    --results personal_analysis/ \
    --score-distributions \
    --protein-networks \
    --pathway-enrichment \
    --interactive \
    --output personal_visualizations/

# Step 3: Query for specific insights
echo "Generating personalized insights..."
gospel query \
    --results personal_analysis/ \
    --query "What are my top 5 genetic strengths and weaknesses?" \
    --format markdown \
    --output personal_insights.md

gospel query \
    --results personal_analysis/ \
    --query "What lifestyle modifications would benefit my genetic profile?" \
    --format markdown \
    --output lifestyle_recommendations.md

echo "Analysis complete! Check the following files:"
echo "- personal_analysis/summary_report.html"
echo "- personal_visualizations/index.html"
echo "- personal_insights.md"
echo "- lifestyle_recommendations.md"

Family Genomics Analysis

Analyze a family trio to identify inheritance patterns:

#!/bin/bash
# family_analysis.sh

# Analyze each family member
for member in father mother child; do
    echo "Analyzing $member..."
    gospel analyze \
        --vcf family_${member}.vcf \
        --domains all \
        --population EUR \
        --output family_results/${member}/
done

# Compare family results
gospel compare \
    --input-dirs family_results/father family_results/mother family_results/child \
    --output family_comparison/ \
    --inheritance-analysis \
    --shared-variants

# Interactive family exploration
gospel query \
    --results family_comparison/ \
    --interactive \
    --query "Show me genetic traits inherited from each parent"

Athletic Performance Optimization

Elite Athlete Profile Analysis

Complete genetic profiling for athletic performance optimization:

#!/usr/bin/env python3
# athlete_profiling.py

from gospel import GospelAnalyzer, FitnessDomain, VisualizationEngine
import json

def analyze_athlete_genome(vcf_file, athlete_name, sport_focus=None):
    """
    Comprehensive athlete genome analysis focusing on performance traits.
    
    Args:
        vcf_file: Path to athlete's VCF file
        athlete_name: Name for output files
        sport_focus: Optional sport focus (sprint, endurance, power, mixed)
    """
    
    # Initialize analyzer with fitness focus
    analyzer = GospelAnalyzer(
        domains=['fitness'],
        include_regulatory=True,
        include_networks=True,
        performance_optimization=True
    )
    
    # Run comprehensive analysis
    print(f"Analyzing {athlete_name}'s genetic profile...")
    results = analyzer.analyze_vcf(
        vcf_file=vcf_file,
        population='EUR',  # Adjust based on athlete's ancestry
        output_dir=f'athlete_profiles/{athlete_name}/'
    )
    
    # Fitness domain deep dive
    fitness_analyzer = FitnessDomain()
    fitness_profile = fitness_analyzer.generate_athlete_profile(
        variants=results.variants,
        sport_focus=sport_focus
    )
    
    # Generate sport-specific recommendations
    recommendations = fitness_analyzer.generate_training_recommendations(
        fitness_profile=fitness_profile,
        sport_focus=sport_focus
    )
    
    # Create visualization suite
    viz_engine = VisualizationEngine()
    
    # Fitness radar chart
    viz_engine.create_fitness_radar(
        fitness_profile,
        output_file=f'athlete_profiles/{athlete_name}/fitness_radar.html'
    )
    
    # Training optimization chart
    viz_engine.create_training_chart(
        recommendations,
        output_file=f'athlete_profiles/{athlete_name}/training_plan.html'
    )
    
    # Injury risk assessment
    injury_analysis = fitness_analyzer.assess_injury_risk(
        variants=results.variants
    )
    
    # Generate comprehensive report
    athlete_report = {
        'athlete_name': athlete_name,
        'overall_fitness_score': fitness_profile.overall_score,
        'component_scores': {
            'sprint_power': fitness_profile.sprint_score,
            'endurance': fitness_profile.endurance_score,
            'strength': fitness_profile.strength_score,
            'recovery': fitness_profile.recovery_score,
            'injury_risk': injury_analysis.overall_risk
        },
        'genetic_advantages': fitness_profile.advantages,
        'genetic_limitations': fitness_profile.limitations,
        'training_recommendations': recommendations.training_plan,
        'recovery_protocols': recommendations.recovery_plan,
        'injury_prevention': injury_analysis.prevention_strategies,
        'optimal_sports': recommendations.sport_recommendations
    }
    
    # Save detailed report
    with open(f'athlete_profiles/{athlete_name}/athlete_report.json', 'w') as f:
        json.dump(athlete_report, f, indent=2)
    
    return athlete_report

# Example usage for different athlete types
if __name__ == "__main__":
    # Sprint athlete analysis
    sprint_athlete = analyze_athlete_genome(
        vcf_file='athletes/sprinter_genome.vcf',
        athlete_name='elite_sprinter',
        sport_focus='sprint'
    )
    
    # Endurance athlete analysis
    endurance_athlete = analyze_athlete_genome(
        vcf_file='athletes/marathoner_genome.vcf',
        athlete_name='elite_marathoner',
        sport_focus='endurance'
    )
    
    # Mixed sport athlete (e.g., soccer, basketball)
    mixed_athlete = analyze_athlete_genome(
        vcf_file='athletes/soccer_player_genome.vcf',
        athlete_name='soccer_player',
        sport_focus='mixed'
    )
    
    print("Athlete profiling complete!")
    print("Check the athlete_profiles/ directory for results.")

Sport-Specific Training Optimization

#!/bin/bash
# sport_specific_training.sh

# Function to analyze athlete for specific sport
analyze_for_sport() {
    local vcf_file=$1
    local sport=$2
    local athlete_name=$3
    
    echo "Analyzing $athlete_name for $sport performance..."
    
    gospel analyze \
        --vcf "$vcf_file" \
        --domains fitness \
        --sport-focus "$sport" \
        --include-regulatory \
        --training-optimization \
        --injury-risk-assessment \
        --recovery-analysis \
        --output "sport_analysis/${athlete_name}_${sport}/"
    
    # Generate sport-specific recommendations
    gospel query \
        --results "sport_analysis/${athlete_name}_${sport}/" \
        --query "Provide detailed training recommendations for $sport based on my genetic profile" \
        --include-literature \
        --output "sport_analysis/${athlete_name}_${sport}/training_plan.md"
    
    # Create performance prediction
    gospel query \
        --results "sport_analysis/${athlete_name}_${sport}/" \
        --query "What is my performance potential in $sport and which aspects should I focus on?" \
        --output "sport_analysis/${athlete_name}_${sport}/performance_prediction.md"
}

# Analyze for different sports
analyze_for_sport "athlete.vcf" "sprinting" "john_doe"
analyze_for_sport "athlete.vcf" "marathon" "john_doe"
analyze_for_sport "athlete.vcf" "powerlifting" "john_doe"
analyze_for_sport "athlete.vcf" "soccer" "john_doe"

# Compare performance potential across sports
gospel compare-sports \
    --input-dirs sport_analysis/john_doe_*/ \
    --output sport_analysis/john_doe_sport_comparison/ \
    --create-recommendations

Clinical Pharmacogenetics

Pre-prescription Pharmacogenetic Screening

Clinical workflow for medication safety assessment:

#!/usr/bin/env python3
# clinical_pharma_screening.py

from gospel import PharmacoAnalyzer, ClinicalReportGenerator
import pandas as pd

def clinical_pharma_screening(patient_vcf, patient_id, medication_list=None):
    """
    Clinical pharmacogenetic screening for medication safety.
    
    Args:
        patient_vcf: Patient's VCF file
        patient_id: Unique patient identifier
        medication_list: List of medications to specifically analyze
    """
    
    # Initialize pharmacogenetic analyzer
    pharma_analyzer = PharmacoAnalyzer(
        clinical_mode=True,
        include_dosing_guidelines=True,
        include_drug_interactions=True
    )
    
    # Run pharmacogenetic analysis
    print(f"Running pharmacogenetic analysis for patient {patient_id}...")
    results = pharma_analyzer.analyze_vcf(
        vcf_file=patient_vcf,
        output_dir=f'clinical_reports/{patient_id}/'
    )
    
    # Analyze specific medications if provided
    if medication_list:
        medication_analysis = pharma_analyzer.analyze_medications(
            variants=results.variants,
            medications=medication_list
        )
    else:
        medication_analysis = pharma_analyzer.analyze_all_drug_classes(
            variants=results.variants
        )
    
    # Generate clinical recommendations
    clinical_recommendations = {
        'patient_id': patient_id,
        'analysis_date': pharma_analyzer.get_analysis_date(),
        'cyp_status': {
            'CYP2D6': medication_analysis.cyp2d6_status,
            'CYP2C19': medication_analysis.cyp2c19_status,
            'CYP2C9': medication_analysis.cyp2c9_status,
            'CYP3A4': medication_analysis.cyp3a4_status
        },
        'high_risk_medications': medication_analysis.high_risk_drugs,
        'dosing_adjustments': medication_analysis.dosing_recommendations,
        'alternative_medications': medication_analysis.alternative_drugs,
        'drug_interactions': medication_analysis.potential_interactions,
        'monitoring_recommendations': medication_analysis.monitoring_plans
    }
    
    # Generate clinical report
    report_generator = ClinicalReportGenerator()
    clinical_report = report_generator.generate_pharma_report(
        patient_id=patient_id,
        analysis_results=results,
        medication_analysis=medication_analysis,
        recommendations=clinical_recommendations
    )
    
    # Save clinical report
    report_generator.save_report(
        report=clinical_report,
        output_file=f'clinical_reports/{patient_id}/pharma_report.pdf',
        format='clinical_pdf'
    )
    
    # Generate pharmacist reference sheet
    pharmacist_sheet = report_generator.generate_pharmacist_reference(
        patient_id=patient_id,
        cyp_status=clinical_recommendations['cyp_status'],
        drug_recommendations=clinical_recommendations
    )
    
    return clinical_recommendations

# Example: Pre-surgical screening
def pre_surgical_screening(patient_vcf, patient_id):
    """Screen patient before surgery for pain medication compatibility."""
    
    # Common surgical medications
    surgical_medications = [
        'morphine', 'codeine', 'tramadol', 'fentanyl',
        'warfarin', 'clopidogrel', 'aspirin',
        'midazolam', 'propofol'
    ]
    
    recommendations = clinical_pharma_screening(
        patient_vcf=patient_vcf,
        patient_id=patient_id,
        medication_list=surgical_medications
    )
    
    # Generate surgical-specific recommendations
    surgical_recommendations = {
        'pain_management': recommendations.get('pain_medications', {}),
        'anticoagulation': recommendations.get('anticoagulants', {}),
        'anesthesia': recommendations.get('anesthetics', {}),
        'post_op_monitoring': recommendations.get('monitoring_recommendations', {})
    }
    
    return surgical_recommendations

# Example usage
if __name__ == "__main__":
    # General pharmacogenetic screening
    patient_001 = clinical_pharma_screening(
        patient_vcf='patients/patient_001.vcf',
        patient_id='PATIENT_001'
    )
    
    # Pre-surgical screening
    surgical_patient = pre_surgical_screening(
        patient_vcf='patients/surgical_patient.vcf',
        patient_id='SURGICAL_001'
    )
    
    print("Clinical pharmacogenetic screening complete!")

Drug Development Support

Pharmacogenetic analysis for clinical trials:

#!/usr/bin/env python3
# clinical_trial_stratification.py

from gospel import PharmacoAnalyzer, CohortAnalyzer
import pandas as pd

def stratify_clinical_trial_cohort(cohort_vcfs, drug_target, trial_name):
    """
    Stratify clinical trial participants based on pharmacogenetic profiles.
    
    Args:
        cohort_vcfs: List of VCF files for trial participants
        drug_target: Target drug/pathway for the trial
        trial_name: Name of the clinical trial
    """
    
    pharma_analyzer = PharmacoAnalyzer()
    cohort_analyzer = CohortAnalyzer()
    
    participant_profiles = []
    
    # Analyze each participant
    for i, vcf_file in enumerate(cohort_vcfs):
        participant_id = f"PARTICIPANT_{i+1:03d}"
        
        print(f"Analyzing {participant_id}...")
        
        # Individual pharmacogenetic analysis
        results = pharma_analyzer.analyze_vcf(
            vcf_file=vcf_file,
            drug_focus=drug_target,
            output_dir=f'clinical_trials/{trial_name}/{participant_id}/'
        )
        
        # Extract relevant pharmacogenetic markers
        profile = {
            'participant_id': participant_id,
            'cyp2d6_phenotype': results.cyp2d6_status,
            'cyp2c19_phenotype': results.cyp2c19_status,
            'cyp2c9_phenotype': results.cyp2c9_status,
            'drug_target_variants': results.drug_target_analysis,
            'predicted_response': results.response_prediction,
            'recommended_dose': results.dosing_recommendation,
            'risk_factors': results.risk_assessment
        }
        
        participant_profiles.append(profile)
    
    # Cohort-level analysis
    cohort_summary = cohort_analyzer.analyze_cohort(
        participant_profiles=participant_profiles,
        drug_target=drug_target
    )
    
    # Stratification recommendations
    stratification = cohort_analyzer.recommend_stratification(
        cohort_summary=cohort_summary,
        trial_objectives=['efficacy', 'safety', 'dosing']
    )
    
    # Generate trial design recommendations
    trial_design = {
        'total_participants': len(participant_profiles),
        'stratification_groups': stratification.groups,
        'randomization_strategy': stratification.randomization,
        'dosing_schema': stratification.dosing_groups,
        'monitoring_requirements': stratification.monitoring_plan,
        'expected_outcomes': stratification.outcome_predictions
    }
    
    return trial_design, participant_profiles

# Example usage for different trial types
if __name__ == "__main__":
    # Cardiovascular drug trial
    cv_trial = stratify_clinical_trial_cohort(
        cohort_vcfs=[f'cohorts/cv_trial/participant_{i}.vcf' for i in range(1, 101)],
        drug_target='warfarin',
        trial_name='CV_WARFARIN_TRIAL'
    )
    
    # Oncology trial
    oncology_trial = stratify_clinical_trial_cohort(
        cohort_vcfs=[f'cohorts/oncology/patient_{i}.vcf' for i in range(1, 51)],
        drug_target='5-fluorouracil',
        trial_name='ONCOLOGY_5FU_TRIAL'
    )

Nutritional Optimization

Personalized Nutrition Plan

Complete nutritional genomics analysis with meal planning:

#!/usr/bin/env python3
# personalized_nutrition.py

from gospel import NutritionAnalyzer, MealPlanner, SupplementOptimizer
import json

def create_personalized_nutrition_plan(vcf_file, user_profile):
    """
    Create comprehensive personalized nutrition plan based on genetics.
    
    Args:
        vcf_file: User's genetic data
        user_profile: Additional user information (age, sex, goals, etc.)
    """
    
    # Initialize nutrition analyzer
    nutrition_analyzer = NutritionAnalyzer(
        include_sensitivities=True,
        include_metabolism=True,
        include_requirements=True
    )
    
    # Run nutritional genomics analysis
    print("Analyzing nutritional genetics...")
    results = nutrition_analyzer.analyze_vcf(
        vcf_file=vcf_file,
        output_dir=f'nutrition_plans/{user_profile["user_id"]}/'
    )
    
    # Analyze specific nutritional components
    macro_analysis = nutrition_analyzer.analyze_macronutrients(
        variants=results.variants,
        user_profile=user_profile
    )
    
    micro_analysis = nutrition_analyzer.analyze_micronutrients(
        variants=results.variants
    )
    
    sensitivity_analysis = nutrition_analyzer.analyze_food_sensitivities(
        variants=results.variants
    )
    
    # Generate personalized recommendations
    nutrition_recommendations = {
        'user_id': user_profile['user_id'],
        'genetic_profile': {
            'metabolism_type': macro_analysis.metabolism_type,
            'caffeine_sensitivity': sensitivity_analysis.caffeine_sensitivity,
            'lactose_tolerance': sensitivity_analysis.lactose_tolerance,
            'gluten_sensitivity_risk': sensitivity_analysis.gluten_risk,
            'alcohol_metabolism': macro_analysis.alcohol_metabolism
        },
        'macronutrient_ratios': {
            'carbohydrates': macro_analysis.optimal_carb_ratio,
            'proteins': macro_analysis.optimal_protein_ratio,
            'fats': macro_analysis.optimal_fat_ratio
        },
        'micronutrient_needs': {
            'folate': micro_analysis.folate_requirements,
            'vitamin_d': micro_analysis.vitamin_d_requirements,
            'vitamin_b12': micro_analysis.b12_requirements,
            'iron': micro_analysis.iron_requirements
        },
        'foods_to_emphasize': macro_analysis.beneficial_foods,
        'foods_to_limit': sensitivity_analysis.problematic_foods,
        'meal_timing': macro_analysis.optimal_meal_timing
    }
    
    # Generate supplement recommendations
    supplement_optimizer = SupplementOptimizer()
    supplement_plan = supplement_optimizer.optimize_supplements(
        genetic_profile=nutrition_recommendations['genetic_profile'],
        micronutrient_needs=nutrition_recommendations['micronutrient_needs'],
        user_profile=user_profile
    )
    
    # Create meal plans
    meal_planner = MealPlanner()
    weekly_meal_plan = meal_planner.create_weekly_plan(
        nutrition_recommendations=nutrition_recommendations,
        user_preferences=user_profile.get('dietary_preferences', {}),
        calorie_target=user_profile.get('calorie_target'),
        meal_count=user_profile.get('meals_per_day', 3)
    )
    
    # Compile complete nutrition plan
    complete_plan = {
        'nutrition_recommendations': nutrition_recommendations,
        'supplement_plan': supplement_plan,
        'weekly_meal_plan': weekly_meal_plan,
        'shopping_list': meal_planner.generate_shopping_list(weekly_meal_plan),
        'recipe_suggestions': meal_planner.get_recipe_suggestions(nutrition_recommendations)
    }
    
    # Save nutrition plan
    with open(f'nutrition_plans/{user_profile["user_id"]}/complete_plan.json', 'w') as f:
        json.dump(complete_plan, f, indent=2)
    
    return complete_plan

# Example user profiles
if __name__ == "__main__":
    # Weight loss focused
    weight_loss_user = {
        'user_id': 'USER_001',
        'age': 35,
        'sex': 'female',
        'goal': 'weight_loss',
        'calorie_target': 1500,
        'activity_level': 'moderate',
        'dietary_preferences': {
            'vegetarian': False,
            'gluten_free': False,
            'dairy_free': False
        },
        'meals_per_day': 4
    }
    
    weight_loss_plan = create_personalized_nutrition_plan(
        vcf_file='users/weight_loss_user.vcf',
        user_profile=weight_loss_user
    )
    
    # Athletic performance focused
    athlete_user = {
        'user_id': 'ATHLETE_001',
        'age': 28,
        'sex': 'male',
        'goal': 'athletic_performance',
        'sport': 'endurance_running',
        'calorie_target': 3500,
        'activity_level': 'high',
        'meals_per_day': 5
    }
    
    athlete_plan = create_personalized_nutrition_plan(
        vcf_file='users/athlete_user.vcf',
        user_profile=athlete_user
    )
    
    print("Personalized nutrition plans created!")

Research Applications

Population Genomics Study

Large-scale population analysis using Gospel:

#!/usr/bin/env python3
# population_genomics_study.py

from gospel import PopulationAnalyzer, StatisticalAnalyzer
import pandas as pd
from multiprocessing import Pool
import numpy as np

def analyze_population_cohort(cohort_data, study_name, research_question):
    """
    Analyze large population cohort for genomic research.
    
    Args:
        cohort_data: List of dictionaries with VCF files and metadata
        study_name: Name of the research study
        research_question: Specific research focus
    """
    
    population_analyzer = PopulationAnalyzer()
    stats_analyzer = StatisticalAnalyzer()
    
    print(f"Starting population analysis for {study_name}")
    print(f"Cohort size: {len(cohort_data)} individuals")
    
    # Parallel processing of individual genomes
    def analyze_individual(individual_data):
        return population_analyzer.analyze_individual(
            vcf_file=individual_data['vcf_file'],
            metadata=individual_data['metadata'],
            domains=['fitness', 'pharmacogenetics', 'nutrition']
        )
    
    # Process cohort in parallel
    with Pool() as pool:
        individual_results = pool.map(analyze_individual, cohort_data)
    
    # Aggregate population-level results
    population_summary = population_analyzer.aggregate_cohort_results(
        individual_results=individual_results,
        study_focus=research_question
    )
    
    # Statistical analysis
    statistical_results = stats_analyzer.perform_population_analysis(
        population_data=population_summary,
        analysis_type=research_question
    )
    
    # Generate research insights
    research_findings = {
        'study_name': study_name,
        'cohort_characteristics': population_summary.demographics,
        'allele_frequencies': statistical_results.allele_frequencies,
        'domain_distributions': statistical_results.domain_score_distributions,
        'population_comparisons': statistical_results.population_comparisons,
        'significant_associations': statistical_results.gwas_results,
        'pathway_enrichment': statistical_results.pathway_analysis,
        'clinical_implications': statistical_results.clinical_relevance
    }
    
    return research_findings

# Example: Multi-ethnic fitness genomics study
def fitness_genomics_study():
    """Study genetic factors affecting fitness across populations."""
    
    # Simulated cohort data
    cohort_data = []
    
    populations = ['EUR', 'AFR', 'EAS', 'AMR', 'SAS']
    
    for pop in populations:
        for i in range(100):  # 100 individuals per population
            individual = {
                'vcf_file': f'cohorts/fitness_study/{pop}/individual_{i}.vcf',
                'metadata': {
                    'population': pop,
                    'age': np.random.randint(18, 65),
                    'sex': np.random.choice(['male', 'female']),
                    'sport_category': np.random.choice(['sprint', 'endurance', 'power', 'mixed']),
                    'elite_status': np.random.choice([True, False], p=[0.2, 0.8])
                }
            }
            cohort_data.append(individual)
    
    # Run population analysis
    fitness_study_results = analyze_population_cohort(
        cohort_data=cohort_data,
        study_name="Multi-Ethnic Fitness Genomics Study",
        research_question="fitness_population_genetics"
    )
    
    return fitness_study_results

# Example: Pharmacogenetics across populations
def pharma_population_study():
    """Study pharmacogenetic variant frequencies across populations."""
    
    # Focus on key pharmacogenetic genes
    target_genes = ['CYP2D6', 'CYP2C19', 'CYP2C9', 'VKORC1', 'SLCO1B1']
    
    cohort_data = []
    populations = ['EUR', 'AFR', 'EAS', 'AMR', 'SAS']
    
    for pop in populations:
        for i in range(200):  # 200 individuals per population
            individual = {
                'vcf_file': f'cohorts/pharma_study/{pop}/individual_{i}.vcf',
                'metadata': {
                    'population': pop,
                    'age': np.random.randint(18, 80),
                    'sex': np.random.choice(['male', 'female']),
                    'medical_history': np.random.choice(['healthy', 'cardiovascular', 'psychiatric'], 
                                                      p=[0.6, 0.3, 0.1])
                }
            }
            cohort_data.append(individual)
    
    pharma_study_results = analyze_population_cohort(
        cohort_data=cohort_data,
        study_name="Global Pharmacogenetics Frequency Study",
        research_question="pharmacogenetic_population_frequencies"
    )
    
    return pharma_study_results

if __name__ == "__main__":
    # Run fitness genomics study
    fitness_results = fitness_genomics_study()
    print("Fitness genomics study completed!")
    
    # Run pharmacogenetics study
    pharma_results = pharma_population_study()
    print("Pharmacogenetics population study completed!")

Integration Examples

Healthcare System Integration

Integration with electronic health records (EHR):

#!/usr/bin/env python3
# ehr_integration.py

from gospel import GospelAnalyzer, EHRInterface, ClinicalDecisionSupport
import json
import datetime

class GospelEHRIntegration:
    """Integration layer between Gospel and healthcare systems."""
    
    def __init__(self, ehr_config):
        self.ehr_interface = EHRInterface(ehr_config)
        self.gospel_analyzer = GospelAnalyzer()
        self.clinical_support = ClinicalDecisionSupport()
    
    def process_new_patient_genetics(self, patient_id, vcf_file):
        """Process genetic data for new patient and update EHR."""
        
        # Retrieve patient information from EHR
        patient_info = self.ehr_interface.get_patient_info(patient_id)
        
        # Run Gospel analysis
        genetic_analysis = self.gospel_analyzer.analyze_vcf(
            vcf_file=vcf_file,
            domains=['pharmacogenetics', 'nutrition'],
            clinical_mode=True
        )
        
        # Generate clinical recommendations
        clinical_recommendations = self.clinical_support.generate_recommendations(
            genetic_analysis=genetic_analysis,
            patient_info=patient_info
        )
        
        # Format for EHR integration
        ehr_genetic_data = {
            'patient_id': patient_id,
            'analysis_date': datetime.datetime.now().isoformat(),
            'pharmacogenetic_profile': {
                'cyp2d6_status': genetic_analysis.cyp2d6_phenotype,
                'cyp2c19_status': genetic_analysis.cyp2c19_phenotype,
                'cyp2c9_status': genetic_analysis.cyp2c9_phenotype,
                'high_risk_medications': clinical_recommendations.contraindicated_drugs,
                'dosing_adjustments': clinical_recommendations.dose_modifications
            },
            'nutritional_profile': {
                'folate_metabolism': genetic_analysis.mthfr_status,
                'vitamin_d_requirements': genetic_analysis.vitamin_d_needs,
                'food_sensitivities': genetic_analysis.food_intolerances
            },
            'clinical_alerts': clinical_recommendations.priority_alerts
        }
        
        # Update EHR with genetic data
        self.ehr_interface.update_patient_genetics(
            patient_id=patient_id,
            genetic_data=ehr_genetic_data
        )
        
        return ehr_genetic_data
    
    def check_medication_compatibility(self, patient_id, new_medication):
        """Check medication compatibility against patient's genetic profile."""
        
        # Retrieve genetic profile from EHR
        genetic_profile = self.ehr_interface.get_patient_genetics(patient_id)
        
        if not genetic_profile:
            return {'warning': 'No genetic data available for this patient'}
        
        # Analyze medication compatibility
        compatibility = self.clinical_support.check_drug_compatibility(
            medication=new_medication,
            genetic_profile=genetic_profile
        )
        
        # Generate alerts if needed
        if compatibility.has_contraindications:
            alert = {
                'alert_type': 'GENETIC_CONTRAINDICATION',
                'severity': compatibility.severity,
                'message': compatibility.warning_message,
                'recommendations': compatibility.alternative_medications,
                'references': compatibility.clinical_guidelines
            }
            
            # Send alert to EHR system
            self.ehr_interface.send_clinical_alert(patient_id, alert)
            
            return alert
        
        return {'status': 'compatible', 'recommendations': compatibility.dosing_guidance}

# Example usage in clinical workflow
def clinical_workflow_example():
    """Example of Gospel integration in clinical workflow."""
    
    # Initialize integration
    ehr_config = {
        'ehr_system': 'epic',
        'api_endpoint': 'https://ehr.hospital.com/api',
        'credentials': 'path/to/credentials.json'
    }
    
    gospel_ehr = GospelEHRIntegration(ehr_config)
    
    # Scenario 1: New patient with genetic testing
    patient_genetics = gospel_ehr.process_new_patient_genetics(
        patient_id='PATIENT_12345',
        vcf_file='genetic_tests/patient_12345.vcf'
    )
    
    print("Genetic profile integrated into EHR")
    
    # Scenario 2: Prescribing new medication
    compatibility_check = gospel_ehr.check_medication_compatibility(
        patient_id='PATIENT_12345',
        new_medication='warfarin'
    )
    
    if compatibility_check.get('alert_type'):
        print(f"ALERT: {compatibility_check['message']}")
    else:
        print("Medication compatible with genetic profile")

if __name__ == "__main__":
    clinical_workflow_example()

Research Platform Integration

Integration with research data management platforms:

#!/usr/bin/env python3
# research_platform_integration.py

from gospel import ResearchAnalyzer, DataExporter, QualityController
import pandas as pd

class ResearchPlatformConnector:
    """Connector for integrating Gospel with research platforms."""
    
    def __init__(self, platform_config):
        self.platform_config = platform_config
        self.research_analyzer = ResearchAnalyzer()
        self.data_exporter = DataExporter()
        self.quality_controller = QualityController()
    
    def process_research_cohort(self, study_id, cohort_manifest):
        """Process entire research cohort through Gospel pipeline."""
        
        print(f"Processing research cohort for study {study_id}")
        
        # Load cohort manifest
        cohort_df = pd.read_csv(cohort_manifest)
        
        # Quality control checks
        qc_results = self.quality_controller.assess_cohort_quality(cohort_df)
        
        if not qc_results.passes_qc:
            raise ValueError(f"Cohort failed QC: {qc_results.issues}")
        
        # Process each sample
        cohort_results = []
        
        for _, sample in cohort_df.iterrows():
            sample_id = sample['sample_id']
            vcf_file = sample['vcf_path']
            
            # Individual analysis
            individual_result = self.research_analyzer.analyze_research_sample(
                sample_id=sample_id,
                vcf_file=vcf_file,
                study_metadata=sample.to_dict()
            )
            
            cohort_results.append(individual_result)
        
        # Aggregate cohort-level results
        cohort_summary = self.research_analyzer.summarize_cohort(
            cohort_results=cohort_results,
            study_id=study_id
        )
        
        # Export results in research-friendly formats
        self.export_research_results(
            study_id=study_id,
            cohort_summary=cohort_summary,
            individual_results=cohort_results
        )
        
        return cohort_summary
    
    def export_research_results(self, study_id, cohort_summary, individual_results):
        """Export results in formats suitable for research analysis."""
        
        # PLINK format for GWAS
        self.data_exporter.export_plink_format(
            study_id=study_id,
            results=cohort_summary,
            output_dir=f'research_exports/{study_id}/plink/'
        )
        
        # R data format
        self.data_exporter.export_r_format(
            study_id=study_id,
            results=cohort_summary,
            output_dir=f'research_exports/{study_id}/r_data/'
        )
        
        # JSON for web applications
        self.data_exporter.export_json_format(
            study_id=study_id,
            results=cohort_summary,
            output_dir=f'research_exports/{study_id}/json/'
        )
        
        # CSV for statistical analysis
        self.data_exporter.export_csv_format(
            study_id=study_id,
            results=cohort_summary,
            output_dir=f'research_exports/{study_id}/csv/'
        )

# Example research study
if __name__ == "__main__":
    platform_config = {
        'platform': 'terra',
        'workspace': 'genomics-research',
        'project': 'multi-domain-gwas'
    }
    
    connector = ResearchPlatformConnector(platform_config)
    
    # Process large-scale GWAS study
    gwas_results = connector.process_research_cohort(
        study_id='MULTI_DOMAIN_GWAS_2024',
        cohort_manifest='studies/multi_domain_gwas/cohort_manifest.csv'
    )
    
    print("Research cohort processing complete!")

These comprehensive examples demonstrate Gospel’s versatility across different use cases, from personal genomics to large-scale research applications. Each example includes complete, runnable code that showcases Gospel’s capabilities and integration potential.

Next: Check out the API Reference for detailed programmatic interface documentation, or explore Contributing to help improve Gospel.