Regulatory posture

Designed for laboratory-controlled interpretation.

The Toolkit implements a laboratory-controlled procedure. It does not independently produce a final diagnostic result, and no calculated value reaches clinical interpretation or a released report without professional review.

Workflow

A transparent, deterministic review workflow.

  1. Laboratory input

    Laboratory-generated results

    • Discrete genotype, variant, and laboratory-determined copy-number observations
    • Produced by the laboratory’s validated analytical process
    • Supported transport formats include VCF and configured outputs from validated arrays and instrument-analysis pipelines
  2. Processing

    Canonical normalization

    • Canonical GRCh38 representation against versioned reference content
    • rsID and zygosity mapping
    • Normalization changes retained as processing notes
    • Reference versions recorded
  3. Knowledge mapping

    Deterministic haplotype lookup

    • Exact variant-to-definition matching — no probabilistic classifier
    • Versioned PharmVar and ClinPGx definitions
    • Supporting and missing observations surfaced
    • Phase, CNV, SV, and discriminator limitations identified
  4. Pre-approval result

    Proposed diplotype

    • Candidate haplotypes and proposed diplotype
    • Compatible alternatives and ambiguous assignments shown
    • Processing notes and assay limitations displayed
  5. Laboratory control point

    Qualified laboratory review

    • Approve, modify, reject, or hold for investigation
    • Calculated and approved values remain distinct and auditable
    • Reviewer, timestamp, and rationale recorded
  6. Released result

    Laboratory-approved result

    • Approved diplotype matched to phenotype and guideline content
    • CPIC, DPWG, FDA and other curated evidence with source and version
    • Laboratory-approved, clinician-facing report

Hard release gate

No proposed or unresolved result proceeds to clinical interpretation or report generation until a qualified laboratory professional approves it.

Scope boundary

The Toolkit operates on laboratory-generated results. It does not perform sequencing, signal analysis, base calling, alignment, primary variant calling, or analytical copy-number determination.

Dashed outline marks a proposed result that has not been approved. Solid cobalt marks the laboratory’s control point and the approved result released under its procedure.

Content Provenance

Guidance sources and versioning.

Every recommendation is attributed to its source guideline — CPIC, DPWG, or the FDA — and to the version of that guideline in effect when it was applied.

CPIC

Clinical Pharmacogenetics Implementation Consortium

Peer-reviewed gene–drug guidelines, each assigned a CPIC evidence level and strength of recommendation.

FDA

Table of Pharmacogenetic Associations

Associations the FDA has evaluated, organized into three sections by strength of evidence, alongside pharmacogenomic information in approved drug labeling.

DPWG

Dutch Pharmacogenetics Working Group

Dosing guidelines issued by the DPWG of the KNMP, with its own evidence classifications.

01

Versioned at the source

Each recommendation records the guideline version it was drawn from, so the guidance in effect on any given date can be identified.

02

Updated on a set cadence

Source guidelines are monitored for revision, and updated content is released with a changelog recording what changed and why. Targeted updates can be released on request.

03

Evidence-linked, end to end

Each report links to the source citation behind every recommendation, supporting verification and audit.

Data boundary

What stays local, and what crosses.

Patient-specific observations are exchanged with the knowledge service in de-identified form. Demographics, direct identifiers, professional determinations, and report release remain in the laboratory environment.

TSI knowledge service
  • Versioned GRCh38 and NCBI mapping content
  • Versioned PharmVar and ClinPGx haplotype definitions
  • Curated CPIC, DPWG, and FDA knowledge with provenance and release notes
  • Receives de-identified variant and genotype observations and returns proposed diplotypes with notes, ambiguities, and limitations
  • Matches laboratory-approved results to applicable guideline content
  • No demographics or direct patient identifiers
Laboratory environment
  • Patient demographics and direct identifiers
  • Review of proposed results, ambiguities, and processing notes
  • Professional determination — approve, modify, reject, or hold
  • Validation and approval of reference-content versions
  • Audit trail of calculated value, determination, reviewer, and rationale
  • Report generation, customization, and release
Inputs

Laboratory-generated observations.

  • Discrete genotype, variant, and laboratory-determined copy-number observations generated by the laboratory’s validated analytical pipeline
  • Supported transport formats include VCF and configured outputs from validated arrays and instrument-analysis pipelines
  • Supported input formats and assay configurations validated and approved by each laboratory
  • Patient demographics (CSV, HL7, LIMS) — held locally
Processing

Standardize, compare, and document.

  • Standardizes already-called observations against version-controlled GRCh38 and NCBI reference information
  • Records normalization transformations, discrepancies, and processing notes
  • Converts observations into canonical VariantID–TestResult pairs
  • Compares those pairs deterministically against a precomputed implementation of laboratory-approved PharmVar/ClinPGx haplotype definitions
  • Presents proposed diplotypes, compatible alternatives, ambiguities, supporting observations, and limitations
  • Holds each proposed result for qualified laboratory review before downstream clinical interpretation or report release
Outputs

Released under your procedure.

  • Laboratory-approved, clinician-facing reports
  • Configurable templates and stylesheets
  • Targeted outputs (e.g., psychotropics, CYP genes)
  • Customizable content tuned to your practice
  • Structured data for downstream systems
Approval gate

The laboratory makes the final determination.

The review record

PGx Toolkit calculations remain in a proposed-result state until reviewed by authorized laboratory personnel. The review record displays the original observation, canonical representation, normalization and diplotyping notes, reference versions, compatible diplotypes, identified ambiguities, assay limitations, and the basis for the proposed result.

The determination

The reviewer may approve, modify, reject, or hold the result for investigation. PGx Toolkit preserves the calculated result, professional determination, reviewer, timestamp, rationale, and supporting evidence in the audit trail. An unapproved result cannot proceed to clinical interpretation or report release.

Clinical guidance

Transparent mapping, independently reviewable.

After laboratory approval, PGx Toolkit transparently maps the approved result to applicable CPIC, DPWG, and FDA information. Reports identify the patient result, rule applied, source and version, supporting evidence, limitations, and the basis for the displayed recommendation so that healthcare professionals can independently evaluate it.

Identity & Access

Enterprise authentication. Customer-controlled authorization.

  • OAuth authentication via Microsoft (including federated domains) or Google
  • Compatible with enterprise identity systems (e.g., Office 365)
  • Authorization fully managed by the customer
  • Role-based access control (RBAC) governs API usage, UI access, and who may approve a proposed result
Coverage

Genes, drugs, and guidelines covered.

Coverage follows the gene–drug pairs with published guidance from CPIC, DPWG, and the FDA, rather than a single therapeutic area.

100%
Of CPIC guidelines represented
100+
Gene–drug pairs mapped to published recommendations
70+
Genes covered, including CYP2C9, CYP2C19, and CYP2D6
Supported Platforms

Works with the instruments your lab already runs.

The PGx Toolkit normalizes results from the major pharmacogenomic platforms — bring your existing data and keep your workflow intact.

Thermo Fisher Scientific

A comprehensive PGx portfolio spanning targeted PCR assays, genome-wide microarrays, and next-generation sequencing.

Illumina

A specialized ecosystem of microarrays, high-throughput sequencing platforms, and informatics designed to streamline PGx workflows from sample to report.

Agena Bioscience

PGx solutions centered on the proprietary MassARRAY System — MALDI-TOF mass spectrometry for high-throughput, cost-effective genetic analysis with results often within an 8-hour shift.

A transparent, laboratory-controlled workflow.

PGx Toolkit helps laboratories:

  • Standardize observations from supported, validated analytical pipelines
  • Document normalization and diplotyping decisions
  • Identify and resolve ambiguous results
  • Validate and approve reference-content versions
  • Preserve complete provenance and audit history
  • Generate reports only from laboratory-approved results
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