# NIST: Automated Security Assessment Tool; need something similar

**URL:** https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751
**Category:** Technical (archive)
**Created:** [8 May 2003 06:16 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751 "2003-05-08T06:16:35Z")
**Posts on this page:** 7
**Page:** 1

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### Author: ![lakewood](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/l/65b543/32.png) [@lakewood](https://discourse.openehr.org/u/lakewood)
#### Post date: [8 May 2003 06:16 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/1 "2003-05-08T06:16:35Z")

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Hi All,

The following is a link to the NIST Automated Security Assessment Tool.  
For OpenEHR one tool will be insufficient. Something similar is feasible for  
the  
low-level (network/system) OpenEHR project.

[http://csrc.nist.gov/asset/](http://csrc.nist.gov/asset/)

-Thomas Clark

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### Author: ![Koray\_Atalag](https://discourse.openehr.org/user_avatar/discourse.openehr.org/koray_atalag/32/70_2.png) [@Koray\_Atalag](https://discourse.openehr.org/u/Koray_Atalag)
#### Post date: [15 May 2003 13:40 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/2 "2003-05-15T13:40:19Z")

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Hi,

I had problems wth my membership with the list for a while so I could not  
catch up with recent stuff but during this time I had some time to examine  
openEHR documents posted on the website. As a person who had previously been  
involved with bioinformatics and especially human genomic databases, some  
part in my mind still reminds me of the fact that one day all these  
information shall be integrated. Also personally, I believe the approach  
taken in openEHR shall form the baseline for future of EHR systems. So I  
would like this issue to be considered during these discussions. Enough of  
good wishes, here is my question:

Is there a specific way to represent genomic data of a patient (Either  
Nucleic Acid sequences or protein sequences) in the Reference Models or is  
the general purpose text data type is thought to be the solution? I think it  
could be wise to create a new class with its own attributes, methods and  
constraints right into the RM because with this speed of biologic evolution  
I don't think the genetic code and concepts are going to change for a couple  
million years!

Best regards,

Koray Atalag

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### Author: ![Sam](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/s/5f9b8f/32.png) [@Sam](https://discourse.openehr.org/u/Sam)
#### Post date: [16 May 2003 22:10 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/3 "2003-05-16T22:10:52Z")

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Korag

This may well be the way to go soon - but I would think that an external  
datatype would be better for the moment as the representation will probably  
not be uniform (and openEHR should not impose uniformity in such a domain).

Also, we would see the genome as only forming part of the genetic record -  
as there will need to be a lot of other information present to make  
healthcare work.

What do you think?

Cheers, Sam Heard

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### Author: ![Amnon\_Shabo](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/a/d78d45/32.png) [@Amnon\_Shabo](https://discourse.openehr.org/u/Amnon_Shabo)
#### Post date: [17 May 2003 19:27 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/4 "2003-05-17T19:27:15Z")

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Korag and Sam,  
As you may know, we have recently initiated a new SIG at HL7 called  
Clinical-Genomics, focusing on the use of genomic data in clinical  
scenarios. In particular I've been working on the usecase of tissue typing  
where more and more genomic data are being used to make the new methods of  
bone marrow transplantation more successful. In that SIG we have other  
people working on usecases in the areas of genomic-based diagnostics and  
clinical trials. in the later, patients are being tested for their genetic  
profile and conclusions are made accordingly so that inappropriately  
prescription could be avoided.

In all these usecases we are trying to find the commonalities in the data  
representations (e.g., the representation of allele and its SNPs) and then  
come up with a domain information model using the HL7 tooling. I agree with  
you that genomic data are not just different data types and they do need  
special attention.... 🙂

I would be very happy to share this work or even collaborate with OpenEHR  
members of are interested in this domain and use the OpenEHR tools.

At IBM Research we have been working intensively with a research center in  
Canada (iCapture) where mass clinical and genomic data were correlated to  
explore lung and hurt diseases (see InfoWorld article at  
[http://www.infoworld.com/article/03/03/26/HNicapture\_1.html](http://www.infoworld.com/article/03/03/26/HNicapture_1.html)).  
Thanks,  
Amnon.

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### Author: ![Sam](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/s/5f9b8f/32.png) [@Sam](https://discourse.openehr.org/u/Sam)
#### Post date: [18 May 2003 23:02 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/5 "2003-05-18T23:02:49Z")

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Dear Amon

I have switched this to the clinical list as I think this is where it should  
live in the first instance - although I know people are rushing to the  
genetic material out there!

Thank you for this. I am very interested in this as well. I have already  
developed an archetype outline for genetic problem (optionally coded) - this  
is a specialisation of problem but is not a diagnosis (requires coded label)  
as terminology services are not up to speed in this area and may well not be  
for the foreseeable future.

There is a real issue - as we have seen with Cystic Fibrosis - that simple  
gene presence, absence or damage is not sufficient to determine the  
phenotype - and the phenotype is usually the important expression to  
consider (except in pre-natal work).

I have worked with CHIME in London on this to a minor extent. The critical  
issues to get into the EHR that were specific to the genetic diagnosis  
seemed to be:

- If the person was a carrier only - we have this as a Boolean - as most  
carrier states do not have specific names  
- Compatible DNA findings - ie the genetic material that pointed to this

Date of onset, diagnostic criteria etc all come from problem....

Cheers, Sam

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### Author: ![Koray\_Atalag](https://discourse.openehr.org/user_avatar/discourse.openehr.org/koray_atalag/32/70_2.png) [@Koray\_Atalag](https://discourse.openehr.org/u/Koray_Atalag)
#### Post date: [22 May 2003 10:50 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/6 "2003-05-22T10:50:52Z")

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Dear All,

I think what Amnon offers is a very valuabe contribution and a good starting  
point. I have mentioned about this subject in my previous message because I  
had recently received an email asking for collaboration in determination and  
standardization of phenotypic data but unfortunately deleted this message;  
but the main idea was that the genomic society is in a good position in  
modelling and representation of genetic data (Sequence, Proteins,  
Chromosomes, Primers, Genetic Linkage-maps, functional genomics and etc) but  
do not know what to do with the "phenotypic" or the clinical/medical part. I  
think they underestimate the domain they are facing :))

In my message, regarding representation in RM, I was specifically talking  
about DNA/RNA sequences and protein sequences. Of course other genomic data  
might be very complex and hence difficult to represent and probably out of  
scope in openEHR.

I will try to provide input on this subject if discussion continues in the  
list.

I am continuing to examine and understand the concepts mentioned in the  
openEHR documents. I have decided and will try to implement a small clinical  
information system based on openEHR archetypes and RM as part of my Ph.D.  
thesis so I will probably start asking lots of questions in near future!

Friendly regards,

koray

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### Author: ![Karsten\_Hilbert](https://discourse.openehr.org/letter_avatar_proxy/v4/letter/k/e56c9b/32.png) [@Karsten\_Hilbert](https://discourse.openehr.org/u/Karsten_Hilbert)
#### Post date: [22 May 2003 11:23 UTC](https://discourse.openehr.org/t/nist-automated-security-assessment-tool-need-something-similar/15751/7 "2003-05-22T11:23:43Z")

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Dear Koray,

> [...] I have decided and will try to implement a small clinical  
> information system based on openEHR archetypes and RM as part of my Ph.D.  
> thesis [...]

Any chance you will be allowed to open source it ?

Thanks,  
Karsten Hilbert, MD
