Is there demand in the NHS for a better cancer genomic report tool?

Hello,

I’ve been building a tool with AI assistance that generates cancer genomic reports from structured patient data. A sample report is attached.

It produces two versions from the same input:

  • Clinician view: VAF, mutation frequency, evidence-level treatments, resistance flags, mutational signatures
  • Patient view: plain language, no jargon

I’ve been using the FoundationOne CDx report from Foundation Medicine (as distributed by Chugai Pharma in Japan) as a reference for what a comprehensive genomic report should contain. Comparing against it, my current prototype is missing a few things I’d like to add: a Report Highlights summary section, pertinent negatives (important findings not detected), treatment benefit split by tumour type vs. other tumour types, and NCCN/NICE category of evidence alongside the OncoKB evidence levels.

Before going further, I’d love to know whether something like this is actually needed in NHS genomics workflows, or whether it duplicates something that already exists.

A few honest questions:

  • Do NHS genomic labs currently produce a separate patient-facing report, or does the clinical report go to both the oncologist and patient as-is?
  • Is the patient-facing layer something labs want but don’t have time to build?
  • Would a lightweight open-source tool that plugs into existing assay output (VCF / lab JSON) and EHR data (FHIR) be useful, or is the integration overhead the real blocker?

I’m at the prototype stage — not a product, not validated, not a medical device. Just trying to make sure I’m solving a real problem before going further.

If anyone here works in NHS genomics, oncology, or a Genomic Medicine Centre — or knows someone who does — I’d really welcome a conversation. Feel free to reply here or message me directly.

Thanks

I’m not seeing an attachment?

I believe most (all) English Genomic services are producing PDF based Genomic Reports.

I believe NHS England is going to ask for FHIR Document versions of this but this is by no means clear at present. Links I’ve found around this are:

Both may be based on Home - HL7 Europe Laboratory Report v2.0.0
I think HL7 EU may also work on a Genomic Report.

I’ve also done some high level modelling around this

The results section is currently PDF and not structured.

Lastly … re your questions.

It’s likely we will be able to support patient facing apps in the future. The path we are on should lead apps discussed in these links SMART on FHIR Genomics - SMART Health IT being possible.

Hello,
Thank you so much for your replies. :woman_bowing:
I’ve attached the sample PDF report for your reference.

I’m a developer without an oncology background, so I’d really appreciate your feedback from a clinician’s perspective.
cancer_report_patient.pdf (10.0 KB)