The Case for Second Opinions

Why Legacy Genomics
Fails Patients

Traditional genomic systems suffer from three critical failure modes that compromise patient care, erode institutional trust, and expose organizations to regulatory risk. Understanding these failures is the first step toward transformation.

73%

of laboratories report audit trail gaps

CAP Survey 2024
45%

of variants reclassified within 2 years

ClinVar Analysis
$2.1M

average cost of regulatory non-compliance

Industry Report
68%

of clinicians distrust genomic uncertainty labels

ACMG Survey

Three Critical Failure Modes

Each failure mode represents a systemic vulnerability that our platform addresses with purpose-built architectural solutions.

Failure Mode #1

Audit Collapse

Traditional genomic systems lack immutable audit trails, creating compliance gaps that erode institutional trust and expose organizations to regulatory penalties.

Consequences

  • Regulatory citations and financial penalties
  • Loss of accreditation and institutional credibility
  • Legal liability from incomplete documentation
  • Inability to defend clinical decisions retrospectively

Our Solution

ARCS-Grade Audit Chains

Cryptographic provenance with immutable chain-of-custody from data ingestion to clinical output. Every analytical event is timestamped, hashed, and linked to its predecessor.

  • Immutable audit trail with cryptographic verification
  • Real-time compliance monitoring across jurisdictions
  • Automated regulatory report generation
  • Complete chain-of-custody documentation
Failure Mode #2

Uncertainty Mismanagement

Hidden or unlabeled uncertainty in genomic reports propagates clinical risk through the care continuum, undermining informed decision-making and patient safety.

Consequences

  • Clinical decisions based on false confidence
  • Inappropriate treatment recommendations
  • Patient harm from unquantified risk
  • Erosion of clinician trust in genomic data

Our Solution

Evidence-Tier Quantification

Algorithmic integrity filters that explicitly quantify uncertainty at every level. Every claim is anchored to verifiable, peer-reviewed sources with confidence intervals.

  • Seven-tier evidence classification (ECIA-7)
  • Explicit confidence intervals on all predictions
  • Dual-source verification requirements
  • Suppression of unvalidated claims
Failure Mode #3

Static Interpretation Collapse

Point-in-time reports orphan patient care from evolving evidence. As new research emerges, static interpretations become outdated, leaving diagnoses frozen in outdated science.

Consequences

  • Missed diagnoses as evidence evolves
  • Outdated treatment recommendations
  • Manual reinterpretation burden on laboratories
  • Patient care disconnected from current science

Our Solution

Longitudinal Reinterpretation

The Living Patient Signature—continuous monitoring and automatic reinterpretation as new evidence emerges. Patient data remains connected to the latest scientific knowledge.

  • Continuous evidence monitoring
  • Automatic variant reclassification alerts
  • Living patient signature updates
  • Proactive clinician notifications

Legacy vs. Living Intelligence

A side-by-side comparison of traditional genomic systems and our living intelligence platform.

Capability
Legacy Systems
Genomic Sentinel
Audit Trail
Fragmented, incomplete logs
Cryptographic chain-of-custody
Uncertainty
Hidden or unlabeled
Explicit quantification with evidence tiers
Interpretation
Static, point-in-time
Living, continuously updated
Consent
Static, orphaned from data
Dynamic, event-linked enforcement
Compliance
Manual, reactive
Automated, proactive hot-swapping
Quality Assurance
Periodic batch reviews
Continuous real-time monitoring

Ready to Move Beyond Legacy Limitations?

Experience the difference of living genomic intelligence. Our platform addresses each failure mode with purpose-built architectural solutions.