Research preview · Core v1.0

A brain for detecting disease before symptoms appear.

OmiKG is a domain-specific knowledge graph that traces chronic disease back to its root causes — mapping the directed causal web from lifestyle and environment all the way down to clinical phenotype.

ATM Dysfunctions Systems Phenotypes
The problem

Today's medicine names symptoms. OmiKG explains them.

Existing biomedical ontologies (SNOMED CT, ICD, Gene Ontology) mostly describe "is-a" relationships — great for classification, blind to cause. Chronic disease is a network disorder. OmiKG models the directed, multi-factor causal chains needed to reason from a symptom back to its true origin.

What makes it different

Six ideas at the core of OmiKG

From symptom to source

OmiKG models directed causal chains (A→B→C), not just taxonomies — so it reasons about why a symptom exists, not merely what to call it.

Reverse the river, find the root

Walk backwards from clinical phenotype to dysfunction to upstream trigger — true root-cause diagnosis, not surface management.

Every claim, traceable to evidence

Each causal link carries a reference code back to its source passage — a transparent map that black-box models cannot reproduce.

Many causes, one outcome

N-ary causal modeling captures how diet, deficiency or toxins independently converge on the same disease — beyond simple binary triples.

Synthesis before extraction

A PRISMA-guided pipeline unifies thousands of PubMed passages before extracting knowledge — cutting noise and hallucinated relations.

Grounded in systems medicine

Built on the Functional Medicine Matrix and P4 medicine — predictive, preventive, personalized and participatory by design.

Architecture

A four-layer river of causation

Four layers and 25 categories, connected by 14 standardized relation types. The graph flows from upstream drivers down to clinical outcomes — and can be read in both directions.

Layer 1 · Upstream

ATM — Antecedents, Triggers, Mediators

Lifestyle & environmental drivers: chronic stress, diet, toxins.

Layer 2

Dysfunctions

Core biological disturbances: HPA-axis dysregulation, chronic inflammation, oxidative stress.

Layer 3

Systems

Physiological systems: endocrine, digestive, immune.

Layer 4 · Downstream

Phenotypes

Clinical manifestations: insulin resistance, type 2 diabetes.

Forward — model disease progression
ATM → Dysfunctions → Systems → Phenotypes simulates how disease develops over time.
Reverse — trace the root cause
Phenotypes → Dysfunctions → ATM powers root-cause diagnostic reasoning.
Formalized in OWL
Domain–range, disjointness and cardinality constraints capture multi-factor causation rigorously.
Validated results

Depth where it matters most

In a blinded expert evaluation, OmiKG identified the molecular mechanisms behind chronic disease far more completely than a leading LLM or a retrieval baseline.

88%
Molecular mechanisms identified
vs. 6% for GPT-5.2 and 0% for RAG
1,354
Entity nodes
across 25 semantic categories
2,492
Semantic triples
spanning 14 relation types
14
Relation types
standardized to SNOMED CT
4
Causal layers
ATM · Dysfunctions · Systems · Phenotypes
81.8%
Mapped to UMLS
linked to standard medical concepts
News & Core updates

Follow the evolution of OmiKG

OmiKG is a long-term research program. Every time we ship a new version of the OmiKG Core, we announce it here.

2026-06Core v1.0

OmiKG Core v1.0 released

First public release of the four-layer ontology and knowledge graph: 1,354 nodes and 2,492 validated triples, built from a PRISMA-guided synthesis of PubMed literature.

2026-06Benchmark

Mechanism-coverage benchmark published

OmiKG identifies 88% of expert-specified molecular mechanisms — including NLRP3/IL-1β, SREBP-1c and BCAA/mTOR pathways missed by other systems.

RoadmapUpcoming

Expanding to multi-disease validation

Next versions move beyond Type 2 Diabetes to Metabolic Syndrome and PCOS, and will quantify causal strength — not just confidence that a link exists.

Building the brain behind preventive medicine.

OmiKG is being developed by OmiGroup as long-term research infrastructure for detecting disease before symptoms appear. Partner with us, or follow the research.