A Unified Big Data Infrastructure for AI-Driven Therapeutic Personalization

Authors

  • Dasari Vinay Author
    Competing Interests

    AI,ML

DOI:

https://doi.org/10.5281/zenodo.21412949

Keywords:

Precision Medicine, Clinical Data, Data Platforms, Patient Records, Data Integration, Genomic Data, Clinical Annotations, Data Reuse, Learning Systems, Clinical Analytics, Foundation Models, Transfer Learning, Model Training, Data Interoperability, Privacy Preservation, Population Data, Medical Imaging, AI Healthcare, Data Democratization, Scalable Systems.

Abstract

AI—driven precision medicine requires access to large amounts of clinical data together with detailed clinical annotations. Clinical data platforms support this need by integrating patient records, diagnostic data, and clinical research data within a collect—once, use—many approach. Rich patient records combined with scalable analytics platforms enable the reuse of clinical data for novel analyses. Such platforms create new clinical learning loops, allowing the delivery of genomic—guided precision therapeutics to more patients.

State—of—the—art clinical data platforms support dynamic, integrated clinical records, simplify cross—modality data collection, and facilitate the clinical adoption of AI technologies. The democratization of clinical data, imaging, and genomic data into open foundations allows the global research community to build foundation models that can later be adapted for clinic—specific contexts or for other clinical functions. Such foundation models offer rich transfer learning opportunities that reduce the cost of model training while increasing performance and addressing clinical bias. Emerging architectures—modelling techniques and privacy—preserving technologies address data interoperability challenges, supporting the creation of true population datasets at scale and at equal cost for all communities and demographics.

References

1. Belle, A., Thiagarajan, R., Soroushmehr, S. M. R., Navidi, F., Beard, D. A., & Najarian, K. (2015). Big data analytics in healthcare. BioMed Research International, 2015, 370194.

2. Dhar, V. (2014). Big data and predictive analytics in health care. Big Data, 2(3), 113–116.

3. Garapati, R. S., Aitha, A. R., Yandamuri, U. S., Gottimukkala, V. R. R., Nagubandi, A. R., & Kolla, S. H. (2026, March). Cloud-Native Orchestration of Multi-Counterparty Derivatives and Collateral in Manufacturing Enterprises via AI-Assisted Financial Audit Engines. In 2026 IEEE International Conference on AI Engineering and Innovations (AIEI) (pp. 1-6). IEEE.

4. Fröhlich, H., Balling, R., Beerenwinkel, N., Kohlbacher, O., Kumar, S., Lengauer, T., Maathuis, M. H., Moreau, Y., Murphy, S. A., Przytycka, T. M., et al. (2018). From hype to reality: Data science enabling personalized medicine. BMC Medicine, 16, 150.

5. Cahan, E. M., Hernandez-Boussard, T., Thadaney-Israni, S., & Rubin, D. L. (2019). Putting the data before the algorithm in big data addressing personalized healthcare. npj Digital Medicine, 2, 78.

6. Singh, B., Garapati, R. S., Kumar, C., Madhubalan, S., & Chekuri, N. (2026, February). Behavior-Aware Edge-Based Zero-Trust Cybersecurity Framework for Securing Internet of Things Enabled Smart Home Environments. In 2026 3rd International Conference on Integrated Intelligence and Communication Systems (ICIICS) (pp. 1-5). IEEE.

7. Holzinger, A., Jurisica, I., Caudai, C., & Smyth, B. (2019). Machine learning and knowledge extraction in digital pathology needs explainable artificial intelligence. Machine Learning and Knowledge Extraction, 1(3), 995–1005.

8. Hood, L., & Flores, M. (2012). A personal view on systems medicine and the emergence of proactive P4 medicine. New Biotechnology, 29(6), 613–624.

9. Hood, L., & Friend, S. H. (2011). Predictive, personalized, preventive, participatory (P4) cancer medicine. Nature Reviews Clinical Oncology, 8(3), 184–187.

10. Issa, A. M., Marchant, G. E., & Campos-Outcalt, D. (2016). Big data in the era of precision medicine: Big promise or big liability? Personalized Medicine, 13(4), 283–285.

11. Kalra, D. (2019). The importance of real-world data to precision medicine. Personalized Medicine, 16(1), 1–7.

12. Mangalampalli, B. M., & Kolla, T. (2026). FHIR-Based Interoperability Frameworks For Real-Time Healthcare Data Exchange: Architecture Patterns And Performance Optimization. International Journal Of Advances in Signal and Image Sciences, 1514-1536.

13. Marx, V. (2013). Biology: The big challenges of big data. Nature, 498(7453), 255–260.

14. Miotto, R., Wang, F., Wang, S., Jiang, X., & Dudley, J. T. (2018). Deep learning for healthcare: Review, opportunities and challenges. Briefings in Bioinformatics, 19(6), 1236–1246.

15. Obermeyer, Z., & Emanuel, E. J. (2016). Predicting the future—Big data, machine learning, and clinical medicine. New England Journal of Medicine, 375(13), 1216–1219.

16. Price, W. N., II, & Cohen, I. G. (2019). Privacy in the age of medical big data. Nature Medicine, 25(1), 37–43.

17. None, D. M. K., None, V. D. V. K. B., None, N. M., None, S. H. K., & None, B. M. M. (2026). Engineering Intelligent Cloud-Native Data Ecosystems for Predictive Decision-Making in Industry. Journal of European Economic History, 7(2), 68-88.

18. Ristevski, B., & Chen, M. (2018). Big data analytics in medicine and healthcare. Journal of Integrative Bioinformatics, 15(3), 20170030.

19. Shameer, K., Johnson, K. W., Glicksberg, B. S., Dudley, J. T., & Sengupta, P. P. (2018). Machine learning in cardiovascular medicine. Circulation Research, 122(11), 1525–1539.

20. Topol, E. J. (2019). High-performance medicine: The convergence of human and artificial intelligence. Nature Medicine, 25(1), 44–56.

21. Topol, E. (2019). Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Basic Books.

22. Reddy, V. A. R. (2022). Data-Driven Healthcare Operations: Architecting Unified Member, Provider, and Claims Intelligence Platforms. International Journal of Science, Research and Technology, 5(5), 8511-8521.

23. Wang, Y., Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3–13.

24. Kolla, S. H. (2026). Autonomous Enterprise Agents: Orchestrating Large and Small Language Models for Scalable Decision Automation in ITSM, HRSD, and CSM Platforms. INTERNATIONAL JOURNAL OF ADVANCES IN SIGNAL AND IMAGE SCIENCES, 24-45.

25. Wang, L., Alexander, C. A., & Big Data Working Group. (2015). Big data analytics in medical engineering and healthcare. Journal of Medical Systems, 39(2), 20.

26. Yu, K.-H., Beam, A. L., & Kohane, I. S. (2018). Artificial intelligence in healthcare. Nature Biomedical Engineering, 2(10), 719–731.

27. Esteva, A., Robicquet, A., Ramsundar, B., et al. (2019). A guide to deep learning in healthcare. Nature Medicine, 25(1), 24–29.

28. Beam, A. L., & Kohane, I. S. (2018). Big data and machine learning in health care. JAMA, 319(13), 1317–1318.

29. Kolla, S. H., & Peddi, R. K. (2024). Designing Governance-Aligned GenAI Pipelines Using Small Language Models for Enterprise Workflow Intelligence. International Journal of Science, Research and Technology, 7(6), 13256-13268.

30. Johnson, A. E. W., Pollard, T. J., Shen, L., et al. (2016). MIMIC-III, a freely accessible critical care database. Scientific Data, 3, 160035.

31. Wilkinson, M. D., Dumontier, M., Aalbersberg, I. J., et al. (2016). The FAIR Guiding Principles for scientific data management and stewardship. Scientific Data, 3, 160018.

32. Mandel, J. C., Kreda, D. A., Mandl, K. D., Kohane, I. S., & Ramoni, R. B. (2016). SMART on FHIR: A standards-based, interoperable apps platform for electronic health records. Journal of the American Medical Informatics Association, 23(5), 899–908.

33. Benson, T., & Grieve, G. (2021). Principles of Health Interoperability: SNOMED CT, HL7 and FHIR (4th ed.). Springer.

34. Yandamuri, U. S. (2026). Operational Intelligence Engineering: Integrated Systems for Smart Service and Production Sectors. Deep Science Publishing.

35. Jensen, P. B., Jensen, L. J., & Brunak, S. (2012). Mining electronic health records: Towards better research applications and clinical care. Nature Reviews Genetics, 13(6), 395–405.

36. Collins, F. S., & Varmus, H. (2015). A new initiative on precision medicine. New England Journal of Medicine, 372(9), 793–795.

37. Ashley, E. A. (2016). Towards precision medicine. Nature Reviews Genetics, 17(9), 507–522.

38. Schork, N. J. (2015). Personalized medicine: Time for one-person trials. Nature, 520(7549), 609–611.

39. Dudley, J. T., Deshpande, T., & Butte, A. J. (2011). Exploiting drug–disease relationships for computational drug repositioning. Briefings in Bioinformatics, 12(4), 303–311.

40. Nagubandi, A. R. (2026). Governance, Transparency, and Trust in Intelligent Financial Systems. Cognitive Financial Infrastructure: Designing Adaptive, Integrated Market Systems. Deep Science Publishing. https://doi. org/10.70593/978-93-7185-062-9_9.

41. Hasin, Y., Seldin, M., & Lusis, A. (2017). Multi-omics approaches to disease. Genome Biology, 18, 83.

42. Barabási, A.-L., Gulbahce, N., & Loscalzo, J. (2011). Network medicine: A network-based approach to human disease. Nature Reviews Genetics, 12(1), 56–68.

43. Hood, L., & Tian, Q. (2012). Systems approaches to biology and disease enable translational systems medicine. Genomics, Proteomics & Bioinformatics, 10(4), 181–185.

44. Londhe, G. V., Thiyagarajan, R., Kirti, V., Nagabhyru, K. C., & Marar, S. S. (2026). ALGORITHMIC POWER AND CULTURAL RATIONALITY: HOW AI-DRIVEN DECISION SYSTEMS ARE REWRITING GOVERNANCE, MARKETS, AND ETHICAL RESPONSIBILITY. Scientific Culture, 12(1, Part 1), 4219.

45. Chen, M., Hao, Y., Cai, Y., Wang, L., Wang, X., & Tang, L. (2017). Disease prediction by machine learning over big healthcare data. IEEE Access, 5, 8869–8879.

46. Libbrecht, M. W., & Noble, W. S. (2015). Machine learning applications in genetics and genomics. Nature Reviews Genetics, 16(6), 321–332.

47. Ching, T., Himmelstein, D. S., Beaulieu-Jones, B. K., et al. (2018). Opportunities and obstacles for deep learning in biology and medicine. Journal of the Royal Society Interface, 15(141), 20170387.

48. Perez-Riverol, Y., Zorin, A., Dass, G., et al. (2022). Ten simple rules for taking advantage of Git and GitHub in bioinformatics. PLoS Computational Biology, 18(5), e1010350.

49. Mattaparthi, R. (2022). Engineering Predictive Industrial Systems Through IoT-Driven Asset Monitoring and Machine Learning Prognostics. International Journal of Future Innovative Science and Technology (IJFIST), 5(1), 7790.

50. Rajkomar, A., Dean, J., & Kohane, I. (2019). Machine learning in medicine. New England Journal of Medicine, 380(14), 1347–1358.

51. Rajkomar, A., Oren, E., Chen, K., et al. (2018). Scalable and accurate deep learning with electronic health records. npj Digital Medicine, 1, 18.

52. Agrawal, R., Choudhary, A., & others. (2021). Artificial intelligence in healthcare: Past, present and future. Artificial Intelligence in Medicine, 121, 102164.

53. Kolla, S. K., Bandi, V. D. V. K., & Meda, R. (2026). Comment on “Predicting self-image satisfaction after adult spinal deformity surgery: a machine learning approach using patient phenotypes”. Spine Deformity, 1-3.

54. Krittanawong, C., Zhang, H., Wang, Z., Aydar, M., & Kitai, T. (2017). Artificial intelligence in precision cardiovascular medicine. Journal of the American College of Cardiology, 69(21), 2657–2664.

55. Kaul, V., Enslin, S., & Gross, S. A. (2020). History of artificial intelligence in medicine. Gastrointestinal Endoscopy, 92(4), 807–812.

56. Bargavi, N., Athawale, S. G., Amistapuram, K., & Aitha, A. R. (2026). Safeguarding Consumer Data in Digital Insurance: Legal Frameworks and Ethical Imperatives. International Insurance Law Review, 34(S1), 272-284.

57. Beam, A. L., Manrai, A. K., & Ghassemi, M. (2020). Challenges to the reproducibility of machine learning models in health care. JAMA, 323(4), 305–306.

58. Kelly, C. J., Karthikesalingam, A., Suleyman, M., Corrado, G., & King, D. (2019). Key challenges for delivering clinical impact with artificial intelligence. BMC Medicine, 17, 195.

59. Shortliffe, E. H., & Sepúlveda, M. J. (2018). Clinical decision support in the era of artificial intelligence. JAMA, 320(21), 2199–2200.

60. Yu, W., Liu, T., Valdez, R., Gwinn, M., & Khoury, M. J. (2018). Application of support vector machine modeling for prediction of common diseases. Journal of Molecular Diagnostics, 12(6), 731–739.

61. Kolla, T. (2026). Multi-Agent AI Framework for Predictive Healthcare Interoperability. International Journal of Multidisciplinary Research in Science, Engineering, Technology & Management, 2(5), 1-15.

62. Dilsizian, S. E., & Siegel, E. L. (2014). Artificial intelligence in medicine and cardiac imaging. Current Cardiology Reports, 16, 441.

63. Bohr, A., & Memarzadeh, K. (Eds.). (2020). Artificial Intelligence in Healthcare. Academic Press.

64. Davuluri, P. N. (2026). Autonomous Compliance Systems: AI, Event Streaming, and the Future of Financial Crime Prevention. Journal of Informatics Education and Research.

65. Holzinger, A. (2016). Interactive machine learning for health informatics. Brain Informatics, 3(2), 119–131.

66. London, A. J. (2019). Artificial intelligence and black-box medical decisions. Hastings Center Report, 49(1), 15–21.

67. Jiang, F., Jiang, Y., Zhi, H., et al. (2017). Artificial intelligence in healthcare: Past, present and future. Stroke and Vascular Neurology, 2(4), 230–243.

68. Rumsfeld, J. S., Joynt, K. E., & Maddox, T. M. (2016). Big data analytics to improve cardiovascular care. Nature Reviews Cardiology, 13(6), 350–359.

69. Segireddy, A. R., Nagabhyru, K. C., Gadi, A. L., Pandiri, L., Paleti, S., Nandan, B. P., ... & Meda, R. (2026). U.S. Patent Application No. 19/389,116.

70. Goldstein, B. A., Navar, A. M., Carter, R. E., & Moving Beyond Regression Techniques. (2017). Opportunities and challenges in developing risk prediction models with electronic health records. Journal of the American Medical Informatics Association, 24(1), 198–208.

71. Kuo, M. H., Sahama, T., Kushniruk, A. W., Borycki, E. M., & Grunwell, D. K. (2014). Health big data analytics: Current perspectives, challenges and potential solutions. International Journal of Big Data Intelligence, 1(1/2), 114–126.

72. Murdoch, T. B., & Detsky, A. S. (2013). The inevitable application of big data to health care. JAMA, 309(13), 1351–1352.

73. Inala, R. (2026). Cloud-Native AI and MDM Framework for Next-Generation Insurance and Retirement Data Products. International Journal of Engineering & Extended Technologies Research (IJEETR), 8(3), 5050-5063.

74. Bates, D. W., Saria, S., Ohno-Machado, L., Shah, A., & Escobar, G. (2014). Big data in health care: Using analytics to identify and manage high-risk patients. Health Affairs, 33(7), 1123–1131.

75. Viceconti, M., Henney, A., & Morley-Fletcher, E. (2016). In silico clinical trials: How computer simulation will transform the biomedical industry. International Journal of Clinical Trials, 3(2), 37–46.

76. Steyerberg, E. W. (2019). Clinical Prediction Models (2nd ed.). Springer.

77. Deo, R. C. (2015). Machine learning in medicine. Circulation, 132(20), 1920–1930.

78. Obermeyer, Z., Powers, B., Vogeli, C., & Mullainathan, S. (2019). Dissecting racial bias in an algorithm used to manage the health of populations. Science, 366(6464), 447–453.

79. Bandi, V. D. V. K. (2026). Cognitive Data Engineering: AI-Governed Data Quality, Lineage, and Pipeline Optimization at Scale. International Journal of Economic Practices and Theories, 2026, 131-148.

80. Wiens, J., & Shenoy, E. S. (2018). Machine learning for healthcare: On the verge of a major shift in healthcare epidemiology. Clinical Infectious Diseases, 66(1), 149–153.

81. Sendak, M. P., D'Arcy, J., Kashyap, S., et al. (2020). A path for translation of machine learning products into healthcare delivery. EMJ Innovations, 4(1), 44–52.

82. Ribeiro, M. T., Singh, S., & Guestrin, C. (2016). "Why should I trust you?": Explaining the predictions of any classifier. Proceedings of the 22nd ACM SIGKDD International Conference on Knowledge Discovery and Data Mining, 1135–1144.

83. Lundberg, S. M., & Lee, S. I. (2017). A unified approach to interpreting model predictions. Advances in Neural Information Processing Systems, 30, 4765–4774.

84. Kairouz, P., McMahan, H. B., Avent, B., et al. (2021). Advances and open problems in federated learning. Foundations and Trends® in Machine Learning, 14(1–2), 1–210.

85. McMahan, H. B., Moore, E., Ramage, D., Hampson, S., & Aguera y Arcas, B. (2017). Communication-efficient learning of deep networks from decentralized data. Proceedings of the 20th International Conference on Artificial Intelligence and Statistics, 1273–1282.

86. Li, T., Sahu, A. K., Talwalkar, A., & Smith, V. (2020). Federated learning: Challenges, methods, and future directions. IEEE Signal Processing Magazine, 37(3), 50–60.

87. Sheller, M. J., Reina, G. A., Edwards, B., Martin, J., & Bakas, S. (2020). Federated learning in medicine: Facilitating multi-institutional collaborations without sharing patient data. Scientific Reports, 10, 12598.

88. Amistapuram, K. (2026). Safeguarding Consumer Data in Digital Insurance: Legal Frameworks and Ethical Imperatives. Available at SSRN 6142748.

89. Rieke, N., Hancox, J., Li, W., et al. (2020). The future of digital health with federated learning. npj Digital Medicine, 3, 119.

90. Jacobson, N. C., & Dwyer, D. B. (2020). Path to AI in mental health. Current Opinion in Psychology, 36, 57–62.

91. Topol, E. J. (2023). Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again (Updated ed.). Basic Books.

92. Collins, G. S., Reitsma, J. B., Altman, D. G., & Moons, K. G. M. (2015). Transparent reporting of a multivariable prediction model for individual prognosis or diagnosis (TRIPOD). Annals of Internal Medicine, 162(1), 55–63.

93. Friedman, C. P., & Wyatt, J. C. (2017). Evaluation Methods in Biomedical Informatics (3rd ed.). Springer.

94. Flores, M., Glusman, G., Brogaard, K., Price, N. D., & Hood, L. (2013). P4 medicine: How systems medicine will transform the healthcare sector and society. Personalized Medicine, 10(6), 565–576.

Additional Files

Published

2026-06-17

Data Availability Statement

None

Issue

Section

Articles

How to Cite

A Unified Big Data Infrastructure for AI-Driven Therapeutic Personalization. (2026). The American Journal of Analytics and Artificial Intelligence (AJAAI), 4(02). https://doi.org/10.5281/zenodo.21412949

Similar Articles

21-25 of 25

You may also start an advanced similarity search for this article.