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21. Implementation of ORPHAcodes can take different forms: Germany uses Alpha-ID-SE (a combined ICD-10/Orpha coding
system); several other European countries have adopted approaches through the EU RD-CODE project; Canada is
trialling integration through the CIHR-funded Rare Disease Network; and international efforts are mapping ORPHAcodes
to ICD-11 extension codes and ontologies such as MONDO and SNOMED.
22. Terry, S. F., Runkle, D., & Wicks, P . (2018). Patient- or participant-generated registries: Addendum to registries for
evaluating patient outcomes: A user’s guide, third edition. Agency for Healthcare Research and Quality. https://www.ncbi.
nlm.nih.gov/books/NBK493594/pdf/Bookshelf_NBK493594.pdf
23. Terry, S. F., Horn, E. J., Scott, J., et al. (2011). Genetic Alliance Registry and BioBank: A novel disease advocacy-driven
research solution. Personalized Medicine, 8(2), 207–213. https://www.tandfonline.com/doi/full/10.2217/pme.11.1
24. Wicks, P ., Vaughan, T. E., Massagli, M. P ., et al. (2011). Accelerated clinical discovery using self-reported patient data
collected online and a patient-matching algorithm. Nature Biotechnology, 29(5), 411–414. https://www.nature.com/
articles/nbt.1837
25. Julkowska, D., Austin, C. P ., Cutillo, C. M., et al. (2017). The importance of international collaboration for rare diseases
research: A European perspective. Gene Therapy, 24(9), 562–571. https://www.nature.com/articles/gt201729.pdf
26. Kayadjanian, N., Schwartz, L., Farrar, E., et al. (2018). High levels of caregiver burden in Prader-Willi syndrome. PLoS
ONE, 13(3), e0194655. https://doi.org/10.1371/journal.pone.0194655
27. Foundation for Prader-Willi Research (FPWR). (2025, June 24). Top 10 learnings from the Global PWS Registry. https://
www.fpwr.org/blog/top-10-learnings-from-the-global-pws-registry
28. National Organization for Rare Disorders (NORD). (2025, June 5). First rare disease therapy developed from the NORD
IAMRARE patient registry secures FDA approval. https://rarediseases.org/first-rare-disease-therapy-developed-from-the-
nord-iamrare-patient-registry-secures-fda-approval/
29. EveryLife Foundation for Rare Diseases. (2023, September 14). The cost of delayed diagnosis in rare disease: A health
economic study. https://everylifefoundation.org/wp-content/uploads/2023/09/EveryLife-Cost-of-Delayed-Diagnosis-in-
Rare-Disease_Final-Full-Study-Report_0914223.pdf
30. Thorpe, E., Williams, T., Shaw, C., et al. (2024). The impact of clinical genome sequencing in a global population with
suspected rare genetic disease. American Journal of Human Genetics, 111(7), 1271–1281. https://doi.org/10.1016/j.
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31. Cederroth, H., Cederroth, M., Baynam, G., et al. (2025). Undiagnosed Hackathons: Ending the diagnostic odyssey for
individuals with rare disease. Rare, 3, 100103. https://doi.org/10.1016/j.rare.2025.100103
32. Undiagnosed Diseases Network International ((UDNI). (2024). Undiagnosed day 2024. https://www.udninternational.org/
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33. Rohani-Montez, S. C., Reid, K., Yuan, M., & Cohen, J. (2025). Are paediatric neurologists who participate in rare disease
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34. Kingsmore, S. F., Nofsinger, R., & Ellsworth, K. (2024). Rapid genomic sequencing for genetic disease diagnosis and
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35. World Economic Forum. (2020, February 26). Global data access for solving rare disease: A health economics value
framework. https://www3.weforum.org/docs/WEF_Global_Data_Access_for_Solving_Rare_Disease_Report_2020.pdf
36. International Coalition of Medicines Regulatory Authorities (ICMRA). (2024). ICMRA rare diseases workshop report. https://
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37. European Union. (2025, March 27). Regulation (EU) 2025/327 of the European Parliament and of the Council of 19 March
2025 on the European Health Data Space. Official Journal of the European Union, L 327. https://eur-lex.europa.eu/legal-
content/EN/TXT/?uri=OJ:L_202500327
38. EURORDIS. (2024, January). Rare Barometer survey: Data sharing in rare diseases [Fact sheet]. https://download2.
eurordis.org/rbv/20-01-24%20RB%20Data%20Survey%20Fact%20Sheet_Final.pdf
39. Smith, C., Boustred, C., & Campbell, C. (2024, September 11). The Clinical Variant Ark at Genomics England [Blog post].
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40. University College London. (2025, May 7). AI model trained on de-identified data from 57 million people. UCL News.
https://www.ucl.ac.uk/news/2025/may/ai-model-trained-de-identified-data-57-million-people
41. American Diabetes Association. (2025, June 21). Novel artificial intelligence models detect type 1 diabetes risk in clinical
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43. Ibid.
44. Liu, P ., Gong, M., Li, J., et al. (2021). Innovation in informatics to improve clinical care and drug accessibility for rare
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