OpenClaw-Medical-Skills variant-normalization

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install
source · Clone the upstream repo
git clone https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills
Claude Code · Install into ~/.claude/skills/
T=$(mktemp -d) && git clone --depth=1 https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills "$T" && mkdir -p ~/.claude/skills && cp -r "$T/skills/variant-interpretation-acmg/bioSkills/variant-normalization" ~/.claude/skills/freedomintelligence-openclaw-medical-skills-variant-normalization && rm -rf "$T"
OpenClaw · Install into ~/.openclaw/skills/
T=$(mktemp -d) && git clone --depth=1 https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills "$T" && mkdir -p ~/.openclaw/skills && cp -r "$T/skills/variant-interpretation-acmg/bioSkills/variant-normalization" ~/.openclaw/skills/freedomintelligence-openclaw-medical-skills-variant-normalization && rm -rf "$T"
manifest: skills/variant-interpretation-acmg/bioSkills/variant-normalization/SKILL.md
source content
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name: bio-variant-normalization description: Normalize indel representation and split multiallelic variants using bcftools norm. Use when comparing variants from different callers or preparing VCF for downstream analysis. tool_type: cli primary_tool: bcftools measurable_outcome: Execute skill workflow successfully with valid output within 15 minutes. allowed-tools:

  • read_file
  • run_shell_command

Variant Normalization

Left-align indels and split multiallelic sites using bcftools norm.

Why Normalize?

The same variant can be represented multiple ways:

# Same deletion, different representations
chr1  100  ATCG  A      (right-aligned)
chr1  100  ATC   A      (left-aligned, normalized)
chr1  101  TCG   T      (different position)

Normalization ensures consistent representation for:

  • Comparing variants from different callers
  • Database lookups (dbSNP, ClinVar)
  • Merging VCF files

bcftools norm

Left-Align Indels

bcftools norm -f reference.fa input.vcf.gz -Oz -o normalized.vcf.gz

Requires reference FASTA to determine left-most representation.

Check for Normalization Issues

bcftools norm -f reference.fa -c s input.vcf.gz > /dev/null
# Reports REF allele mismatches

Check modes (

-c
):

  • w
    - Warn on mismatch (default)
  • e
    - Error on mismatch
  • x
    - Exclude mismatches
  • s
    - Set correct REF from reference

Multiallelic Sites

Split Multiallelic to Biallelic

bcftools norm -m-any input.vcf.gz -Oz -o split.vcf.gz

Before:

chr1  100  .  A  G,T  30  PASS  .  GT  1/2

After:

chr1  100  .  A  G  30  PASS  .  GT  1/0
chr1  100  .  A  T  30  PASS  .  GT  0/1

Split SNPs Only

bcftools norm -m-snps input.vcf.gz -Oz -o split_snps.vcf.gz

Split Indels Only

bcftools norm -m-indels input.vcf.gz -Oz -o split_indels.vcf.gz

Join Biallelic to Multiallelic

bcftools norm -m+any input.vcf.gz -Oz -o merged.vcf.gz

Split Options

OptionDescription
-m-any
Split all multiallelic sites
-m-snps
Split multiallelic SNPs only
-m-indels
Split multiallelic indels only
-m-both
Split SNPs and indels separately
-m+any
Join biallelic sites into multiallelic
-m+snps
Join biallelic SNPs
-m+indels
Join biallelic indels
-m+both
Join SNPs and indels separately

Combined Normalization

Standard Normalization Pipeline

bcftools norm -f reference.fa -m-any input.vcf.gz -Oz -o normalized.vcf.gz
bcftools index normalized.vcf.gz

This:

  1. Left-aligns indels
  2. Splits multiallelic sites

Remove Duplicates After Splitting

bcftools norm -f reference.fa -m-any -d exact input.vcf.gz -Oz -o normalized.vcf.gz

Duplicate removal options (

-d
):

  • exact
    - Remove exact duplicates
  • snps
    - Remove duplicate SNPs
  • indels
    - Remove duplicate indels
  • both
    - Remove duplicate SNPs and indels
  • all
    - Remove all duplicates
  • none
    - Keep duplicates (default)

Fixing Reference Alleles

Fix Mismatches from Reference

bcftools norm -f reference.fa -c s input.vcf.gz -Oz -o fixed.vcf.gz

This sets REF alleles to match the reference genome.

Exclude Mismatches

bcftools norm -f reference.fa -c x input.vcf.gz -Oz -o clean.vcf.gz

Removes variants where REF doesn't match reference.

Atomize Complex Variants

Split MNPs to SNPs

bcftools norm --atomize input.vcf.gz -Oz -o atomized.vcf.gz

Before:

chr1  100  .  ATG  GCA  30  PASS

After:

chr1  100  .  A  G  30  PASS
chr1  101  .  T  C  30  PASS
chr1  102  .  G  A  30  PASS

Atomize and Left-Align

bcftools norm -f reference.fa --atomize input.vcf.gz -Oz -o atomized.vcf.gz

Old to New Format

Update VCF Version

bcftools norm --old-rec-tag OLD input.vcf.gz -Oz -o updated.vcf.gz

Tags original record for reference.

Common Workflows

Before Comparing Callers

# Normalize both VCFs the same way
for vcf in caller1.vcf.gz caller2.vcf.gz; do
    base=$(basename "$vcf" .vcf.gz)
    bcftools norm -f reference.fa -m-any "$vcf" -Oz -o "${base}.norm.vcf.gz"
    bcftools index "${base}.norm.vcf.gz"
done

# Now compare
bcftools isec -p comparison caller1.norm.vcf.gz caller2.norm.vcf.gz

Before Database Annotation

bcftools norm -f reference.fa -m-any variants.vcf.gz -Oz -o normalized.vcf.gz
bcftools index normalized.vcf.gz
# Now annotate against dbSNP, ClinVar, etc.

Prepare for GWAS

bcftools norm -f reference.fa -m-any -d exact input.vcf.gz | \
    bcftools view -v snps -Oz -o gwas_ready.vcf.gz
bcftools index gwas_ready.vcf.gz

cyvcf2 Normalization Check

Check if Variants Need Normalization

from cyvcf2 import VCF

def needs_normalization(variant):
    # Check for multiallelic
    if len(variant.ALT) > 1:
        return True

    # Check for complex variants (potential MNPs)
    ref, alt = variant.REF, variant.ALT[0]
    if len(ref) > 1 and len(alt) > 1 and len(ref) == len(alt):
        return True

    return False

count = 0
for variant in VCF('input.vcf.gz'):
    if needs_normalization(variant):
        count += 1

print(f'Variants needing normalization: {count}')

Count Multiallelic Sites

from cyvcf2 import VCF

multiallelic = 0
total = 0

for variant in VCF('input.vcf.gz'):
    total += 1
    if len(variant.ALT) > 1:
        multiallelic += 1

print(f'Total variants: {total}')
print(f'Multiallelic sites: {multiallelic}')
print(f'Percentage: {multiallelic/total*100:.1f}%')

Quick Reference

TaskCommand
Left-align indels
bcftools norm -f ref.fa in.vcf.gz
Split multiallelic
bcftools norm -m-any in.vcf.gz
Join to multiallelic
bcftools norm -m+any in.vcf.gz
Full normalization
bcftools norm -f ref.fa -m-any in.vcf.gz
Fix REF alleles
bcftools norm -f ref.fa -c s in.vcf.gz
Remove duplicates
bcftools norm -d exact in.vcf.gz
Atomize MNPs
bcftools norm --atomize in.vcf.gz

Common Errors

ErrorCauseSolution
REF does not match
Wrong referenceUse same reference as caller
not sorted
Unsorted inputRun
bcftools sort
first
duplicate records
Same position twiceUse
-d
to remove

Related Skills

  • variant-calling - Generate VCF files
  • filtering-best-practices - Filter after normalization
  • vcf-manipulation - Compare normalized VCFs
  • variant-annotation - Annotate normalized variants
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