NIH BD2K all-hands meeting poster November 12, 2015. Attempts at correlating phenotypic aspects of disease with causal genetic influences are often confounded by the challenges of interpreting diverse data distributed across numerous resources. New approaches to data modeling, integration, tooling, and community practices are needed to make efficient use of these data. The Monarch Initiative is an international consortium working on the development of shared data, tools, and standards to enable direct translation of integrated genotype, phenotype, and environmental data from human and model organisms to enhance our understanding of human disease. We utilize sophisticated semantic mapping techniques across a diverse set of standardized ontologies to deeply integrate data across species, sources, and modalities. Using phenotype similarity matching algorithms across these data enables disorder prediction, variant prioritization, and patient matching against known diseases and model organisms. These similarity algorithms form the core of several innovative tools. The Exomiser, which enables exome variant prioritization by combining pathogenicity, frequency, inheritance, protein interaction, and cross-species phenotype data. Our Phenotype Sufficiency tool provides clinicians the ability to compare patient phenotypic profiles using the Human Phenotype Ontology to determine uniqueness and specificity in support of variant prioritization. The PhenoGrid visualization widget illustrates phenotype similarity between patients, known diseases, and model organisms. Monarch develops models in collaboration with the community in support of the burgeoning genotype-phenotype disease research community. We have successfully used Exomiser to solve a number of undiagnosed patient cases in collaboration with the NIH Undiagnosed Disease Program. Ongoing development in coordination with the Global Alliance for Genetic Health (GA4GH) and other groups will catalyze the realization of our goal of a vital translational community focused on the collaborative application of integrated genotype, phenotype, and environmental data to human disease.