Objective Poly(ADP-ribose) polymerase (PARP) inhibitors are used for targeted therapy for ovarian cancer with homologous recombination deficiency (HRD). In this study, we aimed to develop a homologous recombination deficiency prediction model to predict the genomic integrity (GI) index of the SOPHiA DDM HRD Solution from the Oncomine Comprehensive Assay (OCA) Plus. We also tried to a find cut-off value of the genomic instability metric (GIM) of the OCA Plus that correlates with the GI index of the SOPHiA DDM HRD Solution. Methods We included 87 cases with high-grade ovarian serous carcinoma from five tertiary referral hospitals in Republic of Korea. We developed an HRD prediction model to predict the GI index of the SOPHiA DDM HRD Solution. As predictor variables in the model, we used the HRD score, which included percent loss of heterozygosity (%LOH), percent telomeric allelic imbalance (%TAI), percent large-scale state transitions (%LST), and the genomic instability metric (GIM), provided by the OCA Plus. To build the model, we employed a penalized logistic regression technique. Results The final model equation is -21.77 + 0.200 x GIM + 0.102 x %LOH + 0.037 x %TAI + 0.261 x %LST. To improve the performance of the prediction model, we added a borderline result category to the GI results. Cases with predicted values between -3 and 3 were classified as borderline. The accuracy of our HRD status prediction model was 0.947 for the training set and 0.958 for the test set. The accuracy of HRD status using GIM with a cut-off value of 16 was 0.911. Conclusions The Oncomine Comprehensive Assay Plus provides a reliable biomarker for homologous recombination deficiency.