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Diagnosis · Genetic & Precision Consultation

Testing is only useful if someone interprets it with you

Genetic and precision-oncology consultation at KPCIRC covers the decision before the test, the counselling around it, and the plan that follows. The testing itself is delivered via OnKommon.

image — counselling room, 4:3

Consultation services

Now

Precision oncology consultation

The specific assay is named and ordered, the report is taken to the molecular tumour board, and the plan is explained in writing.

The board →
Now

Genetic counselling — pre-test

What a germline test can and cannot tell you, what a result would change, and what it means for your family, before any sample is taken.

Now

Genetic counselling — post-test

Results delivered with counselling rather than by email, including uncertain findings and what happens next.

Now

Cascade testing for families

Where a hereditary risk is found, testing and counselling offered to the relatives it affects.

Now

Hereditary risk assessment

Family history, risk models and a surveillance plan for people who have not had cancer but may be at risk.

Coming soon

Pharmacogenomic review

Dose and drug-choice adjustment against the PGx panel, reviewed with the treating consultant.

The order-to-report chain

Steps

  • The consultant names the specific assay from an order set
  • Home or centre collection, scheduled before you leave the building
  • Assay performed by accredited partners under OnKommon's quality system
  • Variant interpretation and clinical annotation
  • Review at the next scheduled board, then the written plan

Standards

Each step has one owner and one elapsed-time standard. Sample collection is arranged before the patient leaves, because a patient who goes home to think about it often does not return.

One comprehensive profile is ordered at the right time rather than sequential single tests.

The acute shortage of genetic counsellors is one of the specific failures this institution was designed around. Counselling here is a core in-house service, and it is also licensed to partner clinics.