For Doctors
Partnering in Genetics
Better Insights. Better Outcomes.
Geneveda is a specialised genetics centre committed to supporting
healthcare professionals with accurate diagnostics, expert interpretation
and compassionate counselling for improved patient care.
When to Refer for Genetic Evaluation
- Developmental delay or intellectual disability
- Autism spectrum disorder with dysmorphic features
- Multiple congenital anomalies
- Recurrent pregnancy losses
- Family history of genetic disorders
- Consanguineous marriage with affected offspring
- Unexplained epilepsy or neurodegenerative disorders
- Suspected hereditary cancer syndromes
- Abnormal prenatal screening results
- Positive NIPT requiring confirmatory testing
- Infertility with suspected chromosomal causes
- Previous child with a genetic condition
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2. WHICH TEST SHOULD I ORDER?
CLINICAL SCENARIO
RECOMMENDED TEST
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Down syndrome suspicion
Karyotyping/FISH
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Multiple congenital anomalies
Chromosomal Microarray (CMA)
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Developmental delay / Intellectual disability / Autism spectrum disorder
Chromosomal Microarray (CMA) ยฑ Exome Sequencing
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Known familial single-gene disorder / targeted mutation testing
Sanger Sequencing
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Suspected hereditary cancer syndrome
Next Generation Sequencing (NGS) Panel
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Clinically heterogeneous suspected monogenic disorder
Next Generation Sequencing (NGS)
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Prenatal diagnosis
CVS / Amniocentesis with appropriate genetic testing
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Bone marrow transplant work-up
HLA Typing
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Recurrent miscarriages
Parental Karyotyping
Parental Chromosomal Microarray (CMA)
Product of Conception (POC) Chromosomal Microarray
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4. PRENATAL TESTS GUIDE
Gestational Age
Assessment
10 weeks onwards
Non-Invasive Prenatal Testing (NIPT)
11โ13 weeks + 6 days
NT Scan + Dual Marker (If NIPT not done)
11โ13 weeks
Chorionic Villus Sampling (CVS) โ When indicated, followed by genetic testing
15โ20 weeks
Amniocentesis โ When indicated followed genetic testing
15โ22 weeks
Quadruple Marker Test (If NIPT not done)
18โ22 weeks
Anomaly Scan
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3. SAMPLE REQUIREMENTS
Test
Sample
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Karyotyping/FISH
Sodium heparin blood
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FISH
Sodium heparin blood
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Chromosomal Microarray (CMA)
EDTA blood
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Next Generation Sequencing (NGS)
EDTA blood
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Sanger Sequencing
EDTA blood
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HLA Typing
EDTA blood / Buccal swab
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Prenatal Testing
CVS / Amniotic fluid
EDTA TUBE
Cap Colour: Lavender / Purple
Sample: Whole Blood, Bone Marrow
Used For: CMA, NGS, Sanger Sequencing, DNA isolation, PCR - based tests
SODIUM HEPARIN TUBE
Cap Colour: Green
Sample: Whole Blood, Bone Marrow
Used For: Karyotyping and FISH
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Mix gently by inverting the tube 8โ10 times. Do not shake vigorously.
