Outcomes Submit | Myriad Genetics

Step 1:
33%

Barcode

The patient below had a Prequel screen on the date indicated in the "Screen Date" field.

Patient Information

Patient first name:

Patient last name:

Patient date of birth:

Screen Date

Please provide the following outcome details:

Was this a Singleton or Twin
pregnancy?

For this twin pregnancy, were
the twins:

Please indicate the method used to
determine zygosity

T ID

A ID

Step 2:
66%

Was any diagnostic testing performed
during and/or after the pregnancy?

Please indicate what testing was
performed. (select all that apply)

CVSAmniocentesisProducts of conception testingPostnatal diagnostic testing

Was a karyotype performed?

Please indicate the karyotype result

Was a microarray performed?

Please indicate the microarray result

Please enter the CNV noted on the
microarray below:

What was the outcome of the
pregnancy?

Fetal Demise Range

Was the preterm birth spontaneous
or induced?

At what gestational age did the
preterm birth occur?

Were there abnormalities noted on
maternal serum screening, ultrasound or
postnatal exam?

Select all abnormalities that apply:

Ultrasound - fetal structural
abnormalitiesMaternal Serum Screening
abnormalities (e.g. integrated screen,
1st trimester screen, etc.)Postnatal exam: Birth DefectsPostnatal exam: syndrome diagnosis

Please indicate the syndrome diagnosis
and/or phenotype:

Outcomes

Locations