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整个外显子和整个基因组测序（非...
筛查和评估个体的疾病时，当不符合快速整体外显子组测序（RWES），快速整个基因组测序（RWGS）或超增强整个基因组测序（URWGS）的使用时，尚未证实，并且不是医学上必不可少的。整个转录组测序和整个基因组光学映射被认为未经证实，并且由于疗效的证据不足而在医学上无需医学上。注意：癌症的评估已在标题为“分子肿瘤学伴侣诊断测试”，分子肿瘤学测试，用于血液学癌症诊断，预后和治疗决策的分子肿瘤学测试以及用于固体肿瘤癌症诊断，预后和治疗决策的分子肿瘤测试。此外，整个外显子和整个基因组测序的政策（非肿瘤条件）仅限于门诊环境中的基因检测或从住院环境出院时。医疗记录文件用于审查卫生服务的福利覆盖范围由成员特定的福利计划文件和可能需要特定服务覆盖的适用法律确定。可能需要医疗记录文件来评估成员是否符合承保范围的临床标准，但不能保证对所请求的服务的承保范围；请参阅标题为“医疗记录”文档的协议。
1 Genetic Testing: Whole Exome Sequencing and Whole Genome Sequencing
The human genome refers to an individual's complete set of DNA. The exome is a small section (1 to 2 percent) of the genome. It contains DNA sequences (exons) which provide instruction (coding) for making proteins, the building blocks of cells. Whole exome sequencing (WES) sequences only the coding region (1 to 2 percent) of an individual's genome. Whole exome sequencing can be used to identify variations in the protein-coding region of any gene rather than in only a select few genes. Because most known pathogenic variant(s) that cause disease occur in exons, WES is thought to be an efficient method to identify possible disease-causing pathogenic variant(s). Whole genome sequencing (WGS) sequences an individual's entire genome. It determines the order of all the nucleotides (the DNA building blocks) in an individual's DNA and can determine variations in any part of the genome. WES may potentially miss a pathogenic variant(s) in a non-coding region of the genome, therefore WGS may be used in selected cases if initial exome sequencing is not diagnostic. While WGS can accurately achieve copy number variation (CNV) detection, the use of chromosomal microarray analysis (CMA) continues to be the gold standard. Whole exome sequencing (WES) or whole genome sequencing (WGS) may be appropriate when there is no known cause of a patient's symptoms (e.g., prematurity, trauma, environmental, infectious, maternal immune disorder), clinical
向整个委员会的报告
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