[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"skill:01M711TGJYMC494DS941DQCDYA":3,"skill-same:01M711TGJYMC494DS941DQCDYA":65},{"skillNo":4,"name":5,"nameZh":6,"description":7,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":15,"licenseFileUrl":6,"sourceHtmlUrl":16,"categories":17,"keywords":18,"publishedAt":34,"linkOnly":35,"markdownContent":36,"markdownBody":37,"frontMatter":38,"refName":42,"commitSha":43,"skillDirectory":44,"forksCount":45,"repositoryHtmlUrl":46,"repositoryHomepageUrl":6,"ownerHtmlUrl":47,"ownerBlogUrl":48,"ownerDescription":49,"updatedAt":50,"install":51,"resources":64},"01M711TGJYMC494DS941DQCDYA","genetic-counselling-referral-coordination",null,"Refer individuals and families with or at risk of inherited conditions onward and coordinate with other professionals and services.\nTRIGGERS - Use when a genetic counsellor needs a referral & coordination for individuals and families with or at risk of inherited conditions in a clinical genetics service.","lionelsimai\u002Fclaude-skills-collection","lionelsimai","https:\u002F\u002Favatars.githubusercontent.com\u002Fu\u002F260158848?v=4","01M6CHZPS8G9TSB113TT0BBM6E","Lionel ","01M6CHZPXGW2SPE3BHQTGJ0S8J",38,"MIT","https:\u002F\u002Fgithub.com\u002Flionelsimai\u002Fclaude-skills-collection\u002Fblob\u002Fmain\u002Fskills\u002Fgenetic-counselling-referral-coordination\u002FSKILL.md",[],[19,20,21,22,23,24,25,26,27,28,29,30,31,32,33],"referral","genetic counselling referral coordination","coordination","coordinate","risk","for","triggers","genetics","clinical","use","when","with","services","at","service","2026-11-10 10:12:30",false,"---\nname: genetic-counselling-referral-coordination\ndescription: |\n  Refer individuals and families with or at risk of inherited conditions onward and coordinate with other professionals and services.\n  TRIGGERS - Use when a genetic counsellor needs a referral & coordination for individuals and families with or at risk of inherited conditions in a clinical genetics service.\ncategory: Genetic Counselling\nlicense: MIT\nversion: 1.0\n---\n# Referral & Coordination — Genetic Counselling\n\nRefer individuals and families with or at risk of inherited conditions onward and coordinate with other professionals and services. The deliverable is a referral pack and a coordination log with responses tracked.\nThis skill is written for a genetic counsellor working with individuals and families with or at risk of inherited conditions in a clinical genetics service.\n\n## When to use\n- You are a genetic counsellor preparing, delivering or reviewing this part of your work in a clinical genetics service.\n- You need a defensible, repeatable approach that produces a referral pack and a coordination log with responses tracked.\n- A colleague, auditor or client asks how this was done and what evidence supports it.\n\n## Key Concepts\n| Term | Meaning |\n|------|---------|\n| Pedigree | a diagram of a family's medical history across generations |\n| Carrier | a person with one copy of a gene variant who may pass it on |\n| Variant | a difference in a DNA sequence |\n\n## Workflow\n1. **Step 1** - Confirm the referral is appropriate: what individuals and families with or at risk of inherited conditions need that sits outside the genetic counsellor scope in a clinical genetics service\n2. **Step 2** - Prepare the referral from family histories — relevant history, current status, the specific question being asked\n3. **Step 3** - With consent, send the referral and log who received it and when; chase non-responses on a set schedule\n4. **Step 4** - Share incoming findings back into the main record so the plan and risk assessment accuracy stay joined up\n5. **Step 5** - Close the loop with individuals and families with or at risk of inherited conditions: explain what happens next, who owns it, and what to do if things worsen — mindful of distress unaddressed after results\n\n## Profession-Specific Components\n| Component | Details for Genetic Counselling |\n|-----------|-------------------------------|\n| Core documentation | family histories; risk assessments; test consent records; counselling notes |\n| Core tools & equipment | pedigree drawing tools; genetic test databases; telehealth platforms; sample tracking systems |\n| People involved | individuals and families with or at risk of inherited conditions; the genetic counsellor; colleagues and other services in a clinical genetics service |\n| Primary record | family histories — keep it current, dated and attributable |\n\n## Output Format\n**Context:** [Situation in a clinical genetics service] | **Objective:** [What this must achieve] | **Audience:** [individuals and families with or at risk of inherited conditions and other stakeholders]\n\nThe finished output is a referral pack and a coordination log with responses tracked, structured as:\n1. Summary of position and evidence\n2. Detail, following the workflow above\n3. Decisions, actions, owners and dates\n4. Review point and escalation route\n\n### Action Plan\n1. **Immediate:** Confirm scope, consent and the evidence available in family histories.\n2. **Short-term:** Complete the workflow steps and record outcomes against risk assessment accuracy.\n3. **Medium-term:** Review results, close actions, and update local procedures in a clinical genetics service.\n\n## Success Metrics\n| Metric | Target | Method |\n|--------|--------|--------|\n| risk assessment accuracy | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| test turnaround communication | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| family follow-up rates | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| patient understanding scores | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n\n## Guardrails & Quality Checks\n- Never let this happen: distress unaddressed after results.\n- Never let this happen: family implications missed.\n- Never let this happen: consent inadequacies.\n- Work only within the competence and authority of a genetic counsellor; escalate or refer anything beyond it.\n- Record facts and observations, not speculation, and keep records confidential to a clinical genetics service's rules.\n- Verify names, dates, figures and measurements twice before anything is issued or signed off.\n- Use only real, verified information from the case in hand — never invent results, credentials or evidence.\n\n## Example (illustrative)\nA genetic counsellor in a clinical genetics service applies this workflow for individuals and families with or at risk of inherited conditions: they open\nfamily histories, work through the five steps using pedigree drawing tools, and close by recording\nthe outcome against risk assessment accuracy and agreeing the next review date. (Illustrative example only —\nreplace with the real details of the case in hand.)\n","# Referral & Coordination — Genetic Counselling\n\nRefer individuals and families with or at risk of inherited conditions onward and coordinate with other professionals and services. The deliverable is a referral pack and a coordination log with responses tracked.\nThis skill is written for a genetic counsellor working with individuals and families with or at risk of inherited conditions in a clinical genetics service.\n\n## When to use\n- You are a genetic counsellor preparing, delivering or reviewing this part of your work in a clinical genetics service.\n- You need a defensible, repeatable approach that produces a referral pack and a coordination log with responses tracked.\n- A colleague, auditor or client asks how this was done and what evidence supports it.\n\n## Key Concepts\n| Term | Meaning |\n|------|---------|\n| Pedigree | a diagram of a family's medical history across generations |\n| Carrier | a person with one copy of a gene variant who may pass it on |\n| Variant | a difference in a DNA sequence |\n\n## Workflow\n1. **Step 1** - Confirm the referral is appropriate: what individuals and families with or at risk of inherited conditions need that sits outside the genetic counsellor scope in a clinical genetics service\n2. **Step 2** - Prepare the referral from family histories — relevant history, current status, the specific question being asked\n3. **Step 3** - With consent, send the referral and log who received it and when; chase non-responses on a set schedule\n4. **Step 4** - Share incoming findings back into the main record so the plan and risk assessment accuracy stay joined up\n5. **Step 5** - Close the loop with individuals and families with or at risk of inherited conditions: explain what happens next, who owns it, and what to do if things worsen — mindful of distress unaddressed after results\n\n## Profession-Specific Components\n| Component | Details for Genetic Counselling |\n|-----------|-------------------------------|\n| Core documentation | family histories; risk assessments; test consent records; counselling notes |\n| Core tools & equipment | pedigree drawing tools; genetic test databases; telehealth platforms; sample tracking systems |\n| People involved | individuals and families with or at risk of inherited conditions; the genetic counsellor; colleagues and other services in a clinical genetics service |\n| Primary record | family histories — keep it current, dated and attributable |\n\n## Output Format\n**Context:** [Situation in a clinical genetics service] | **Objective:** [What this must achieve] | **Audience:** [individuals and families with or at risk of inherited conditions and other stakeholders]\n\nThe finished output is a referral pack and a coordination log with responses tracked, structured as:\n1. Summary of position and evidence\n2. Detail, following the workflow above\n3. Decisions, actions, owners and dates\n4. Review point and escalation route\n\n### Action Plan\n1. **Immediate:** Confirm scope, consent and the evidence available in family histories.\n2. **Short-term:** Complete the workflow steps and record outcomes against risk assessment accuracy.\n3. **Medium-term:** Review results, close actions, and update local procedures in a clinical genetics service.\n\n## Success Metrics\n| Metric | Target | Method |\n|--------|--------|--------|\n| risk assessment accuracy | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| test turnaround communication | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| family follow-up rates | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n| patient understanding scores | Agree a local target and track the trend | Measured from family histories and reviewed on a set cycle |\n\n## Guardrails & Quality Checks\n- Never let this happen: distress unaddressed after results.\n- Never let this happen: family implications missed.\n- Never let this happen: consent inadequacies.\n- Work only within the competence and authority of a genetic counsellor; escalate or refer anything beyond it.\n- Record facts and observations, not speculation, and keep records confidential to a clinical genetics service's rules.\n- Verify names, dates, figures and measurements twice before anything is issued or signed off.\n- Use only real, verified information from the case in hand — never invent results, credentials or evidence.\n\n## Example (illustrative)\nA genetic counsellor in a clinical genetics service applies this workflow for individuals and families with or at risk of inherited conditions: they open\nfamily histories, work through the five steps using pedigree drawing tools, and close by recording\nthe outcome against risk assessment accuracy and agreeing the next review date. 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