%0 Journal Article %T Clinical whole genome sequencing as a first-tier test at a resource-limited dysmorphology clinic in Mexico %A Alicia Scocchia %A Andrew Gross %A Carolina I. Galarreta %A David R. Bentley %A Denise L. Perry %A Diane Masser-Frye %A Erin Thorpe %A ICSL Interpretation and Reporting Team %A John W. Belmont %A Julia McEachern %A Keisha Robinson %A Kristen M. Wigby %A Marilyn C. Jones %A Miguel Del Campo %A Ryan J. Taft %A Subramanian S. Ajay %A Vani Rajan %J Archive of "NPJ Genomic Medicine". %D 2019 %R 10.1038/s41525-018-0076-1 %X Case selection criteria. Chart review of previously evaluated individuals was performed by the clinician team. Probands who were diagnosed with a recognizable pattern of malformation (e.g., isolated Down syndrome), received counseling, and discharged from clinic were excluded from referral to the iHope Program. Probands with acquired disease (e.g.,: suspected environmental exposures) or isolated features (e.g.,: individuals with cleft lip with or without cleft palate) were typically also excluded. Probands with prior non-diagnostic molecular or cytogenic testing were included if all other criteria were met. Resulting families who were eligible for the iHope Program were contacted, offered cWGS, and scheduled to attend a Genome Day. Upon completion of a Genome Day visit, whole-blood samples were transported to the clinical laboratory for cWGS. Dx: diagnosis; cWGS: clinical whole genome sequencin %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375919/