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A. Family of Origin. 1. Identify your major caregivers. Name. Relationship. 2. List the birth order of the children in your family. Use a noun or adjective to describe each person. Include yourself and deceased siblings.
The family origin is useful for accurate prenatal diagnosis. More information about its use can found in the laboratory handbook. Search for 'SCT handbook for laboratories' on www.gov.uk....
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KM C364e-20170427154338. NAME: Family of Origin FAMILY OF ORIGIN Relationship 1. 2. Identify your major caregivers. Name List the birth order of the children in your family. Use a noun or adjective to describe each person. Include yourself and deceased siblings. (Indicate if a sibling is deceased.) Name/Relationship Number of children in your ...
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- Paper FOQ form: specification
- Electronic FOQ: specification
- Family origin questionnaire: PDF
- FOQ country of origin list
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Essential elements for implementation of the family origin questionnaire (FOQ) to help assess if a person is a likely carrier for sickle cell and thalassaemia (SCT).
Ref: PHE publications gateway number: GOV-7654
PDF, 158 KB, 2 pages
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The family origin questionnaire (FOQ) is an integral part of antenatal screening.
It aims to identify the population groups at highest risk of sickle cell, thalassaemia and other haemoglobin variants. It is mandatory for all antenatal booking blood requests.
The FOQ was developed by the NHS Sickle Cell and Thalassaemia (SCT) Screening Programme and tested rigorously in clinical practice.
Local NHS SCT screening providers must use the essential elements when developing their own version of the FOQ.
They may develop a digital, electronic FOQ (e-FOQ), a paper FOQ form or a combined FOQ booking blood request form for all antenatal screening.
This publication provides guidance for local providers developing an FOQ. It includes:
FAMILY OF ORIGIN A. Family of Origin l. Identifu your major caregivers. Name Relationship 2. List the birth order of the children in your family. Use a noun or adjective to describe each '\-, person. Include yourself and deceased siblings. (Indicate if a sibling is deceased.) Name/Relationship Age Description Number of children in your family:
Screening and Diagnostic Uses of the Family Origin Questionnaire. The Family Origin Questionnaire (FOQ) is principally used as a tool to identify women who are at highest risk of being a carrier or having a baby with a haemoglobin variant or disorder.
Family origin questionnaire: PDF. Updated 9 April 2021. Download CSV 158 KB. This CSV cannot be viewed online. You can download the file to open it with your own software.
