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  1. 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.

  2. Mar 16, 2021 · The NHS Sickle Cell and Thalassaemia (SCT) Screening Programme uses the family origin questionnaire (FOQ) antenatal screening form to help assess if someone is likely to be a carrier for...

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  4. 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 ...

  5. Screening and Diagnostic Uses of the Family Origin Questionnaire. in low prevalence areas 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.

    • What We Have Changed
    • Reminder
    • Phe Screening Blogs

    New question

    'Is pregnancy the result of IVF? If yes, complete the form including SECTION H' This new question appears at the top of the form to reinforce the need to complete section H for IVF pregnancies. Section H reminds users that if pregnancy is a result of donor egg, the mother should still be offered screening and the baby’s biological father should be invited for screening immediately. The same applies if the mother has had bone marrow transplant.

    Other changes

    We have: 1. re-ordered some of the countries (but not re-categorised them) 2. moved the hospital name from the top of form to the red box at the bottom of the form 3. removed the estimated delivery date from the bottom of the form (this was a duplicated field) 4. removed the reason for a decline (but do remember to tick the ‘screening test declined’ box if necessary) 5. changed 'gestation at time of test' to 'gestation at time of sample' and moved this to the top of the form 6. changed ‘any o...

    Number of copies

    When we carried out a survey recently we found that many services were either: 1. using their own in-house designed forms 2. using an electronic form 3. about to move towards using an electronic form Most respondents did not use all 3 copies of the form so we have reduced this to 2 copies and made savings on printing costs. Please note that services should continue to use up their current supply of the forms until they run out as they are still valid.

    Don't forget that: 1. pregnant women should have their screening test by 10 weeks of pregnancy 2. all antenatal SCT screening samples submitted to the laboratory must be accompanied by a completed FOQ 3. women at increased risk of having a baby with sickle cell disease or thalassaemia should be offered prenatal diagnosis at or before 12 weeks of pr...

    PHE Screening blogs provide up to date news from all NHS screening programmes. You can register to receive updates direct to your inbox, so there’s no need to keep checking for new blogs. If you have any questions about this blog article, or about population screening in England, please contact the PHE screening helpdesk.

  6. Jul 6, 2018 · The family origin questionnaire (FOQ) 4. Conditions and carrier states to be detected; 5. Screening for haemoglobin variants; 6. Screening for beta thalassaemia; 7. Screening for alpha zero...

  7. Family of Origin Questionnaire. PUB-0588 v4 Published 7/10/21 . Woman’s details Partner’s details. Given name: Given name: Family name: Family name: Date of birth: Date of birth: Address: Address: Medicare number: Medicare number: Is there a known family history of thalassaemia and/or haemoglobin variant?

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