The rare and undiagnosed diseases diagnostic service – application of massively parallel sequencing in a state-wide clinical service

Gareth Baynam, Nicholas Pachter, Fiona McKenzie, Sharon Townshend, Jennie Slee, Cathy Kiraly-Borri, Anand Vasudevan, Anne Hawkins, Stephanie Broley, Lyn Schofield, Hedwig Verhoef, Caroline E. Walker, Caron Molster, Jenefer M. Blackwell, Sarra Jamieson, Dave Tang, Timo Lassmann, Kym Mina, John Beilby, Mark Davis, Nigel Laing, Lesley Murphy, Tarun Weeramanthri, Hugh Dawkins and Jack Goldblatt. Orphanet Journal of Rare Diseases 201611:77 DOI: 10.1186/s13023-016-0462-7

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We describe an iteratively improving diagnostic platform provided within a public health service that is aligned to the unmet needs of people living with rare and undiagnosed diseases, by supporting equitable state-wide diagnostic health care provision for the world’s geographically largest public health jurisdiction. It is largely been performed within existing budgets through a patient-centric approach and clinically informed re-alignment of existing resources.