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01 Topic Focus · Genetics
Genetics · Testing, results and what they mean

Your DNA, explained.

Genetics is no longer a distant science. It now sits inside everyday care, from choosing the right medicine to understanding a family history of cancer. This guide walks you through what genes are, what testing can and cannot tell you, the difference between hereditary and acquired changes, and how tumour profiling is shaping cancer treatment.

Plain-language guide All test types explained Counselling comes first Cancer care connected
Family 23 pairs of chromosomes
Cornerstone Counselling before testing
Support Public genetics services · State clinics

23pairs

of chromosomes carry your complete genome

2kinds

of testing: whole genome and targeted panels

5-10%

of cancers are linked to inherited gene changes

1rule

consent comes first, for every test
Why this guide exists

A gene is not a destiny. It is a clue, to be read with care.

Tricorian Life
02 The Science
What is happening

A code that runs your cells.

Every cell in your body carries the same instruction manual, your genome. It is written in DNA and packaged into chromosomes. Reading the right parts of it can explain a condition, predict a risk, or guide a treatment. Here are the pieces of the language.

DNA is the instruction manual

Deoxyribonucleic acid. A long molecule written in four chemical letters, A, T, C and G, arranged in a double helix. The full sequence is about three billion letters long.

Genes are the sentences

A gene is a stretch of DNA holding the instructions to build a protein. Humans have around 20,000 genes, and they influence everything from eye colour to how a medicine is processed.

Chromosomes are the shelves

DNA is wound into 23 pairs of chromosomes, one of each pair from each parent. Some conditions come from a whole chromosome missing, extra, or rearranged, which a karyotype can show.

Alleles are the versions

Most genes come in slightly different versions, called alleles. You inherit one copy of most genes from each parent, and the two copies can differ. Those differences are part of what makes each person unique.

Changes are called variants

A change in the DNA sequence is a variant, sometimes called a mutation. Most variants are harmless. Some raise the risk of disease. Tests aim to tell the difference, and not every change can be classified yet.

03 Two Origins
The key distinction

Inherited, or acquired over a lifetime.

Every gene change has an origin, and the origin decides what the change means for you and your family. This is the distinction that underlies all genetic testing.

Hereditary, also called germline

Present from birth in every cell, passed down from a parent. Hereditary changes can run in families, which is why one finding can prompt testing of relatives, called cascade testing.

Somatic, acquired during life

Happens in a single cell after birth, often through ageing or exposure. Somatic changes are not passed to children. Most cancers are driven by somatic changes, which is why tumour profiling studies the tumour itself.

Why the distinction matters

Hereditary findings affect the whole family, so they shape screening and prevention for relatives. Somatic findings belong to the tumour or tissue only, so they shape treatment of the disease itself.

04 Test Types
Choose your depth

Whole genome, or a targeted panel.

Genetic tests differ mainly in how much DNA they read. The right choice depends on the clinical question. In Australia, testing usually starts with a GP referral and often a genetic counsellor, who will help choose the right test for the question you are trying to answer.

Option A · Comprehensive

Whole Genome Sequencing

For a broad search · Rare conditions

The most complete view of your DNA. Whole genome sequencing reads almost all of your genetic code, which makes it useful when the cause of a condition is unknown, when many genes could be involved, or when a family seeks a lifelong genetic baseline.

  • Reads almost all of your DNA in a single test
  • Used when the cause of a condition is unknown
  • Can find hereditary cancer, cardiac and rare disease changes
  • Usually ordered through a specialist or genetic service
  • Findings can be re-visited for years as science advances
Ask about whole genome testing
Option B · Focused

Targeted Clinical Panels

For a specific question · Faster answer

Purpose-built tests that read only the genes relevant to one clinical question, such as hereditary cancer risk, medication response, or carrier status before pregnancy. Faster, more focused, and aligned to a defined clinical pathway.

  • Reads only the genes relevant to the question
  • Pharmacogenomics for medication safety
  • Hereditary cancer surveillance panels
  • Cardiovascular and metabolic risk panels
  • Carrier screening before or during pregnancy
Ask about targeted panels
05 The Panels
Panel by panel

Six clinical panels. One question each.

Each panel is built around a single clinical question, with structured pre-test information and clear results that flow back to your GP, specialist or genetic counsellor. The genes listed are the ones most commonly examined in each panel.

01/06
Pharmacogenomics · PGx

How you metabolise medication

Identifies gene changes that affect drug efficacy, dosing or side-effect risk, from antidepressants and statins to anticoagulants and some chemotherapy. Can explain why one dose works for one person and not another.

Key genes
CYP2D6CYP2C19CYP2C9SLCO1B1DPYDTPMTHLA-B
02/06
Hereditary Cancer Risk

Inherited cancer susceptibility

Detects inherited changes driving lifetime risk of breast, ovarian, prostate, pancreatic and bowel cancers. Enables earlier surveillance and cascade testing for family.

Key genes
BRCA1BRCA2PALB2CHEK2ATMMLH1MSH2TP53
03/06
Cardiovascular Genetics

Inherited heart and lipid risk

Identifies familial hypercholesterolaemia, elevated lipoprotein(a), and inherited drivers of cardiovascular disease that standard cholesterol testing can miss.

Key genes
APOELDLRPCSK9LPA
04/06
Neurological & Cognitive

Brain chemistry and mental health

Insight into dopamine metabolism, neuroplasticity, antidepressant response and Alzheimer's susceptibility, informing mental-health prescribing and lifestyle strategy.

Key genes
COMTBDNFSLC6A4APOE-e4
05/06
Metabolic & Micronutrients

How your body processes nutrients

Folate metabolism, iron overload risk, vitamin D receptor activity, lactose and coeliac susceptibility, informing nutrition, monitoring and supplementation strategy.

Key genes
MTHFRHFEVDRLCTHLA-DQ2
06/06
Reproductive · Carrier

Family-planning carrier screening

For individuals and couples planning to conceive. Identifies carriage of inherited conditions including cystic fibrosis, spinal muscular atrophy and fragile X, with genetic counselling before and after.

Key genes
CFTRSMN1FMR1+250 conditions
Continuous · After any panel

And then, the follow-up matters.

A genetic result is a starting point. The real value comes when the result is used over time, whether that means annual surveillance for an inherited cancer risk, dose adjustments informed by pharmacogenomics, or repeat pathology benchmarked against your baseline. Ask what follow-up a test includes before you begin.

Annual Surveillance cadence
Family-wide Cascade testing offered
GP-shared Results flow to your doctor
Re-visited As science advances
06 Cancer & Tumours
For patients and families

When the diagnosis is cancer, molecular testing can guide the way.

A cancer diagnosis raises hard questions, and molecular testing is increasingly part of answering them. These tests study the tumour itself or its traces in the blood, to help the treating team choose therapy, estimate prognosis, and find clinical trials. See our cancer guide for the full journey from diagnosis to treatment.

For confirmed diagnosis

Tumour profiling

Molecular characterisation of the tumour itself, performed after a confirmed cancer diagnosis and ordered through a treating oncologist. It finds the changes driving that particular cancer, to inform treatment matching, prognosis and clinical-trial eligibility.

Best for · Treatment matching
Blood-based · ctDNA

Liquid biopsy

A blood test that detects circulating tumour DNA released by cancer cells. Can support early detection in selected contexts, monitor treatment response over time, and surface targeted-therapy options without a fresh tissue biopsy.

Best for · Monitoring · Targeted therapy
Blood-based · markers

Pathology tumour markers

Blood tests that detect proteins or substances released by tumours into the bloodstream. Used as a complementary signal alongside imaging and biopsy, not as a stand-alone diagnostic.

Best for · Complementary insight
Important context

Diagnosis typically requires imaging or biopsy to confirm. These molecular tests inform treatment and monitoring decisions; they do not replace standard diagnostic pathways.

Some tests are covered by Medicare for qualified patients; others sit outside the Medicare schedule and incur out-of-pocket costs depending on eligibility and clinical indication. Your treating team or a genetic counsellor can explain what may apply to your situation.

Plain language

Good genetic services translate the science into language patients and their loved ones can actually use.

For families, too

An inherited finding is rarely about one person. Partners, parents and children get room for their own questions.

Anchored in Australia

Public genetics services and Medicare item numbers are state and nationally coordinated, so advice should always fit your local pathway.

A steady point of contact

Through diagnosis, decisions and the long stretches in between, your GP and genetic counsellor stay the calm, informed presence.

07 Your Journey
Your pathway

From sample to insight, step by step.

Every genetic pathway runs the same broad steps, with counselling and consent at the front and clinical support at the back. You are never holding a result alone.

01

Intake

Family history, the clinical question, pre-test information and informed consent.

02

Sample

A cheek swab or blood draw, arranged through your clinic or pathology provider.

03

Sequence

Accredited laboratories read the DNA and produce clinical-grade results.

04

Interpret

Your result is explained in plain language and in clinical detail for your doctor.

05

Follow up

Surveillance, cascade testing and re-interpretation as the science advances.

08 Three Lenses
Layered results

A layered result. Made for every reader.

Genomic results are not one-size-fits-all. Good services deliver every report through three lenses, so you, your pharmacist and your clinician each see exactly what is relevant to them.

Layer 01 · Patient

Plain-language, actionable

A clear, jargon-free summary of what your results mean for you and your family. Risks explained in context, actions explained in steps, with secure access to share with the people who care for you.

Layer 02 · Pharmacist

Scope-aligned, navigational

Medication safety alerts, escalation triggers and clinical pathway prompts within pharmacist scope of practice, supporting safer dispensing and informed conversations at the counter.

Layer 03 · Clinician

Variant-level, evidence-referenced

Full clinical-grade interpretation for your GP, specialist or genetic counsellor: variant classifications, evidence references, treatment matching and prescribing guidance.

Informed consent first
Secure data handling
Accredited laboratories
Genetic counsellors
09 Sources

Where this guide draws from.

  • 1Human Genetics Society of Australasia (HGSA). Genetic counselling and testing guidance. hgsa.org.au
  • 2NSW Health Centre for Genetics Education. Fact sheets on genetics and inherited conditions. genetics.edu.au
  • 3eviQ Cancer Treatments Online, Cancer Institute NSW. Cancer genetics and tumour profiling protocols. eviq.org.au
  • 4Australian Genomics. National genomics research and clinical translation. australiangenomics.org.au
  • 5Cancer Council Australia. Hereditary cancer and family risk information. cancer.org.au
  • 6Financial Services Council. Life Insurance Moratorium on Genetic Tests. fsc.org.au
  • 7Services Australia, Medicare Benefits Schedule. Genetic testing items and eligibility. mbsonline.gov.au
10 Common Questions
Frequently asked

What patients ask before they begin.

What is the difference between whole genome sequencing and a targeted panel?

Whole genome sequencing (WGS) reads almost all of your DNA. It is the most comprehensive option and is best suited to searching for an unknown cause, rare conditions, or a lifelong genetic baseline.

Targeted clinical panels read only the genes relevant to a defined clinical question, such as pharmacogenomics, hereditary cancer surveillance, cardiovascular risk, or carrier screening. Panels are typically faster, more focused, and aligned to a specific clinical pathway.

Your GP, specialist or genetic counsellor will help you choose the right option for your goals.

Who is genetic testing suitable for?

Genetic testing is considered when there is a clinical question to answer: a personal or family history of cancer, cardiovascular disease or an inherited condition, couples planning a family, people whose medicines are not working as expected, or patients with a cancer diagnosis where tumour profiling could guide treatment.

The right starting point is usually a conversation with your GP, who can refer you to a genetics service or genetic counsellor. Testing without a clinical question can create more confusion than clarity.

What does hereditary mean, and how is it different from somatic?

Hereditary (germline) changes are present from birth in every cell, inherited from a parent, and can run in families. They are relevant to relatives and to family planning.

Somatic (acquired) changes happen during life in a single cell or tissue and are not passed to children. Most cancers are driven by somatic changes, and tumour profiling studies these to guide treatment.

How are results explained, and who can see them?

Good services deliver results through three lenses. You receive a plain-language summary you can read at home. Your pharmacist receives a scope-aligned view that supports safer dispensing. Your GP, specialist or genetic counsellor receives the full clinical-grade interpretation with variant references and evidence levels.

Only the people you consent to share your results with can see them. In Australia, genetic data must not be disclosed to insurers in the way other health information sometimes is, and reputable services never sell it.

Will my results affect my health or life insurance?

In Australia, life insurers cannot use the results of predictive genetic tests against applicants for cover up to $500,000 (death cover), $500,000 (total permanent disability), and $200,000 (trauma cover), under the Financial Services Council moratorium. You are not required to disclose results to your insurer below those thresholds.

Your results stay private to you and the clinicians you choose to share them with.

What is a variant of uncertain significance?

A variant of uncertain significance (VUS) is a gene change that science cannot yet classify as harmful or harmless. It is common, it is usually not a cause for alarm, and it should not drive medical decisions on its own.

As laboratories share more data, many VUS are reclassified over time, sometimes years later. Good services re-review results as knowledge grows and contact you if the classification changes.

How long does it take to receive results?

Turnaround depends on the test. Targeted panels typically return within 3 to 4 weeks of sample collection. Whole genome sequencing typically takes 6 to 8 weeks or longer. Oncology tumour profiling runs on a faster schedule appropriate to clinical urgency.

Your treating team will confirm timing when the test is ordered.

Is genetic testing covered by Medicare, or are there out-of-pocket costs?

Some tests are covered by Medicare for qualified patients under specific clinical indications, for example certain hereditary cancer panels for patients meeting eligibility criteria, and several oncology profiling tests when ordered by a treating specialist.

Other tests sit outside the Medicare schedule and incur out-of-pocket costs that vary by laboratory, panel scope and clinical context. Pharmacogenomics, broader screening panels and whole genome sequencing typically fall into this category.

Ask your GP, specialist or genetic counsellor what applies to your situation before you commit to anything.

How is the sample collected?

Most genetic testing uses a simple cheek (buccal) swab or a small blood draw, arranged through your clinic or pathology provider. Oncology tumour profiling may additionally require a tissue or liquid biopsy, coordinated through your treating oncologist.

No sample is taken without your informed consent.

Questions answered

Questions about genetic testing?

Whether you are exploring medication safety, hereditary risk in your family, or molecular testing after a cancer diagnosis, our team can point you to the right recommendation and the right clinician. We respond within 24 hours.

Talk to our team