Clinical Exome Hero
Medical Grade Diagnostics

Clinical Exome
Sequencing

Focusing on the Mendeliome for maximum diagnostic yield. Our CES pipeline integrates phenotype-driven analysis with ACMG interpretation to end the diagnostic odyssey.

ISO / CAP / CLIA
The Diagnostic Gold Standard

Targeted Depth.
Clinical Confidence.

Clinical Exome Sequencing (CES) is a highly specialized NGS solution that prioritizes the ~7,000 genes strictly associated with human disease. Unlike standard WES, CES delivers ultra-high depth on a curated Mendeliome, ensuring that medically actionable variants are captured with 2026-level precision.

Our approach leverages Human Phenotype Ontology (HPO) to prioritize variants based on a patient's specific symptoms, transforming raw sequence data into clear, diagnostic answers.

200× Mean
Diagnostic Depth
99% > 20×
Clinical Uniformity
100% Validated
ACMG Accuracy

Key Clinical Indications

Providing definitive genetic answers across various medical specialties.

Undiagnosed Rare Diseases

Ending the diagnostic odyssey for pediatric and adult patients with complex, multisystem phenotypes.

Neurodevelopmental Disorders

Deep screening for intellectual disability, autism, and refractory epilepsy with high phenotypic heterogeneity.

Cardiology & Inherited Arrythmias

Targeted analysis of genes associated with sudden cardiac arrest, cardiomyopathies, and channelopathies.

Precision Oncology (Germline)

Identification of hereditary cancer syndromes (Lynch, HBOC) to guide family risk assessment and prophylactic care.

Diagnostic Differentiators

FeatureClinical Exome (CES)Standard WES
ScopeMendeliome (~5,000 - 7,000 Genes)Whole Exome (~20,000 Genes)
Diagnostic AimClinical Diagnosis (Known Pathologies)Research & Novel Discovery
Mean Depth150× - 200× (Diagnostic Grade)100× - 120× (Research Grade)
UniformityUltra-High (Focus on Clinical Targets)High (Standard Exome Uniformity)
TAT (Turnaround)3 - 4 Weeks4 - 6 Weeks
Diagnostic Process

Simple End-to-End Workflow

Five seamless steps from sample submission to actionable clinical diagnostic report.

01

Clinical Intake

Submit patient samples (Blood, Saliva, DNA) along with detailed clinical history and HPO terms.

02

Mendeliome Capture

High-uniformity capture of ~7,000 clinically relevant genes to ensure maximum diagnostic depth.

03

High-Depth Sequencing

Illumina sequencing at 150×–200× mean depth for high-confidence clinical variant calling.

04

Phenotype-Driven Analysis

Automated variant prioritization based on patient HPO terms and ACMG/AMP clinical guidelines.

05

Geneticist Sign-off

Board-certified review and delivery of a clear, medically actionable diagnostic report.

Clinical Intake
Clinical Intake
1
Mendeliome Capture
Mendeliome Capture
2
High-Depth Sequencing
High-Depth Sequencing
3
Phenotype-Driven Analysis
Phenotype-Driven Analysis
4
Geneticist Sign-off
Geneticist Sign-off
5

Supported Sample Types & Requirements

Peripheral BloodSalivaExtracted Genomic DNAAmniotic Fluid (Prenatal)CVS (Prenatal)
Minimum DNA Input≥ 200 ng total
Blood Volume (Adult)2 - 4 mL (EDTA)
Concentration≥ 10 ng/µL (Qubit)
Purity (OD 260/280)1.8 – 2.0

A completed clinical requisition form and HPO terms are required with all CES sample submissions.

The Medical-Grade Pipeline

Clinical Core

  • Automated Phenotype-to-Gene Mapping (HPO)
  • ACMG/AMP Compliant Variant Classification
  • Detection of Pathogenic SNVs & small InDels
  • ClinVar, HGMD & OMIM Database Cross-referencing
  • Secondary Findings reporting (ACMG v3.2 Genes)
  • Board-Certified Geneticist Interpretation

Advanced Variant Detection

  • Copy Number Variation (CNV) Detection
  • Mitochondrial Genome Analysis (Optional)
  • Inheritance Pattern Modelling (Trio/Duo)
  • Pharmacogenomics (PGx) Integration
  • Custom Phenotype-driven Prioritization

Deliverables

Clinical ReportPDF / Medical Grade
Annotated VariantsVCF / Clinical XLS
Raw DataFASTQ / BAM
HIPAA & GDPR SECURE DELIVERY

Common Questions

While WES sequences all ~20,000 protein-coding genes, Clinical Exome (CES) focuses on the "Mendeliome"—a curated subset of ~5,000-7,000 genes with proven links to human disease. By focusing on these targets, we can achieve significantly higher sequencing depth (150-200x) and uniformity, increasing the probability of finding a diagnostic variant.

End the Diagnostic Odyssey.

Launch your clinical diagnostic project with world-class variants prioritization and medical-grade genetic reporting.

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