MyRisk
MyRisk® Hereditary Cancer Test is a multi-gene panel that helps to determine a patient’s risk by evaluating a number of hereditary cancer syndromes, with focus on 11 primary cancer sites.
BRACAnalysis and MyRisk
mutation CreateOrder {
createOrder(
order: {
products: { product: BRACANALYSIS, updateTo: MYRISK }
patient: {
firstName: "Test1"
lastName: "Myriad"
dob: "1957-01-14"
genderCode: FEMALE
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
postalCode: "84104"
}
mobilePhoneNumber: "589-658-8745"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Medicare"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test1"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1957-01-14"
}
]
}
}
clinical: {
ancestry: ASHKENAZI_JEWISH
familyCancerHistory: [
{
relationshipTypeCode: MOTHER
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 80 } }
]
}
{
relationshipTypeCode: SISTER
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 45 } }
]
}
{
relationshipTypeCode: HALF_SISTER_MATERNAL
cancerHistory: [
{
cancerSiteCode: BREAST_DCIS
diagnosisAge: { range: { lowerAge: 50, upperAge: 60 } }
}
]
}
{
relationshipTypeCode: FATHER
cancerHistory: [
{ cancerSiteCode: PROSTATE, diagnosisAge: { age: 70 } }
]
}
]
cancerRisk: {
breastCancerRisk: {
femaleRelatives: {
numberOfDaughters: 1
numberOfSisters: 3
numberOfMaternalAunts: 3
numberOfPaternalAunts: 1
}
mammographicDensity: { assessed: false }
liveBirth: { ageAtFirstBirth: 35 }
heightIn: 61
weightLbs: 150
ageOfMenarche: 11
menopause: { stageCode: POST_MENOPAUSAL }
}
riskAnalysisOption: INCLUDE_TC_AND_RISKSCORE
}
personalCancerHistory: [
{
ovarian: {
diagnosisAge: 67
diagnosisDetails: { left: true, right: true }
}
}
]
}
requisitionNumber: "-1428864295"
specimens: [
{
germline: {
collectionDate: "2024-04-02"
hospitalDischargeDate: "2024-04-02"
hospitalizationCode: HOSPITAL_INPATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
BRACAnalysis BRCA-1 BRCA-2 only
mutation CreateOrder {
createOrder(
order: {
products: { product: BRACANALYSIS }
patient: {
firstName: "Test2"
lastName: "Myriad"
dob: "1958-02-02"
genderCode: FEMALE
address: {
street: "320 Wakara Way",
city: "Salt Lake City",
stateCode: UT,
postalCode: "84104"
}
mobilePhoneNumber: "956-898-5874"
}
clinical: {
ancestry: HISPANIC_LATINO
cancerRisk: { riskAnalysisOption: EXCLUDE_TC_AND_RISKSCORE }
personalCancerHistory: [{ ovarian: { diagnosisAge: 66 } }]
boneMarrowTransplantRecipient: ALLOGENIC
}
requisitionNumber: "172055570"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
MultiSite 3 Panel
3.1: MultiSite 3 Panel only
mutation CreateOrder {
createOrder(
order: {
products: { product: MULTISITE3 }
patient: {
firstName: "Test3"
lastName: "Myriad"
dob: "1960-01-15"
genderCode: FEMALE
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
postalCode: "84104"
}
mobilePhoneNumber: "356-895-8745"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Blue Cross Blue Shield"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
{
payerName: "Medicare"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
]
}
}
clinical: {
personalCancerHistory: [
{
breastDCIS: {
diagnosisAge: 35
diagnosisDetails: {
erStatus: NEGATIVE
her2Status: POSITIVE
prStatus: NEGATIVE
highRiskClinpath: true
right: true
previousChemotherapy: false
}
}
}
{
endometrial: {
diagnosisAge: 35
currentlyBeingTreated: true
diagnosisDetails: { ihcResultCodes: [MSH6], msiResultCode: HIGH }
}
}
{
colorectalPolyps: {
diagnosisAge: 50
diagnosisDetails: { adenomaRangeCode: RANGE_20_TO_99 }
}
}
]
ancestry: ASHKENAZI_JEWISH
familyCancerHistory: [
{
relationshipTypeCode: MOTHER
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 50 } }
]
}
{
relationshipTypeCode: AUNT_MATERNAL
cancerHistory: [
{ cancerSiteCode: OVARIAN, diagnosisAge: { age: 60 } }
]
}
{
relationshipTypeCode: NIECE
cancerHistory: [
{ cancerSiteCode: CERVICAL, diagnosisAge: { age: 30 } }
]
}
{
relationshipTypeCode: FIRST_COUSIN
cancerHistory: [
{ cancerSiteCode: BRAIN_TUMOR, diagnosisAge: { age: 30 } }
]
}
]
}
requisitionNumber: "-1266773378"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
3.2: MultiSite 3 Panel - Reflex to BRACAnalysis
mutation CreateOrder {
createOrder(
order: {
products: { product: MULTISITE3, updateTo: BRACANALYSIS, reflex: true }
patient: {
firstName: "Test3"
lastName: "Myriad"
dob: "1960-01-15"
genderCode: FEMALE
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
postalCode: "84104"
}
mobilePhoneNumber: "356-895-8745"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Blue Cross Blue Shield"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
{
payerName: "Medicare"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
]
}
}
clinical: {
personalCancerHistory: [
{
breastDCIS: {
diagnosisAge: 35
diagnosisDetails: {
erStatus: NEGATIVE
her2Status: POSITIVE
prStatus: NEGATIVE
highRiskClinpath: true
right: true
previousChemotherapy: false
}
}
}
{
endometrial: {
diagnosisAge: 35
currentlyBeingTreated: true
diagnosisDetails: { ihcResultCodes: [MSH6], msiResultCode: HIGH }
}
}
{
colorectalPolyps: {
diagnosisAge: 50
diagnosisDetails: { adenomaRangeCode: RANGE_20_TO_99 }
}
}
]
ancestry: ASHKENAZI_JEWISH
familyCancerHistory: [
{
relationshipTypeCode: MOTHER
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 50 } }
]
}
{
relationshipTypeCode: AUNT_MATERNAL
cancerHistory: [
{ cancerSiteCode: OVARIAN, diagnosisAge: { age: 60 } }
]
}
{
relationshipTypeCode: NIECE
cancerHistory: [
{ cancerSiteCode: CERVICAL, diagnosisAge: { age: 30 } }
]
}
{
relationshipTypeCode: FIRST_COUSIN
cancerHistory: [
{ cancerSiteCode: BRAIN_TUMOR, diagnosisAge: { age: 30 } }
]
}
]
}
requisitionNumber: "-1266773378"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
3.3: MultiSite 3 Panel - Reflex to BRACAnalysis and MyRisk
mutation CreateOrder {
createOrder(
order: {
products: { product: MULTISITE3, updateTo: MYRISK, reflex: true }
patient: {
firstName: "Test3"
lastName: "Myriad"
dob: "1960-01-15"
genderCode: FEMALE
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
postalCode: "84104"
}
mobilePhoneNumber: "356-895-8745"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Blue Cross Blue Shield"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
{
payerName: "Medicare"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test3"
policyHolderLastName: "Myriad"
policyNumber: "2342342"
policyHolderDateOfBirth: "1960-01-15"
}
]
}
}
clinical: {
personalCancerHistory: [
{
breastDCIS: {
diagnosisAge: 35
diagnosisDetails: {
erStatus: NEGATIVE
her2Status: POSITIVE
prStatus: NEGATIVE
highRiskClinpath: true
right: true
previousChemotherapy: false
}
}
}
{
endometrial: {
diagnosisAge: 35
currentlyBeingTreated: true
diagnosisDetails: { ihcResultCodes: [MSH6], msiResultCode: HIGH }
}
}
{
colorectalPolyps: {
diagnosisAge: 50
diagnosisDetails: { adenomaRangeCode: RANGE_20_TO_99 }
}
}
]
ancestry: ASHKENAZI_JEWISH
familyCancerHistory: [
{
relationshipTypeCode: MOTHER
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 50 } }
]
}
{
relationshipTypeCode: AUNT_MATERNAL
cancerHistory: [
{ cancerSiteCode: OVARIAN, diagnosisAge: { age: 60 } }
]
}
{
relationshipTypeCode: NIECE
cancerHistory: [
{ cancerSiteCode: CERVICAL, diagnosisAge: { age: 30 } }
]
}
{
relationshipTypeCode: FIRST_COUSIN
cancerHistory: [
{ cancerSiteCode: BRAIN_TUMOR, diagnosisAge: { age: 30 } }
]
}
]
}
requisitionNumber: "-1266773378"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
ColarisAP and MyRisk
mutation CreateOrder {
createOrder(
order: {
products: { product: COLARISAP, updateTo: MYRISK }
patient: {
firstName: "Test4"
lastName: "Myriad"
dob: "1954-02-01"
genderCode: MALE
address: {
street: "320 Wakara Way",
city: "Salt Lake City",
stateCode: UT,
postalCode: "84104"
}
mobilePhoneNumber: "589-895-6589"
}
clinical: {
ancestry: [BLACK_AFRICAN, PACIFIC_ISLANDER]
personalCancerHistory: [
{
prostate: {
diagnosisAge: 40
diagnosisDetails: {
gleasonScore: THREE_PLUS_THREE_EQUAL_SIX
metastatic: true
}
}
}
{
colorectalPolyps: {
diagnosisAge: 70
diagnosisDetails: { adenomaRangeCode: RANGE_20_TO_99 }
}
}
]
boneMarrowTransplantRecipient: ALLOGENIC
}
requisitionNumber: "880846991"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
Colaris and MyRisk
mutation CreateOrder {
createOrder(
order: {
products: { product: COLARISAP, updateTo: MYRISK }
patient: {
firstName: "Test5"
lastName: "Myriad"
dob: "1973-02-02"
genderCode: FEMALE
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
postalCode: "84104"
}
mobilePhoneNumber: "258-985-8745"
}
clinical: {
cancerRisk: {
riskAnalysisOption: INCLUDE_TC_AND_RISKSCORE
breastCancerRisk: {
heightIn: 61
weightLbs: 150
liveBirth: { ageAtFirstBirth: 35 }
ageOfMenarche: 11
menopause: { stageCode: POST_MENOPAUSAL }
femaleRelatives: {
numberOfDaughters: 2
numberOfSisters: 3
numberOfMaternalAunts: 3
numberOfPaternalAunts: 1
}
mammographicDensity: { assessed: false }
}
}
personalCancerHistory: [
{
colon: {
diagnosisAge: 43
currentlyBeingTreated: true
diagnosisDetails: {
ihcResultCodes: MSH2
msiResultCode: LOW
msiHistologyCodes: MSI_H_HISTOLOGY
}
}
}
]
ancestry: NATIVE_AMERICAN
familyCancerHistory: [
{
relationshipTypeCode: FATHER
cancerHistory: [
{ cancerSiteCode: BILIARY_TRACT, diagnosisAge: { age: 50 } }
]
}
{
relationshipTypeCode: UNCLE_MATERNAL
cancerHistory: [
{ cancerSiteCode: BREAST_MALE, diagnosisAge: { age: 60 } }
]
}
{
relationshipTypeCode: GRANDMOTHER_MATERNAL
cancerHistory: [
{ cancerSiteCode: BREAST_DCIS, diagnosisAge: { age: 70 } }
]
}
]
}
requisitionNumber: "726036056"
specimens: [
{
germline: {
collectionDate: "2024-04-01"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
ColarisAP
mutation CreateOrder {
createOrder(
order: {
products: { product: COLARISAP }
patient: {
firstName: "Test6"
lastName: "Myriad"
dob: "1945-01-02"
genderCode: MALE
address: {
street: "320 Wakara Way",
city: "Salt Lake City",
stateCode: UT,
postalCode: "84104"
}
mobilePhoneNumber: "424-224-2224"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Aetna"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test6"
policyHolderLastName: "Myriad"
policyNumber: "12345678"
policyHolderDateOfBirth: "1945-01-02"
}
]
}
}
clinical: {
ancestry: MIDDLE_EASTERN
familyCancerHistory: [
{
relationshipTypeCode: FATHER
cancerHistory: [
{
diagnosisAge: { range: { lowerAge: 36, upperAge: 40 } }
cancerSiteCode: PROSTATE
}
]
}
{
relationshipTypeCode: UNCLE_PATERNAL
cancerHistory: [
{ diagnosisAge: { age: 50 }, cancerSiteCode: PROSTATE }
]
}
{
relationshipTypeCode: GRANDFATHER_PATERNAL
cancerHistory: [
{ diagnosisAge: { age: 60 }, cancerSiteCode: PROSTATE }
]
}
{
relationshipTypeCode: UNCLE_PATERNAL
cancerHistory: [
{ diagnosisAge: { age: 40 }, cancerSiteCode: PROSTATE }
]
}
{
relationshipTypeCode: FIRST_COUSIN_MATERNAL
cancerHistory: [
{ diagnosisAge: { age: 40 }, cancerSiteCode: PROSTATE }
]
}
{
relationshipTypeCode: UNCLE_MATERNAL
cancerHistory: [
{ diagnosisAge: { age: 70 }, cancerSiteCode: PROSTATE }
]
}
{
relationshipTypeCode: NEPHEW
cancerHistory: [
{ diagnosisAge: { age: 20 }, cancerSiteCode: PROSTATE }
]
}
]
limitedFamilyStructure: true
lynchSyndromeRiskPercent: 3
}
requisitionNumber: "-1519999872"
specimens: [
{
germline: {
collectionDate: "2024-04-15"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}
Colaris
mutation CreateOrder {
createOrder(
order: {
products: { product: COLARIS }
patient: {
firstName: "Test7"
lastName: "Myriad"
dob: "1955-02-02"
genderCode: FEMALE
address: {
street: "50 Spring St"
city: "Boston"
stateCode: MA
postalCode: "50324"
}
mobilePhoneNumber: "422-412-4421"
}
billing: {
insurance: {
insurancePolicies: [
{
payerName: "Blue Cross Blue Shield"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test7"
policyHolderLastName: "Myriad"
policyNumber: "321456887"
policyHolderDateOfBirth: "1955-02-02"
}
{
payerName: "Aetna"
relationshipToInsuredCode: SELF
policyHolderFirstName: "Test7"
policyHolderLastName: "Myriad"
policyNumber: "234342"
policyHolderDateOfBirth: "1955-02-02"
}
]
}
}
clinical: {
ancestry: ASHKENAZI_JEWISH
familyCancerHistory: [
{
relationshipTypeCode: MOTHER
cancerHistory: [
{
diagnosisAge: { age: 50 }
cancerSiteCode: SMALL_INTESTINE_BOWEL_ADENOMAS
}
]
}
{
relationshipTypeCode: FATHER
cancerHistory: [
{ diagnosisAge: { age: 60 }, cancerSiteCode: COLORECTAL_POLYPS }
]
}
{
relationshipTypeCode: AUNT
cancerHistory: [
{
diagnosisAge: { age: 40 }
cancerSiteCode: DUODENAL_ADENOMAS_POLYPS
}
]
}
{
relationshipTypeCode: UNCLE_PATERNAL
cancerHistory: [
{ diagnosisAge: { age: 50 }, cancerSiteCode: COLORECTAL_POLYPS }
]
}
{
relationshipTypeCode: GRANDFATHER_PATERNAL
cancerHistory: [
{
diagnosisAge: { age: 60 }
cancerSiteCode: DUODENAL_ADENOMAS_POLYPS
}
]
}
{
relationshipTypeCode: UNCLE_PATERNAL
cancerHistory: [
{
diagnosisAge: { age: 50 }
cancerSiteCode: GASTRIC_STOMACH_ADENOMAS_POLYPS
}
]
}
{
relationshipTypeCode: FIRST_COUSIN_MATERNAL
cancerHistory: [
{ diagnosisAge: { age: 40 }, cancerSiteCode: COLORECTAL_POLYPS }
]
}
{
relationshipTypeCode: UNCLE_MATERNAL
cancerHistory: [
{ diagnosisAge: { age: 40 }, cancerSiteCode: COLORECTAL_POLYPS }
]
}
{
relationshipTypeCode: NEPHEW
cancerHistory: [
{ diagnosisAge: { age: 20 }, cancerSiteCode: PROSTATE }
]
}
]
cancerRisk: { riskAnalysisOption: INCLUDE_TC_AND_RISKSCORE }
}
requisitionNumber: "-1702447361"
specimens: [
{
germline: {
collectionDate: "2024-04-16"
hospitalizationCode: NON_HOSPITAL_PATIENT
}
}
]
providerAccounts: [
{
role: ORDERING
provider: {
firstName: "Karla"
lastName: "Bowles"
identifiers: [{ use: OFFICIAL, type: NPI, value: "1750369955" }]
}
location: {
address: {
street: "320 Wakara Way"
city: "Salt Lake City"
stateCode: UT
}
}
organization: {
identifiers: [
{ use: OFFICIAL, type: XX, value: "FAKE_MYRIAD_ORGANIZATION_ID" }
]
}
}
]
}
) {
id
}
}