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Chapter 8264Figure 4. Evolution of different types of tests performed over the years, as reported in files of 141 individuals with ID. FISH, fluorescent in-situ hybridization; ID, intellectual disability; MLPA, multiplex ligation-dependent probe amplification.Discussion This retrospective chart review shows variable reporting of genetic diagnoses by different types of care providers, revealing a gap for optimal personalized care for individuals with ID. Significant associations were found between availability of information on genetic etiology (including genetic testing and diagnoses) in care files and individual’s age, level of ID, and the legal representative’s relationship to the individual.Reporting genetic diagnoses in multidisciplinary ID care Genetic causes of the ID were reported in 90% of medical files, 39% of psychodiagnostic files, and 75% of files used by professional caregivers, although VUS or incorrectly described genetic information were mentioned as cause of the ID in some of these different care files, thus misinterpreting these ambiguous or uncertain genetic findings. This suggests that adequate documentation of a genetic diagnosis is not standard part of Annelieke Muller sHL.indd 264 14-11-2023 09:07