{"id":2458,"date":"2022-02-25T16:33:13","date_gmt":"2022-02-25T21:33:13","guid":{"rendered":"https:\/\/geneticspolicy.nccrcg.org\/?post_type=policy-area&#038;p=2458"},"modified":"2024-09-19T11:38:35","modified_gmt":"2024-09-19T15:38:35","slug":"genome-sequencing","status":"publish","type":"policy-area","link":"https:\/\/geneticspolicy.nccrcg.org\/policy-area\/genome-sequencing\/","title":{"rendered":"Genome Sequencing"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; theme_builder_area=&#8221;post_content&#8221; _builder_version=&#8221;4.17.3&#8243; _module_preset=&#8221;default&#8221;][et_pb_fullwidth_header _builder_version=&#8221;4.17.3&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#cc1b00&#8243; custom_padding=&#8221;4px||1px|||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p>From 2004 to 2024, the Health Resources and Services Administration (HRSA) funded the National Coordinating Center for the Regional Genetics Networks (NCC). NCC developed and maintained the Genetics Policy Hub.<\/p>\n<p>&nbsp;<\/p>\n<p>With the conclusion of NCC funding, the Genetics Policy Hub (GPH) will no longer be updated or maintained. Information on GPH should be used for historical reference only.<\/p>\n<p>[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_enable_image=&#8221;off&#8221; top_divider_color=&#8221;#ffffff&#8221; top_divider_height=&#8221;15px&#8221; bottom_divider_style=&#8221;asymmetric&#8221; bottom_divider_color=&#8221;#ffffff&#8221; bottom_divider_height=&#8221;25px&#8221; bottom_divider_repeat=&#8221;1x&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_fullwidth_post_title meta=&#8221;off&#8221; featured_image=&#8221;off&#8221; text_color=&#8221;light&#8221; admin_label=&#8221;Fullwidth Post Title&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; title_text_align=&#8221;center&#8221; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_direction=&#8221;145deg&#8221; background_color_gradient_stops=&#8221;#361420 30%|#005973 100%&#8221; background_color_gradient_start=&#8221;#361420&#8243; background_color_gradient_start_position=&#8221;30%&#8221; background_color_gradient_end=&#8221;#005973&#8243; custom_padding=&#8221;34px||34px||false|false&#8221; custom_padding_tablet=&#8221;34px||34px||false|false&#8221; custom_padding_phone=&#8221;20px||20px||false|false&#8221; custom_padding_last_edited=&#8221;on|phone&#8221; title_font_size_tablet=&#8221;40px&#8221; title_font_size_phone=&#8221;30px&#8221; title_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_fullwidth_post_title][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;2_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;0px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;2_3&#8243; admin_label=&#8221;Main Body&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text admin_label=&#8221;Last Updated On&#8221; module_class=&#8221;last_update_on&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;|700||on|||||&#8221; text_text_color=&#8221;rgba(0,0,0,0.5)&#8221; text_font_size=&#8221;12.5px&#8221; custom_margin=&#8221;30px||||false|false&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Updated On <style>\n    \/* Short Code Modules *\/\n    .insert_last_update_date.last_update_date{\n        background-color: #f9f9f9;\n        color: #444444;\n        font-size: 100%;\n        padding: 0.2rem 0.5rem;\n        border-radius: 1rem;\n    }\n<\/style>\n<span class=\"insert_last_update_date last_update_date\">Sep 19, 2024<\/span>\n\n<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;PDF &#038; Print&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; positioning=&#8221;absolute&#8221; position_origin_a=&#8221;top_right&#8221; vertical_offset=&#8221;20px&#8221; width=&#8221;100%&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<div class=\"pdfprnt-buttons\"><a href=\"javascript: imageToPdf()\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_self\"><img decoding=\"async\" src=\"https:\/\/geneticspolicy.nccrcg.org\/wp-content\/uploads\/pdf-print-buttons\/pdf_button.png?134760547\" alt=\"image_pdf\" title=\"View PDF\" \/><span class=\"pdfprnt-button-title pdfprnt-button-pdf-title\">View as PDF<\/span><\/a><\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; text_text_color=&#8221;rgba(114,114,114,0.95)&#8221; text_font_size=&#8221;14px&#8221; background_enable_color=&#8221;off&#8221; box_shadow_horizontal_last_edited=&#8221;off|desktop&#8221; global_colors_info=&#8221;{}&#8221; box_shadow_horizontal__hover_enabled=&#8221;off|desktop&#8221;]<\/p>\n<p>This information is meant to be used for educational purposes to inform providers, patients, and genetic service delivery stakeholders about genetics policy topics. Sharing of information, resources, or policy statements is no way an endorsement of stated positions by NCC.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Introduction<\/h2>\n<p>Genomic sequencing is a genetic test that can provide information about the nucleotide sequence of an individual\u2019s DNA. (Nucleotide sequences are the building blocks that make DNA.) When people have genetic testing, the scientists typically look at the sequence for a particular part of a gene or genes. Other genetic tests look at most of a person\u2019s \u201cgenome\u201d or \u201cexome\u201d. A genome is all of a person\u2019s DNA, while an exome is just the DNA that encodes (is used to make) proteins.<\/p>\n<p>Numerous articles that discuss ethical issues surrounding genome sequencing can be accessed by clicking on each title:<\/p>\n<ul>\n<li>\u201c<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2225443\/\" target=\"_blank\" rel=\"noopener\">Research ethics and the challenge of whole-genome sequencing<\/a>&#8220;<\/li>\n<li>&#8220;<a href=\"https:\/\/pediatrics.aappublications.org\/content\/143\/Supplement_1\/S1\" target=\"_blank\" rel=\"noopener\">Ethical and psychosocial Issues in whole genome sequencing (WGS) for newborns<\/a>&#8220;<\/li>\n<li>&#8220;<a href=\"https:\/\/academic.oup.com\/hmg\/article\/15\/suppl_1\/R45\/632713\" target=\"_blank\" rel=\"noopener\">Ethical issues in medical-sequencing research: implications of genotype\u2013phenotype studies for individuals and populations<\/a>&#8220;<\/li>\n<li>&#8220;<a href=\"https:\/\/www.nature.com\/articles\/s41431-019-0507-1\" target=\"_blank\" rel=\"noopener\">Rethinking the ethical principles of genomic medicine services<\/a>&#8220;<\/li>\n<li>&#8220;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4796706\/\" target=\"_blank\" rel=\"noopener\">Ethical issues in consumer genome sequencing: Use of consumers&#8217; samples and data<\/a>&#8220;<\/li>\n<\/ul>\n<p>A major area of concern is with secondary findings. A secondary finding is an unexpected finding that isn\u2019t directly related to the reason the test was ordered. The more of a person\u2019s DNA that is sequenced, the more likely it is one might uncover a \u201csecondary finding.\u201d An example of a secondary finding follows:<\/p>\n<ul>\n<li>Steve has incontrollable movements. His neurologist is unsure of his diagnosis and recommends genetic testing. He gives Steve two options: a panel of all of the genes that are likely to cause incontrollable movements or whole exome sequencing (WES). Steve choses WES, which does not determine the cause of his uncontrollable movements, but does show that he has a genetic mutation that puts him at higher risk of developing colon cancer. The high-risk colon cancer mutation is a secondary finding.<\/li>\n<\/ul>\n<p>Our policy page on secondary findings can be found <a href=\"\/policy-area\/secondary-findings\/\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\n<h2>Legislation and Regulation<\/h2>\n<div>\n<div>\n<p><span>There are no laws or regulations that apply specifically to genome sequencing, as opposed to other tests. \u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<\/div>\n<p>Are you interested in learning what your state\u2019s government or the federal government are currently proposing for either legislation or regulation? Check out <a href=\"https:\/\/geneticspolicy.nccrcg.org\/legislative-policies\/\" target=\"_blank\" rel=\"noopener\">Legislative\/Tracking system<\/a> for up-to-date information and subscribe to our <a href=\"https:\/\/twitter.com\/geneticspolicy\" target=\"_blank\" rel=\"noopener\">Twitter<\/a> channel to get the latest updates in your pocket.<\/p>\n<h2>Policy Positions<\/h2>\n<div>\n<p><span>Organizations working within the genetics community (national genetic organizations, advocacy organizations, etc.) have published positions on genome sequencing. Explore these position statements below.<\/span><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n    <span><\/span>\n    <style>\n        \/* Fix for empty P tag *\/\n        .wp-block-group__inner-container > p{\n            display: none;\n        }\n        .position-widget {\n            margin: -2rem 0 2rem;\n        }\n        .position-widget .header{\n            display: block;\n            background-color: #efefef;\n            color: #444444;\n            font-size: 0.8rem;\n            text-align: center;\n            border-radius: 5px 5px 0 0;\n        }\n        .position-widget .body{\n            padding: 0 0 1rem 0;\n            background-color: #efefef;\n            border-radius: 0 0 5px 5px;\n            box-shadow: 0px 0px 5px inset rgba(0,0,0, 0.2);\n        }\n        .position-widget .body > .scroller{\n            padding: 1rem 1rem 0 1rem;\n            overflow-y: auto;\n            max-height: 500px;\n        }\n        .position-widget .body .scroller > .wrapper{\n            display: flex;\n            align-items: center;\n            justify-content: left;\n            flex-flow: row wrap;\n            align-content: flex-start;\n        }\n        .position-widget .body .scroller > .wrapper > .item{\n            flex: 33.3%;\n            max-width: 33.3%;\n            padding: 0 1rem 1rem 0;\n            box-sizing: border-box;\n        }\n        .position-widget .body .scroller > .wrapper > .item .item_wrapper{\n            border: 1px solid #fff;\n            background-color: #fff;\n            padding: 1rem;\n            border-radius: 5px;\n            box-shadow: 0 0 5px rgba(0,0,0,0.2);\n        }\n        .position-widget .body .scroller > .wrapper > .item:hover .item_wrapper{\n            border: 1px solid #999;\n        }\n        .position-widget .body .scroller > .wrapper div.item h6{\n         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    .position-widget .footer a.export span{\n            font-size: 0.8rem;\n            font-weight: bold;\n        }\n    <\/style>\n    <div class=\"position-widget\">\n        <div class=\"header\">Position Statements by Organizations<\/div>\n        <div class=\"body\">\n            <div class=\"scroller\">\n                <div class=\"wrapper\">\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"Joint Position Statement from the International Society for Prenatal Diagnosis (ISPD), the Society for Maternal Fetal Medicine (SMFM), and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis\">Joint Position Statement from the International Society for Prenatal Diagnosis (ISPD), the Society for Maternal Fetal Medicine (SMFM), and the Perinatal Quality Foundation (PQF) on the use of genome-wide sequencing for fetal diagnosis<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/pd.5195\" target=\"_blank\"  title=\"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/pd.5195\" aria-label=\"Hyperlink for this policy position\">https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/epdf\/10.1002\/pd.5195<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #83259b\" title=\"International Society for Prenatal Diagnosis (ISPD), Society for Maternal Fetal Medicine (SMFM), Perinatal Quality Foundation (PQF) \">International Society for Prenatal Diagnosis (ISPD), Society for Maternal Fetal Medicine (SMFM), Perinatal Quality Foundation (PQF) <\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Genome Sequencing,Genetic Testing\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #c192cd\">Genetic Testing<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\"><\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"Incidental findings in clinical genomics: a clarification\">Incidental findings in clinical genomics: a clarification<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/www.acmg.net\/PDFLibrary\/Incidental-Findings-Clinical-Genomics.pdf\" target=\"_blank\"  title=\"https:\/\/www.acmg.net\/PDFLibrary\/Incidental-Findings-Clinical-Genomics.pdf\" aria-label=\"Hyperlink for this policy position\">https:\/\/www.acmg.net\/PDFLibrary\/Incidental-Findings-Clinical-Genomics.pdf<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #c9522a\" title=\"American College of Medical Genetics and Genomics (ACMG)\">American College of Medical Genetics and Genomics (ACMG)<\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Genome Sequencing,Secondary Findings\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #d1c18b\">Secondary Findings<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\">July 4, 2013<\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing\">ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/www.acmg.net\/PDFLibrary\/Reporting-Incidental-Findings.pdf\" target=\"_blank\"  title=\"https:\/\/www.acmg.net\/PDFLibrary\/Reporting-Incidental-Findings.pdf\" aria-label=\"Hyperlink for this policy position\">https:\/\/www.acmg.net\/PDFLibrary\/Reporting-Incidental-Findings.pdf<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #c9522a\" title=\"American College of Medical Genetics and Genomics (ACMG)\">American College of Medical Genetics and Genomics (ACMG)<\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Genome Sequencing,Secondary Findings\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #d1c18b\">Secondary Findings<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\">June 20, 2013<\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"Points to Consider in the Clinical Application of Genomic Sequencing\">Points to Consider in the Clinical Application of Genomic Sequencing<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/www.acmg.net\/PDFLibrary\/Genomic-Sequencing-Clinical-Application.pdf\" target=\"_blank\"  title=\"https:\/\/www.acmg.net\/PDFLibrary\/Genomic-Sequencing-Clinical-Application.pdf\" aria-label=\"Hyperlink for this policy position\">https:\/\/www.acmg.net\/PDFLibrary\/Genomic-Sequencing-Clinical-Application.pdf<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #c9522a\" title=\"American College of Medical Genetics and Genomics (ACMG)\">American College of Medical Genetics and Genomics (ACMG)<\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Genome Sequencing,Genetic Testing\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #c192cd\">Genetic Testing<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\">May 15, 2012<\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"Points to consider for informed consent for genome\/exome sequencing\">Points to consider for informed consent for genome\/exome sequencing<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/www.acmg.net\/PDFLibrary\/Informed-Consent-Genome-Exome-Sequencing.pdf\" target=\"_blank\"  title=\"https:\/\/www.acmg.net\/PDFLibrary\/Informed-Consent-Genome-Exome-Sequencing.pdf\" aria-label=\"Hyperlink for this policy position\">https:\/\/www.acmg.net\/PDFLibrary\/Informed-Consent-Genome-Exome-Sequencing.pdf<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #c9522a\" title=\"American College of Medical Genetics and Genomics (ACMG)\">American College of Medical Genetics and Genomics (ACMG)<\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Genome Sequencing,Informed Consent\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #c192cd\">Informed Consent<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\">August 22, 2013<\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                        <div class=\"item\"> \n                            <div class=\"item_wrapper\">\n                                <h6 title=\"Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2021 update: a policy statement of the American College of Medical Genetics and Genomics (ACMG)\">Recommendations for reporting of secondary findings in clinical exome and genome sequencing, 2021 update: a policy statement of the American College of Medical Genetics and Genomics (ACMG)<\/h6>\n\n                                <div class=\"field link\">\n                                    <div class=\"label\">Link<\/div>\n                                    <div class=\"value\"><a href=\"https:\/\/www.acmg.net\/PDFLibrary\/41436_2021_1171_OnlinePDF-1.pdf\" target=\"_blank\"  title=\"https:\/\/www.acmg.net\/PDFLibrary\/41436_2021_1171_OnlinePDF-1.pdf\" aria-label=\"Hyperlink for this policy position\">https:\/\/www.acmg.net\/PDFLibrary\/41436_2021_1171_OnlinePDF-1.pdf<\/a><\/div>\n                                <\/div>\n                                <div class=\"field organization\">\n                                    <div class=\"label\">Organization<\/div>\n                                    <div class=\"value\" style=\"background-color: #c9522a\" title=\"American College of Medical Genetics and Genomics (ACMG)\">American College of Medical Genetics and Genomics (ACMG)<\/div>\n                                <\/div>\n                                <div class=\"field subject\">\n                                    <div class=\"label\">Subject<\/div>\n                                    <div class=\"value\" title=\"Secondary Findings,Genome Sequencing\">\n                                                                                <span class=\"subject_entry\" style=\"background-color: #d1c18b\">Secondary Findings<\/span>\n                                                                                <span class=\"subject_entry\" style=\"background-color: #b795d4\">Genome Sequencing<\/span>\n                                                                            <\/div>\n                                <\/div>\n                                <div class=\"field date\">\n                                    <div class=\"label\">Date<\/div>\n                                    <div class=\"value\">February 22, 2021<\/div>\n                                <\/div>\n                            <\/div>\n                        <\/div>\n                                <\/div>\n            <\/div>\n        <\/div>\n        <div class=\"footer\">\n            <a class=\"export\" href=\"\/exports\/Secondary+Findings%2CGenome+Sequencing\/0\/\" title=\"Export list\"><i class=\"las la-arrow-circle-down\"><\/i> <span>Export<\/span><\/a>\n        <\/div>\n    <\/div>\n    <script>\n        window.addEventListener(\"load\", function(event){\n            jQuery( document ).ready(function($) {\n                \n            });\n        });\n    <\/script>\n    \n\n\n\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; admin_label=&#8221;Jump Links Sidebar&#8221; disabled_on=&#8221;on|on|off&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_sidebar area=&#8221;sidebar-1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;34px|||||&#8221; 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