1. Clara Gaff Program Leader Melbourne Genomics Health Alliance Clinic of the future: near and far

3. Melbourne Genomics Health Alliance

4. The (distant) future of genomics

5. Throughout life 5

6. Prognosis Treatment Future disease Prediction

7. Computational pathology 7

8. The test will be the analysis, not the assay

9. 9 Principles of good clinical practice will still apply (Selective analysis)

10. Information not data

11. Patient engagement Clinically driven Single, shared genome repository Research use and data linkage Multidisciplinary Review Prototyping the near future

12. beyond any expectations, it is a gene mutation that responds to treatment… …We couldn't quite comprehend the change in our lives, and the change for our other children...

14. “The doctors told us not to expect a diagnosis and we didn't get one so we're a bit disappointed but we were told this was likely” Research choices Reidentifiable research participation252/255 Anonymised research participation236/255 Patient expectations & choice

15. Steady change “Well it’s definitely increased it enormously but I am also aware of how much knowledge I lack” N04 “Just someone that we can call to discuss or request that they see a patient or – just more ready access to the knowledge base” N02

16. The Doctor’s visit Jan Steen

17. Genomic era