Important waffle. As ex GP I would be interested to explore what GPs need / want from Rare Disease Genomics Reports and how that can best be conveyed in a structured manner. Would also be interesting to hear more about difficulties with the ‘NHS system’. Am involved with some work on replacing the aged PMIP / EDIFACT pathology links message with FHIR / SNOMED CT. A number of us keep asking why there is not more collaboration with the genomics folk about getting reports into GP systems. The ‘system’ seems to be siloed. For the future we need a very much wider spectrum of reports to reach GP systems than the very limited selection that we currently get via PMIP. We also need to close the loop so that meaningful requests go the other way - and all designed to accommodate decision support / AI in its various forms. We too have our problems with the ‘NHS system’. Sounds as if this may at some point need a thread separate from SCT