Table 3.

Comparison of open-ended survey themes and interview themes with final merged themes.

Overarching Categories	Survey Themes	Interview Themes	Final Merged Themes
Relationship of Law to Research and Clinical Care	Liability shapes behaviors Regulatory improvements are necessary Physician apprehension about ordering genetic testing Law encroaching on medicine	Liability concerns Need new/updated regulations Genomic testing regulations Defensive medicine Law encroaching on medicine	Liability shapes behaviors Regulatory improvements are necessary Physician apprehension about ordering genetic testing Law encroaching on medicine
Sources and Uses of Genomic Data Outside the Health Care Setting	Issues surrounding direct-to-consumer testing Insurance	Direct-to-consumer testing Insurance coverage and/or discrimination Intellectual property	Issues surrounding direct-to-consumer testing Insurance Intellectual property
Emerging Field	Knowledge/understanding will increase over time Defining the role of a genetic counselor Bolstering the consent process Balancing privacy and access to data vs. scientific advances Professional society involvement is needed Need for clear guidelines Need for consistency between state, federal, and international law and guidelines Enthusiastic endorsement of genomic testing No genetic exceptionalism Existence and usability of electronic health record	Knowledge will increase over time Integration of genetic counselor Informed consent Implications of privacy and access for research Deidentification Privacy concerns Conflict among state, federal, and international regulations Biospecimen use and storage Government agency involvement and capacity	Knowledge/understanding will increase over time Defining the role of a genetic counselor Bolstering the consent process Balancing privacy and access to data vs. scientific advances Professional society Professional society involvement is needed Need for clear guidelines Need for consistency between state, federal, and international law and guidelines Enthusiastic endorsement of genomic testing No genetic exceptionalism Existence and usability of electronic health record Biospecimen use and storage Government agency involvement and capacity
Genomic Data	Data sharing Return of results and incidental findings Responsibility/need to recontact Quality of genetic analysis & quality assessment in laboratories Reinterpretation of data Ownership of genomic data Transparency of genomic data and quality control	Data sharing Database utilities Disclosing important health information Return of results Duty to recontact Quality concerns	Data sharing Return of results and incidental findings Responsibility/need to recontact Quality of genetic analysis & quality assessment in laboratories Reinterpretation of data Ownership of genomic data Transparency of genomic data and quality control
Educational Needs	Educating the public Need for specialty (genetic/genomic) education for professionals Uncertainty causes anxiety Evolving practice and standard of care	Need for educational efforts Fear of genomic advances Trust and transparency	Educating the public Need for specialty (genetic/genomic) education for professionals Uncertainty causes anxiety Evolving practice and standard of care