This document discusses the blurring line between diagnostics and prediction in genomics. It notes that 23andMe forced the FDA to create a new classification for predictive diagnostics, allowing people to learn their health risks in advance. This also allows companies to establish direct relationships with patients. The document also lists companies in the FDA's Pre-Cert Pilot Program, including Apple, Fitbit, Johnson & Johnson, and others in tech, medical devices, pharma, startups and non-profits. It provides sources from Deloitte analyses and the FDA on digital health and pre-certification programs.