The document summarizes key points about the human genome project and its impacts over the past 10 years as well as opportunities for the next 10 years. It discusses how the human genome project revealed the blueprint for building a human in 2001 and enabled greater understanding of gene functions and their medical impacts. It then outlines focus areas for genomic medicine in the coming decade like diagnostics, disease biology insights, cancer genome characterization, and clinical informatics. The role of the human microbiome in health and disease is also summarized along with challenges in bioinformatics like data analysis, integration and tools. Ethical and societal issues related to genomics research and medicine are also highlighted.