Maternal  Inclusion Criteria:  Provide consent in English or Spanish Primary care at VUMC Adult women aged 18 and older Currently pregnant 12 to 30 weeks gestational age Completed or scheduled first prenatal visit at VUMC clinic Intent to deliver at VUMC or affiliate Agrees to receive findings from pharmacogenomic testing Allow access their medical record  Exclusion Criteria:  Stem cell or solid organ transplant Recent transfusion within the previous 2 months Inability to provide DNA sample for testing Prior pharmacogenomic testing Pregnant women undergoing in vitro fertilization or assisted reproductive technologies  Pediatric  Inclusion Criteria:  Provide consent (parent/guardian) and/or assent (child) in English or Spanish Primary care or subspecialty care at VUMC Aged 0 to 16 Parent (0-16 years) and child (12-16 years) agree for both parent and child to receive findings from pharmacogenomic testing Parent (0-16 years) and child (12-16 years) allow access their medical record Have a chronic health condition.  Exclusion:  Stem cell or solid organ transplant Recent transfusion within the previous 2 months Inability to provide DNA sample for testing Prior pharmacogenomic testing