30 million people in the U.S. are living with rare disease, nearly 10% of the population, and nearly two-thirds of those affected are children. As genetic information becomes more commonly collected and stored in routine clinical care it is important to consider the value this information has on stratifying patients at risk for a multitude of conditions. Using EHR data to identify patients diagnosed with a genetic disease and curating the clinical features associated with that diagnosis will enable development of new approaches to identify these patients earlier and understand what features contribute to delayed diagnosis. Systematic Identification for Genetic Health Testing (SIGHT) identifies patients for genetic testing based on their clinical profile using EHR data from patients with prior suspicion of genetic disease (based on existence of genetic testing).