This document summarizes a presentation on genomics and big data in precision medicine. It discusses how next generation sequencing is generating massive amounts of multi-omics data from the genome, epigenome, transcriptome, proteome and metagenome. It describes some of the algorithms and databases used to analyze this big genomic and biological data, including de Bruijn graph algorithms and databases like NCBI, OMIM, and PANTHER. It also discusses some of the challenges in analyzing such large and complex biological data using computational methods.