{
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    "assertionMethod": {
      "@id": "https://cspec.genome.network/cspec/SequenceVariantInterpretation/id/1567102241",
      "label": "ClinGen Antibody Deficiencies Expert Panel Specifications to the ACMG/AMP Variant Interpretation Guidelines for CTLA4 Version 1.0.0",
      "type": "VariantPathogenicityInterpretationGuideline",
      "version": "1.0.0"
    },
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      "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0014493",
      "id": "MONDO:0014493",
      "label": "autoimmune lymphoproliferative syndrome due to CTLA4 haploinsuffiency",
      "type": "GeneticCondition"
    },
    "evidenceLine": [
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1654",
        "evidenceItem": [
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                  "type": "Agent"
                },
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                  "description": "Date on which this evidence was provided"
                },
                "contributionRole": {
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                  "id": "SEPIO:0000516",
                  "label": "curator role",
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                },
                "type": "Contribution"
              }
            ],
            "evidenceLine": [
              {
                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1654/1656",
                "evidenceItem": [
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                          "type": "Agent"
                        },
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                        "contributionDate": {
                          "date": "2025/12/2",
                          "description": "Date on which this evidence was provided"
                        },
                        "contributionRole": {
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                      }
                    ],
                    "id": "CA2067126/MONDO:0014493/122/ci/CA2067126/MONDO:0014493/122.002",
                    "type": "InfFromBkgrndSciKnow"
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                ],
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            ],
            "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/1/1655",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Not Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/0/1654",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1684",
        "evidenceItem": [
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            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/ei/1/1685",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50095_EP176400614458866",
                  "id": "CG-PCER-AGENT:CG_50095_EP176400614458866",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/12/2",
                  "description": "Date on which this evidence was provided"
                },
                "contributionRole": {
                  "@id": "https://obofoundry.org/sepio/0000156",
                  "id": "SEPIO:0000516",
                  "label": "curator role",
                  "type": "ContributoryRole"
                },
                "type": "Contribution"
              }
            ],
            "evidenceLine": [
              {
                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1684/1686",
                "evidenceItem": [
                  {
                    "@id": "CG-PCER:curatorInference/CA2067126/MONDO:0014493/122/ci/CA2067126/MONDO:0014493/122.002",
                    "contribution": [
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                          "id": "CG-PCER-AGENT:CG_50095_EP176400614458866",
                          "type": "Agent"
                        },
                        "comments": "The splicing impact predictor SpliceAI gives a delta score of 0.10 for donor loss, which is higher than the ClinGen Antibody Deficiencies VCEP recommended threshold of <0.1 and does not meet the BP4 code.",
                        "contributionDate": {
                          "date": "2025/12/2",
                          "description": "Date on which this evidence was provided"
                        },
                        "contributionRole": {
                          "@id": "https://obofoundry.org/sepio/0000156",
                          "id": "SEPIO:0000516",
                          "label": "curator role",
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                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA2067126/MONDO:0014493/122/ci/CA2067126/MONDO:0014493/122.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/0/1684/1686",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/1/1685",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Not Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/0/1684",
        "type": "EvidenceLine"
      },
      {
        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1777",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/ei/1/1778",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50095_EP176400614458866",
                  "id": "CG-PCER-AGENT:CG_50095_EP176400614458866",
                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/12/2",
                  "description": "Date on which this evidence was provided"
                },
                "contributionRole": {
                  "@id": "https://obofoundry.org/sepio/0000156",
                  "id": "SEPIO:0000516",
                  "label": "curator role",
                  "type": "ContributoryRole"
                },
                "type": "Contribution"
              }
            ],
            "evidenceLine": [
              {
                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA2067126/MONDO:0014493/122/el/0/1777/1779",
                "evidenceItem": [
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                    "@id": "CG-PCER:curatorInference/CA2067126/MONDO:0014493/122/ci/CA2067126/MONDO:0014493/122.002",
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                          "type": "Agent"
                        },
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                          "date": "2025/12/2",
                          "description": "Date on which this evidence was provided"
                        },
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                          "@id": "https://obofoundry.org/sepio/0000156",
                          "id": "SEPIO:0000516",
                          "label": "curator role",
                          "type": "ContributoryRole"
                        },
                        "type": "Contribution"
                      }
                    ],
                    "id": "CA2067126/MONDO:0014493/122/ci/CA2067126/MONDO:0014493/122.002",
                    "type": "InfFromBkgrndSciKnow"
                  }
                ],
                "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/0/1777/1779",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/1/1778",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122/0/1777",
        "type": "EvidenceLine"
      }
    ],
    "id": "CG-PCER-VARINT:CA2067126/MONDO:0014493/122",
    "metadata": {
      "created": "2025-12-02T15:06:58.685Z",
      "note": "DISCLAIMER: While the data/content in this document is approved by ClinGen expert panel(s), the SEPIO schema presented here is an initial prototype and has not been reviewed nor finalized by the ClinGen Data Exchange Modeling Team. We expect it to differ significantly from the final schema.",
      "producedAtUTC": "Tue, 02 Dec 2025 15:06:57 -0000",
      "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
      "version": "1.0.0"
    },
    "statementOutcome": {
      "@id": "https://loinc.org/LA6675-8",
      "id": "LN:LA6675-8",
      "label": "Benign"
    },
    "type": "VariantPathogenicityInterpretation",
    "uuid": "31bec57e-3750-4d8f-9ea4-59ac5cd38d92",
    "variant": {
      "@id": "https://reg.genome.network/allele/CA2067126",
      "id": "CAR:CA2067126",
      "relatedContextualAllele": [
        {
          "alleleName": [
            {
              "name": "NM_005214.5:c.516G>A"
            }
          ],
          "preferred": true
        }
      ],
      "relatedIdentifier": [
        {
          "label": "NM_005214.5(CTLA4):c.516G>A (p.Ser172=)"
        }
      ],
      "type": "CAR"
    }
  },
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-10-14T02:34:31.682Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}