{
  "data": [
    {
      "@context": "https://erepo.genome.network/evrepo/api/context",
      "@id": "https://cgerepoapi/evrepo/api/summary/classification/a0f4f502-3d14-496e-92b6-b2160d5d9013/doc/sepio/version/1.0.0",
      "assertionMethod": {
        "type": "VariantPathogenicityInterpretationGuideline"
      },
      "condition": {
        "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0009861",
        "id": "MONDO:0009861",
        "label": "phenylketonuria",
        "type": "GeneticCondition"
      },
      "evidenceLine": [
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1669",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/ei/1/1670",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/9",
                    "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"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0038",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000220",
                  "id": "SEPIO:0000220",
                  "label": "Pathogenic Very Strong"
                },
                "id": "0038",
                "label": "PM3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1669/1671",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/EV000000009",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Patient 29: R111X/R243Q (VarID591, Pathogenic)",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/EV000000009",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/15503242",
                      "type": "CuratorInference"
                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/EV000000301",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Detected in 13 patients with: c.611A>G, p.E280K, p.Y356*,  p.V399V, p.Y154H, p.R158Q, p.R241C, p.R243Q, p.G307D, p.A322T, p.I324N, p.R413P. All mutations identified in patients were confirmed by analyzing parental DNA. When mutation loci were detected in patients, the same locus of the parental sample was amplified by PCR and analyzed by Sanger automated sequencing.",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/EV000000301",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/26322415",
                      "type": "CuratorInference"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1669/1671",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/1/1670",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1669",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1798",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/ei/1/1799",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/9",
                    "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"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0011",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "0011",
                "label": "PM2",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1798/1800",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/CA251526/MONDO:0009861/006.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Absent from 1000G, ESP. ExAC MAF=0.00029.",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/CA251526/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1798/1800",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/1/1799",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Not Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1798",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1594",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/ei/1/1595",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/9",
                    "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"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0017",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000220",
                  "id": "SEPIO:0000220",
                  "label": "Pathogenic Very Strong"
                },
                "id": "0017",
                "label": "PVS1",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1594/1596",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/CA251526/MONDO:0009861/006.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Nonsense variant",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/CA251526/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1594/1596",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/1/1595",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1594",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1831",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/ei/1/1832",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/9",
                    "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"
                }
              ],
              "criterion": {
                "@id": "https://obofoundry.org/sepio/clingen/0018",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "0018",
                "label": "PP4",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA251526/MONDO:0009861/006/el/0/1831/1833",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/EV000000012",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "An Arg111-to-Ter111 mutation has been identified in exon 3 of the PAH gene in a Chinese PKU patient. Classic, severe PKU was confirmed by Guthrie test and clinical criteria with plasma Phe level > 20 mg/dl. 2 other PKU patients had R111Ter, and an additional 5 alleles were identified with haplotype 4, and an additional 5 patients without haplotyping data.",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/EV000000012",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/2816939",
                      "type": "CuratorInference"
                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/EV000000010",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "R111X is seen in 9.1% of Chinese PKU patients associated with haplotype 4. Wang et al. 1989.",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/EV000000010",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/1301187",
                      "type": "CuratorInference"
                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA251526/MONDO:0009861/006/ci/EV000000011",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Detected 3 times in Japanese patients with PKU. Patients with BH4 deficiency were excluded based on the absence of neurologic deterioration on a low phenylalanine diet, analysis of dihydropteridine reductase activity in red blood cells, biopterin loading test, and/or pteridine analysis of urine.",
                          "contributionDate": {
                            "date": "2019/4/9",
                            "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"
                        }
                      ],
                      "id": "CA251526/MONDO:0009861/006/ci/EV000000011",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/9860305",
                      "type": "CuratorInference"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1831/1833",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/1/1832",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006/0/1831",
          "type": "EvidenceLine"
        }
      ],
      "id": "CG-PCER-VARINT:CA251526/MONDO:0009861/006",
      "metadata": {
        "created": "2024-09-27T19:40:14.671Z",
        "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": "Fri, 27 Sep 2024 19:40:14 -0000",
        "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
        "version": "1.0.0"
      },
      "statementOutcome": {
        "@id": "https://loinc.org/LA6668-3",
        "id": "LN:LA6668-3",
        "label": "Pathogenic"
      },
      "type": "VariantPathogenicityInterpretation",
      "uuid": "a0f4f502-3d14-496e-92b6-b2160d5d9013",
      "variant": {
        "@id": "https://reg.genome.network/allele/CA251526",
        "id": "CAR:CA251526",
        "relatedContextualAllele": [
          {
            "alleleName": [
              {
                "name": "NM_000277.2:c.331C>T"
              }
            ],
            "preferred": true
          }
        ],
        "relatedIdentifier": [
          {
            "label": "NM_000277.2(PAH):c.331C>T (p.Arg111Ter)"
          }
        ],
        "type": "CAR"
      }
    }
  ],
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-10-30T16:55:41.441Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}