{
  "data": [
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      "@id": "https://cgerepoapi/evrepo/api/summary/classification/b3f081ca-4251-4be7-a9c4-acd5f05fb2e7/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/CA16020847/MONDO:0009861/006/el/0/1747",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/ei/1/1748",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/5",
                    "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/0062",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000329",
                  "id": "SEPIO:0000329",
                  "label": "Pathogenic Supporting"
                },
                "id": "0062",
                "label": "PP3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/el/0/1747/1749",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA16020847/MONDO:0009861/006/ci/CA16020847/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": "Predicted deleterious in SIFT, Polyphen2, mutation taster. REVEL=0.949",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "description": "Date on which this evidence was provided"
                          },
                          "contributionRole": {
                            "@id": "https://obofoundry.org/sepio/0000156",
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                            "label": "curator role",
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                          },
                          "type": "Contribution"
                        }
                      ],
                      "id": "CA16020847/MONDO:0009861/006/ci/CA16020847/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1747/1749",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/1/1748",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1747",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/el/0/1717",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/ei/1/1718",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                    "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2019/4/5",
                    "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/007",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "007",
                "label": "PM3",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/el/0/1717/1719",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA16020847/MONDO:0009861/006/ci/EV000000323",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Patient genotype: T238A/P281L (VarID 589, Pathogenic in ClinVar)",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "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": "CA16020847/MONDO:0009861/006/ci/EV000000323",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/23842451",
                      "type": "CuratorInference"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1717/1719",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/1/1718",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1717",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/el/0/1798",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/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": "2019/4/5",
                    "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/CA16020847/MONDO:0009861/006/el/0/1798/1800",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA16020847/MONDO:0009861/006/ci/CA16020847/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 ExAC, gnomAD, 1000G, ESP",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "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": "CA16020847/MONDO:0009861/006/ci/CA16020847/MONDO:0009861/006.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1798/1800",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/1/1799",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1798",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/MONDO:0009861/006/el/0/1831",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA16020847/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": "2019/4/5",
                    "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/CA16020847/MONDO:0009861/006/el/0/1831/1833",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA16020847/MONDO:0009861/006/ci/EV000000323",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "Data were collected from 183 patients who participated in the 48-hour BH4 loading test between November 2009 and December 2010 in six Dutch university medical centres. Only patients above four years of age, requiring a Phe restricted diet, and not pregnant or planning a pregnancy were considered for treatment with BH4. Blood Phe concentrations in dried blood spots were measured by the patients’ respective centre laboratory according to standard quantitative methods, with the same method per patient. To calculate the individual mean blood Phe concentration prior to the BH4 introduction, all known values from the year preceding the BH4 loading test were used, with a minimum of four measurements; alternatively, the period was extended to two years or this value was considered missing. T238A was identified in 1 patient with baseline Phe level of 549",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "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": "CA16020847/MONDO:0009861/006/ci/EV000000323",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/23842451",
                      "type": "CuratorInference"
                    },
                    {
                      "@id": "CG-PCER:curatorInference/CA16020847/MONDO:0009861/006/ci/EV000000041",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50015_EP155190578201949",
                            "id": "CG-PCER-AGENT:CG_50015_EP155190578201949",
                            "type": "Agent"
                          },
                          "comments": "A total of 796 unrelated patients from 29 separate newborn screening centres of China were enrolled. Biochemical testing data, including plasma phenylalanine (Phe) levels, dihydropteridine reductase activity, urinary biopterin and neopterin ratio, and tetrahydrobiopterin loading, were collected. p.T238A, c.712A>G was detected on 2 alleles.",
                          "contributionDate": {
                            "date": "2019/4/5",
                            "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": "CA16020847/MONDO:0009861/006/ci/EV000000041",
                      "traceableAuthorStatement": "https://www.ncbi.nlm.nih.gov/pubmed/26503515",
                      "type": "CuratorInference"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1831/1833",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/1/1832",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006/0/1831",
          "type": "EvidenceLine"
        }
      ],
      "id": "CG-PCER-VARINT:CA16020847/MONDO:0009861/006",
      "metadata": {
        "created": "2024-09-27T19:55:24.901Z",
        "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 19:55:24 -0000",
        "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
        "version": "1.0.0"
      },
      "statementOutcome": {
        "@id": "https://loinc.org/LA26332-9",
        "id": "LN:LA26332-9",
        "label": "Likely Pathogenic"
      },
      "type": "VariantPathogenicityInterpretation",
      "uuid": "b3f081ca-4251-4be7-a9c4-acd5f05fb2e7",
      "variant": {
        "@id": "https://reg.genome.network/allele/CA16020847",
        "id": "CAR:CA16020847",
        "relatedContextualAllele": [
          {
            "alleleName": [
              {
                "name": "NM_000277.1:c.712A>G"
              }
            ],
            "preferred": true
          }
        ],
        "type": "CAR"
      }
    }
  ],
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-10-31T20:32:46.741Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}