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      "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085",
      "metadata": {
        "created": "2024-09-28T04:24:56.931Z",
        "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": "Sat, 28 Sep 2024 04:24:56 -0000",
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            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1678",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/el/0/1636",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/ei/1/1637",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                    "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2023/5/26",
                    "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/0030",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000329",
                  "id": "SEPIO:0000329",
                  "label": "Pathogenic Supporting"
                },
                "id": "0030",
                "label": "PM2",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/el/0/1636/1638",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                            "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                            "type": "Agent"
                          },
                          "comments": "This variant is absent from gnomAD v2.1.1 (PM2_Supporting). ",
                          "contributionDate": {
                            "date": "2023/5/26",
                            "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": "CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1636/1638",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/1/1637",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1636",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/el/0/1612",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/ei/1/1613",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                    "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2023/5/26",
                    "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/0026",
                "defaultStrength": {
                  "@id": "https://obofoundry.org/sepio/SEPIO:0000216",
                  "id": "SEPIO:0000216",
                  "label": "Pathogenic Moderate"
                },
                "id": "0026",
                "label": "PVS1",
                "type": "Criterion"
              },
              "evidenceLine": [
                {
                  "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/el/0/1612/1614",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                            "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                            "type": "Agent"
                          },
                          "comments": "By altering the start codon of the coding sequence, this variant may cause a truncated or absent protein in a gene in which loss-of-function is an established disease mechanism (PMID: 23348805).",
                          "contributionDate": {
                            "date": "2023/5/26",
                            "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": "CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1612/1614",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/1/1613",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1612",
          "type": "EvidenceLine"
        },
        {
          "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/el/0/1831",
          "evidenceItem": [
            {
              "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA409109842/MONDO:0015967/085/ei/1/1832",
              "contribution": [
                {
                  "agent": {
                    "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                    "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                    "type": "Agent"
                  },
                  "contributionDate": {
                    "date": "2023/5/26",
                    "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/CA409109842/MONDO:0015967/085/el/0/1831/1833",
                  "evidenceItem": [
                    {
                      "@id": "CG-PCER:curatorInference/CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "contribution": [
                        {
                          "agent": {
                            "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50016_EP163553328993009",
                            "id": "CG-PCER-AGENT:CG_50016_EP163553328993009",
                            "type": "Agent"
                          },
                          "comments": "This variant was identified in an individual with a clinical history highly specific for HNF4A-MODY (MODY probability calculator result >50%, negative genetic testing for HNF1A, and negative diabetes autoantibodies (PP4_Moderate; [PMID: 30977832, internal lab contributors]).  ",
                          "contributionDate": {
                            "date": "2023/5/26",
                            "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": "CA409109842/MONDO:0015967/085/ci/CA409109842/MONDO:0015967/085.002",
                      "type": "InfFromBkgrndSciKnow"
                    }
                  ],
                  "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1831/1833",
                  "type": "EvidenceLine"
                }
              ],
              "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/1/1832",
              "statementOutcome": {
                "@id": "SEPIO:0000224",
                "label": "Met"
              },
              "type": "CriterionAssessment"
            }
          ],
          "evidenceStrength": {
            "@id": "https://obofoundry.org/sepio"
          },
          "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085/0/1831",
          "type": "EvidenceLine"
        }
      ],
      "id": "CG-PCER-VARINT:CA409109842/MONDO:0015967/085",
      "metadata": {
        "created": "2024-09-28T02:01:36.955Z",
        "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": "Sat, 28 Sep 2024 02:01:36 -0000",
        "schemaLabel": "Evidence Repository.Beta-1 (Unofficial)",
        "version": "1.0.0"
      },
      "statementOutcome": {
        "@id": "https://loinc.org/LA26333-7",
        "id": "LN:LA26333-7",
        "label": "Uncertain Significance"
      },
      "type": "VariantPathogenicityInterpretation",
      "uuid": "eb614114-665c-4124-92d9-26b55c1dfc11",
      "variant": {
        "@id": "https://reg.genome.network/allele/CA409109842",
        "id": "CAR:CA409109842",
        "relatedContextualAllele": [
          {
            "alleleName": [
              {
                "name": "NM_175914.5:c.3G>A"
              }
            ],
            "preferred": true
          }
        ],
        "relatedIdentifier": [
          {
            "label": "NM_175914.5(HNF4A):c.3G>A (p.Met1Ile)"
          }
        ],
        "type": "CAR"
      }
    }
  ],
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-04-07T10:51:40.625Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}