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      "type": "VariantPathogenicityInterpretationGuideline",
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      "@id": "https://api.monarchinitiative.org/api/bioentity/phenotype/MONDO:0700270",
      "id": "MONDO:0700270",
      "label": "ATM-related cancer predisposition",
      "type": "GeneticCondition"
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                "type": "Contribution"
              }
            ],
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                    ],
                    "id": "CA350459/MONDO:0700270/020/ci/CA350459/MONDO:0700270/020.002",
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                "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1669/1671",
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            ],
            "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/1/1670",
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            },
            "type": "CriterionAssessment"
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        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1669",
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                "contributionRole": {
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                "type": "Contribution"
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                          "id": "CG-PCER-AGENT:CG_50039_EP16468073603834",
                          "type": "Agent"
                        },
                        "comments": "This alteration results in a termination codon upstream of the most C-terminus pathogenic alteration (ATM p.Arg3047*), as classified by the HBOP VCEP, and is expected to be more deleterious.",
                        "contributionDate": {
                          "date": "2025/10/20",
                          "description": "Date on which this evidence was provided"
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                          "@id": "https://obofoundry.org/sepio/0000156",
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                        "type": "Contribution"
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                    ],
                    "id": "CA350459/MONDO:0700270/020/ci/CA350459/MONDO:0700270/020.002",
                    "type": "InfFromBkgrndSciKnow"
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                ],
                "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1774/1776",
                "type": "EvidenceLine"
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            ],
            "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/1/1775",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
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          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1774",
        "type": "EvidenceLine"
      },
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        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA350459/MONDO:0700270/020/el/0/1798",
        "evidenceItem": [
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            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA350459/MONDO:0700270/020/ei/1/1799",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50039_EP16468073603834",
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                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/10/20",
                  "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/CA350459/MONDO:0700270/020/el/0/1798/1800",
                "evidenceItem": [
                  {
                    "@id": "CG-PCER:curatorInference/CA350459/MONDO:0700270/020/ci/CA350459/MONDO:0700270/020.002",
                    "contribution": [
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                          "id": "CG-PCER-AGENT:CG_50039_EP16468073603834",
                          "type": "Agent"
                        },
                        "comments": "The highest population minor allele frequency in gnomAD v4.1.0 is 0.00001357 (16/1178720 alleles) in European (non-Finnish) population (PM2_Supporting, BS1, and BA1 are not met).",
                        "contributionDate": {
                          "date": "2025/10/20",
                          "description": "Date on which this evidence was provided"
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                          "id": "SEPIO:0000516",
                          "label": "curator role",
                          "type": "ContributoryRole"
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                        "type": "Contribution"
                      }
                    ],
                    "id": "CA350459/MONDO:0700270/020/ci/CA350459/MONDO:0700270/020.002",
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                ],
                "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1798/1800",
                "type": "EvidenceLine"
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            ],
            "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/1/1799",
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              "label": "Not Met"
            },
            "type": "CriterionAssessment"
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        ],
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          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1798",
        "type": "EvidenceLine"
      },
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        "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA350459/MONDO:0700270/020/el/0/1594",
        "evidenceItem": [
          {
            "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA350459/MONDO:0700270/020/ei/1/1595",
            "contribution": [
              {
                "agent": {
                  "@id": "https://erepo.genome.network/evrepo/api//agent/CG_50039_EP16468073603834",
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                  "type": "Agent"
                },
                "contributionDate": {
                  "date": "2025/10/20",
                  "description": "Date on which this evidence was provided"
                },
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                  "@id": "https://obofoundry.org/sepio/0000156",
                  "id": "SEPIO:0000516",
                  "label": "curator role",
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                "type": "Contribution"
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                "@id": "https://erepo.genome.network/evrepo/api/interpretation/CA350459/MONDO:0700270/020/el/0/1594/1596",
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                          "type": "Agent"
                        },
                        "comments": "The c.6404_6405insTT (p.Arg2136*) variant in ATM is a frameshift variant predicted to cause a premature stop codon in a biologically-relevant-exon leading to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism.",
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                          "label": "curator role",
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                        "type": "Contribution"
                      }
                    ],
                    "id": "CA350459/MONDO:0700270/020/ci/CA350459/MONDO:0700270/020.002",
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                ],
                "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1594/1596",
                "type": "EvidenceLine"
              }
            ],
            "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/1/1595",
            "statementOutcome": {
              "@id": "SEPIO:0000224",
              "label": "Met"
            },
            "type": "CriterionAssessment"
          }
        ],
        "evidenceStrength": {
          "@id": "https://obofoundry.org/sepio"
        },
        "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020/0/1594",
        "type": "EvidenceLine"
      }
    ],
    "id": "CG-PCER-VARINT:CA350459/MONDO:0700270/020",
    "metadata": {
      "created": "2025-10-20T21:28:04.323Z",
      "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": "Mon, 20 Oct 2025 21:28:04 -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": "fd96663e-d98d-4547-a241-db095eb19bca",
    "variant": {
      "@id": "https://reg.genome.network/allele/CA350459",
      "id": "CAR:CA350459",
      "relatedContextualAllele": [
        {
          "alleleName": [
            {
              "name": "NM_000051.4:c.6404_6405insTT"
            }
          ],
          "preferred": true
        }
      ],
      "relatedIdentifier": [
        {
          "label": "NM_000051.4(ATM):c.6404_6405insTT (p.Leu2135_Arg2136insTer)"
        }
      ],
      "type": "CAR"
    }
  },
  "metadata": {
    "rendered": {
      "by": "https://erepo.genome.network/evrepo/api/summary/srvc",
      "when": "2026-10-31T21:47:11.009Z"
    }
  },
  "status": {
    "code": 200,
    "name": "OK"
  }
}