<?xml version="1.0"?>
<ClinvarSubmissionSet Date="2013-11-21" set_key="EGL001">
  <!--Subset of the submission XML generated by a tab-delimited submission from Emory, redacted to remove private information. set_key is used to capture a local name for the submission
      and indexed for web retrieval in the submitter batch field-->
  <SubmitterOfRecord>
    <Person>
      <Name>
        <First>FIRST NAME</First>
        <Last>LASTNAME</Last>
      </Name>
      <SubmitterHandle>EGL</SubmitterHandle>
      <AccountInfo>
        <Contact email="EMAIL HERE" phone="PHONE HERE"/>
      </AccountInfo>
    </Person>
    <Organization>
      <Name>Emory Genetics Laboratory</Name>
      <Institution>Emory University School of Medicine</Institution>
      <OrganizationCategory>lab</OrganizationCategory>
      <NCBIOrganizationID>500060</NCBIOrganizationID>
    </Organization>
  </SubmitterOfRecord>
  <Submitter id="500060">
    <Organization>
      <!--We treat SubmitterOfRecord as the person to contact about the submission; Submitter is used for the submitting organization and its staff -->
      <Name>Emory Genetics Laboratory</Name>
      <Institution>Emory University School of Medicine</Institution>
      <OrganizationCategory>lab</OrganizationCategory>
      <MailingAddress Public="false">
        <Line1>ADDRESS STUFF</Line1>
        <City>Decatur</City>
        <State>GA</State>
        <PostCode>30033</PostCode>
        <Country>United States</Country>
      </MailingAddress>
      <LabContact>
        <Email>EMAIL HERE</Email>
        <Phone>PHONE HERE</Phone>
      </LabContact>
    </Organization>
    <Personnel DisplayWeb="true" pubStat="3">
      <Person pubStat="3">
        <Name>
          <First>Madhuri</First>
          <Last>Hegde</Last>
        </Name>
      </Person>
      <PublicContact>
        <Email>mhegde@emory.edu</Email>
        <Phone>404-727-3863</Phone>
      </PublicContact>
      <PrivateContact>
        <Email>EMAIL HERE</Email>
        <Phone>PHONE HERE</Phone>
      </PrivateContact>
    </Personnel>
  </Submitter>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <!--Is this a new submission, an update, a merge or a deletion?  Is this to be public immediately or hold until published-->
    <ClinvarSubmissionID localKey="4994" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Uncertain significance</Description>
        <DateLastEvaluated>2012-07-16</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="4994"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <!--Example of using an accession of a genetic test registered in the NIH Genetic Testing Registry (GTR) to register the method-->
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
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          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.Ile364Thr</ElementValue>
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        <AttributeSet>
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        <AttributeSet>
          <MeasureAttributeType val_type="name">rsNumber</MeasureAttributeType>
          <Attribute>150710061</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
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  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="34" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Pathogenic</Description>
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        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
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      </ClinicalSignificance>
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      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
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        <ObservedData>
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          <Attribute>not provided</Attribute>
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    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:Ex11</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.1102_1105delTTAG</Attribute>
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        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
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      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
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        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
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    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
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        <Description>no known pathogenicity</Description>
        <DateLastEvaluated>2012-10-24</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="29"/>
      <ObservedIn>
        <Sample>
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          <Species TaxonomyId="9606">human</Species>
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          <Gender>mixed</Gender>
        </Sample>
        <Method>
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          <MethodType val_type="name">clinical testing</MethodType>
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        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.(=)</ElementValue>
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        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
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        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
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        <AttributeSet>
          <MeasureAttributeType val_type="name">rsNumber</MeasureAttributeType>
          <Attribute>1061337</Attribute>
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        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
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    <TraitSet>
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  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
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    <MeasureTrait>
      <Assertion>
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      </Assertion>
      <ClinicalSignificance>
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        <Description>Uncertain significance</Description>
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        <Citation>
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        </Citation>
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      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
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        <ObservedData>
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      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
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        <AttributeSet>
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        <AttributeSet>
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        <MeasureRelationship>
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          <Symbol>
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            <ElementValue>ACADM</ElementValue>
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        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
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  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
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    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
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        <Description>no known pathogenicity</Description>
        <DateLastEvaluated>2013-01-24</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="18"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
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          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
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        <ObservedData>
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    </MeasureTrait>
    <MeasureSet>
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        <MeasureRelationship>
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    <TraitSet>
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  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
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    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Pathogenic</Description>
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        <Citation>
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        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="42"/>
      <ObservedIn>
        <Sample>
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        <Method>
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          <XRef db="GTR" id="GTR000501329"/>
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        <ObservedData>
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    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
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        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
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    <TraitSet>
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      <Trait ncbi_id="17556">
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  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
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    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
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      <ClinicalSignificance>
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        <Description>Pathogenic</Description>
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        <Citation>
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        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="5700"/>
      <ObservedIn>
        <Sample>
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          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
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    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.Arg53Cys</ElementValue>
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        <AttributeSet>
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        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
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        <MeasureRelationship>
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          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
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    <TraitSet>
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  <ClinvarSubmission>
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    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
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      <ClinicalSignificance>
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        <Description>no known pathogenicity</Description>
        <DateLastEvaluated>2012-11-08</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="19"/>
      <ObservedIn>
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          <AffectedStatus>unknown</AffectedStatus>
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        </Sample>
        <Method>
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          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
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        <ObservedData>
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        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
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        <AttributeSet>
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        <AttributeSet>
          <MeasureAttributeType val_type="name">rsNumber</MeasureAttributeType>
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        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="16789">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>AllHighlyPenetrant</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="45" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Pathogenic</Description>
        <DateLastEvaluated>2012-11-01</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="45"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:IVS3</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.216+2T&gt;G</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="49" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Pathogenic</Description>
        <DateLastEvaluated>2013-10-18</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="49"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.Ile78Thr</ElementValue>
        </Name>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:Ex4</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.233T&gt;C</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="9533" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Uncertain significance</Description>
        <DateLastEvaluated>2013-03-27</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="9533"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.Gly85Ser</ElementValue>
        </Name>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:Ex4</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.253G&gt;A</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="21" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>no known pathogenicity</Description>
        <DateLastEvaluated>2013-01-24</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="21"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <Name>
          <ElementValueType val_type="name">Alternate</ElementValueType>
          <ElementValue>NP_000007.1:p.(=)</ElementValue>
        </Name>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:Ex5</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.351A&gt;C</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">rsNumber</MeasureAttributeType>
          <Attribute>74090726</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="16789">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>AllHighlyPenetrant</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="6119" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Uncertain significance</Description>
        <DateLastEvaluated>2013-03-04</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="6119"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:IVS5</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.388-12_388-10delTTT</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
  <ClinvarSubmission>
    <RecordStatus>novel</RecordStatus>
    <ReleaseStatus>public</ReleaseStatus>
    <ClinvarSubmissionID localKey="8827" submitterDate="2013-11-21"/>
    <MeasureTrait>
      <Assertion>
        <AssertionType val_type="name">variation to disease</AssertionType>
      </Assertion>
      <ClinicalSignificance>
        <ReviewStatus>criteria provided, single submitter</ReviewStatus>
        <Description>Uncertain significance</Description>
        <DateLastEvaluated>2013-03-08</DateLastEvaluated>
        <Citation>
          <URL>http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM</URL>
        </Citation>
      </ClinicalSignificance>
      <ExternalID URL="http://genetics.emory.edu/egl/emvclass/emvclass.php?approved_symbol=ACADM" db="Emory Genetics Laboratory" id="8827"/>
      <ObservedIn>
        <Sample>
          <Origin>germline</Origin>
          <Species TaxonomyId="9606">human</Species>
          <AffectedStatus>unknown</AffectedStatus>
          <Gender>mixed</Gender>
        </Sample>
        <Method>
          <Citation>
            <URL>http://genetics.emory.edu/egl/tests/view.php?testid=78</URL>
          </Citation>
          <XRef db="GTR" id="GTR000501329"/>
          <MethodType val_type="name">clinical testing</MethodType>
        </Method>
        <ObservedData>
          <ObsAttributeType val_type="name">Description</ObsAttributeType>
          <Attribute>not provided</Attribute>
        </ObservedData>
      </ObservedIn>
    </MeasureTrait>
    <MeasureSet>
      <MeasureSetType val_type="name">Variant</MeasureSetType>
      <Measure>
        <MeasureType val_type="name">Variation</MeasureType>
        <AttributeSet>
          <MeasureAttributeType val_type="name">Location</MeasureAttributeType>
          <Attribute>NM_000016.4:IVS6</Attribute>
        </AttributeSet>
        <AttributeSet>
          <MeasureAttributeType val_type="name">HGVS</MeasureAttributeType>
          <Attribute>NM_000016.4:c.468+7A&gt;T</Attribute>
        </AttributeSet>
        <MeasureRelationship>
          <MeasureRelationshipType val_type="name">variant in gene</MeasureRelationshipType>
          <Symbol>
            <ElementValueType val_type="name">Preferred</ElementValueType>
            <ElementValue>ACADM</ElementValue>
          </Symbol>
        </MeasureRelationship>
      </Measure>
    </MeasureSet>
    <TraitSet>
      <TraitSetType val_type="name">Disease</TraitSetType>
      <Trait ncbi_id="17556">
        <TraitType val_type="name">Disease</TraitType>
        <Name>
          <ElementValueType val_type="name">Preferred</ElementValueType>
          <ElementValue>not provided</ElementValue>
        </Name>
      </Trait>
    </TraitSet>
  </ClinvarSubmission>
</ClinvarSubmissionSet>