Update History
      
      
        Condition: Alpha-1 Antitrypsin Deficiency
      
      
        Gene/Gene Panel: SERPINA1
      
      
        Context: Adult
      
          
      2024/12/20
    
    
        Released
    
    
      2.0.0
        
    
    
                Morbidity and mortality from liver disease
                  (GroupA)
              
                      
                        Surveillance by specialist to guide management including consideration of liver transplant
                           (GroupA)
                          8AA
                      
              
                Morbidity and mortality from lung disease
                  (GroupA)
              
                      
                        Avoidance of environmental exposures including cigarette smoke
                           (GroupA)
                          9DC
                      
                      
                        AAT augmentation therapy
                           (GroupA)
                          8DA
                      
    
              Significant updates since last report in 2016
            
         Assertions
      
        
          
            
  
   Gene Condition Pairs  
         Suggested Assertion 
         Final Assertion 
      
              SERPINA1
              ⇔
              0013282 ALPHA-1-ANTITRYPSIN DEFICIENCY; A1ATD
            
  
             Moderate Actionability 
             Moderate Actionability 
          
      2024/11/23
    
    
        Released
        (Under revision)
    
    
      1.2.2
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              Internal system migration associated with MONDO name addition.
            
        
      2022/02/09
    
    
        Released
    
    
      1.2.2
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              Internal system migration associated with MONDO name addition.
            
        
      2022/02/09
    
    
        Released
        (Under revision)
    
    
      1.2.1
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              MONDO IDs added
            
        
      2020/05/02
    
    
        Released
    
    
      1.2.1
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              MONDO IDs added
            
        
      2020/05/02
    
    
        Released
        (Under revision)
    
    
      1.2.0
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              Internal system migration associated with Gene-Disease scoring groups upgrades.
            
        
      2019/10/03
    
    
        Released
    
    
      1.2.0
        
    
    
                COPD
                  (GroupA)
              
                      
                        Smoking cessation
                           (GroupA)
                          10CA
                      
              
                Emphysema
                  (GroupA)
              
                      
                        A1AT augmentation therapy
                           (GroupA)
                          7CD
                      
              
                Liver disease
                  (GroupA)
              
                      
                        Limit alcohol consumption
                           (GroupA)
                          9CC
                      
    
              Internal system migration associated with Gene-Disease scoring groups upgrades.
            
        
      2019/04/04
    
    
        Released
    
    
      1.1.0
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        
              Internal system migration related to merging adult and pediatric contexts.
            
        
      2018/11/01
    
    
        Released
    
    
      1.0.3
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        
              Internal system migration related to score text replacement from E to N
            
        
      2018/05/02
    
    
        Released
    
    
      1.0.2
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        
      2018/05/02
    
    
        Released
        (Under revision)
    
    
      1.0.1
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Identify those at risk to and institute interventions appropriate to severity
            
                
                  Serum A1AT measurement
                    11CC
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        
      2018/01/11
    
    
        Released
    
    
      1.0.1
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Identify those at risk to and institute interventions appropriate to severity
            
                
                  Serum A1AT measurement
                    11CC
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        
      2017/10/23
    
    
        Released
    
    
      1.0.0
        
    
    
              COPD
            
                
                  Smoking cessation
                    10CA
                
            
              Emphysema
            
                
                  A1AT augmentation therapy
                    7CD
                
            
              Identify those at risk to and institute interventions appropriate to severity
            
                
                  Serum A1AT measurement
                    11CC
                
            
              Liver disease
            
                
                  Limit alcohol consumption
                    9CC
                
        