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Fetching clinicalSignificance from dbSNP and eutils

Hi, I am a complete newbie into bioinformatics and would like to know how can I specifically fetch the clinicalSignificance field from the eutils page (eg. rs4340) on dbSNP by using R. My example can be found here

http://eutils.ncbi.nlm.nih.gov/entrez/eutils/efetch.fcgi?db=snp&id=4340

There seems to be a parameter (other than db and id) that I haven't yet discovered by looking into reference files. Thanks in advance,

r next-gen snp

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