{
    "info": {
        "nct_id": "NCT01774019",
        "official_title": "Randomized Multi-Center Study Comparing No Drainage to Preoperative Biliary Drainage Using Metal Stents in Patients With Resectable Pancreatic or Periampullary Cancer",
        "inclusion_criteria": "* Age 18 or older\n* Willing and able to comply with the study procedures and provide written informed consent to participate in the study\n* Diagnosis of probable pancreatic cancer, distal common bile duct (CBD) cholangiocarcinoma and other periampullary cancers (histology not required)\n* Biliary obstructive symptoms or signs\n* Bilirubin level at/above 100 umol per liter (5.8 mg/dL)\n* Distal biliary obstruction consistent with pancreatic cancer, distal CBD cholangiocarcinoma or other periampullary malignancy\n* Location of distal biliary obstruction is such that it would allow the proximal end of a stent to be positioned at least 2cm from the hilum\n* Patients deemed as resectable by pancreatic protocol CT or MRI\n* Surgical candidate per pancreatobiliary surgeon after multi-disciplinary discussion\n* Surgery intent within 4 weeks\n* Endoscopic and surgical treatment to be provided by same team\nHealthy volunteers allowed\nMust have minimum age of 18 Years",
        "exclusion_criteria": "* Biliary strictures caused by confirmed benign tumors\n* Biliary strictures caused by malignancies other than pancreatic cancer, distal CBD cholangiocarcinoma and other periampullary cancers\n* Surgically altered biliary tract anatomy, not including prior cholecystectomy\n* Neoadjuvant chemotherapy for current malignancy\n* Palliative indication due to reasons other than surgical candidate status\n* Previous biliary drainage by ERCP/PTC\n* Patients for whom endoscopic techniques are contraindicated\n* Participation in another investigational trial within 90 days\n* Pregnancy",
        "miscellaneous_criteria": ""
    },
    "inclusion_lines": [
        {
            "identified_line": {
                "line": "* Age 18 or older",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Age 18 or older"
                        ],
                        "criterion": "age",
                        "requirement_type": "range",
                        "expected_value": {
                            "comparisons": [
                                {
                                    "operator": ">=",
                                    "value": 18
                                }
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Age 18 or older"
                        ],
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                        "requirement_type": "range",
                        "expected_value": {
                            "comparisons": [
                                {
                                    "operator": ">=",
                                    "value": 18
                                }
                            ]
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Willing and able to comply with the study procedures and provide written informed consent to participate in the study",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Willing and able to comply with the study procedures"
                        ],
                        "criterion": "compliance with study procedures",
                        "requirement_type": "willingness and ability",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "provide written informed consent to participate in the study"
                        ],
                        "criterion": "informed consent",
                        "requirement_type": "provision",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Willing and able to comply with the study procedures"
                        ],
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                        "requirement_type": "willingness and ability",
                        "expected_value": true
                    },
                    {
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                            "provide written informed consent to participate in the study"
                        ],
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                        "requirement_type": "provision",
                        "expected_value": true
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Diagnosis of probable pancreatic cancer, distal common bile duct (CBD) cholangiocarcinoma and other periampullary cancers (histology not required)",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Diagnosis of probable pancreatic cancer"
                        ],
                        "criterion": "pancreatic cancer",
                        "requirement_type": "diagnosis",
                        "expected_value": "probable"
                    },
                    {
                        "exact_snippets": [
                            "distal common bile duct (CBD) cholangiocarcinoma"
                        ],
                        "criterion": "distal common bile duct cholangiocarcinoma",
                        "requirement_type": "diagnosis",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "other periampullary cancers"
                        ],
                        "criterion": "periampullary cancers",
                        "requirement_type": "diagnosis",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "or_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": [
                                    "Diagnosis of probable pancreatic cancer"
                                ],
                                "criterion": "pancreatic cancer",
                                "requirement_type": "diagnosis",
                                "expected_value": "probable"
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": [
                                    "distal common bile duct (CBD) cholangiocarcinoma"
                                ],
                                "criterion": "distal common bile duct cholangiocarcinoma",
                                "requirement_type": "diagnosis",
                                "expected_value": true
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": [
                                    "other periampullary cancers"
                                ],
                                "criterion": "periampullary cancers",
                                "requirement_type": "diagnosis",
                                "expected_value": true
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Biliary obstructive symptoms or signs",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Biliary obstructive symptoms or signs"
                        ],
                        "criterion": "biliary obstruction",
                        "requirement_type": "presence",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Biliary obstructive symptoms or signs"
                        ],
                        "criterion": "biliary obstruction",
                        "requirement_type": "presence",
                        "expected_value": true
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Bilirubin level at/above 100 umol per liter (5.8 mg/dL)",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Bilirubin level",
                            "at/above 100 umol per liter"
                        ],
                        "criterion": "bilirubin level",
                        "requirement_type": "range",
                        "expected_value": {
                            "comparisons": [
                                {
                                    "operator": ">=",
                                    "value": 100
                                }
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Bilirubin level",
                            "at/above 100 umol per liter"
                        ],
                        "criterion": "bilirubin level",
                        "requirement_type": "range",
                        "expected_value": {
                            "comparisons": [
                                {
                                    "operator": ">=",
                                    "value": 100
                                }
                            ]
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Distal biliary obstruction consistent with pancreatic cancer, distal CBD cholangiocarcinoma or other periampullary malignancy",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Distal biliary obstruction"
                        ],
                        "criterion": "distal biliary obstruction",
                        "requirement_type": "presence",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "consistent with pancreatic cancer"
                        ],
                        "criterion": "pancreatic cancer",
                        "requirement_type": "consistency",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "distal CBD cholangiocarcinoma"
                        ],
                        "criterion": "distal CBD cholangiocarcinoma",
                        "requirement_type": "consistency",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "other periampullary malignancy"
                        ],
                        "criterion": "periampullary malignancy",
                        "requirement_type": "consistency",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Distal biliary obstruction"
                        ],
                        "criterion": "distal biliary obstruction",
                        "requirement_type": "presence",
                        "expected_value": true
                    },
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": [
                                    "consistent with pancreatic cancer"
                                ],
                                "criterion": "pancreatic cancer",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "distal CBD cholangiocarcinoma"
                                ],
                                "criterion": "distal CBD cholangiocarcinoma",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "other periampullary malignancy"
                                ],
                                "criterion": "periampullary malignancy",
                                "requirement_type": "consistency",
                                "expected_value": true
                            }
                        ]
                    },
                    {
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                            {
                                "exact_snippets": [
                                    "consistent with pancreatic cancer"
                                ],
                                "criterion": "pancreatic cancer",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "distal CBD cholangiocarcinoma"
                                ],
                                "criterion": "distal CBD cholangiocarcinoma",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "other periampullary malignancy"
                                ],
                                "criterion": "periampullary malignancy",
                                "requirement_type": "consistency",
                                "expected_value": true
                            }
                        ]
                    },
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": [
                                    "consistent with pancreatic cancer"
                                ],
                                "criterion": "pancreatic cancer",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "distal CBD cholangiocarcinoma"
                                ],
                                "criterion": "distal CBD cholangiocarcinoma",
                                "requirement_type": "consistency",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "other periampullary malignancy"
                                ],
                                "criterion": "periampullary malignancy",
                                "requirement_type": "consistency",
                                "expected_value": true
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Location of distal biliary obstruction is such that it would allow the proximal end of a stent to be positioned at least 2cm from the hilum",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Location of distal biliary obstruction"
                        ],
                        "criterion": "distal biliary obstruction",
                        "requirement_type": "location",
                        "expected_value": "allow stent positioning"
                    },
                    {
                        "exact_snippets": [
                            "allow the proximal end of a stent to be positioned at least 2cm from the hilum"
                        ],
                        "criterion": "stent positioning",
                        "requirement_type": "distance from hilum",
                        "expected_value": ">= 2"
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "exact_snippets": [
                            "Location of distal biliary obstruction"
                        ],
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                        "requirement_type": "location",
                        "expected_value": "allow stent positioning"
                    },
                    {
                        "exact_snippets": [
                            "allow the proximal end of a stent to be positioned at least 2cm from the hilum"
                        ],
                        "criterion": "stent positioning",
                        "requirement_type": "distance from hilum",
                        "expected_value": {
                            "operator": ">=",
                            "value": 2
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Patients deemed as resectable by pancreatic protocol CT or MRI",
                "criterions": [
                    {
                        "exact_snippets": [
                            "resectable"
                        ],
                        "criterion": "resectability",
                        "requirement_type": "status",
                        "expected_value": "resectable"
                    },
                    {
                        "exact_snippets": [
                            "pancreatic protocol CT or MRI"
                        ],
                        "criterion": "imaging modality",
                        "requirement_type": "type",
                        "expected_value": [
                            "pancreatic protocol CT",
                            "MRI"
                        ]
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "resectable"
                        ],
                        "criterion": "resectability",
                        "requirement_type": "status",
                        "expected_value": "resectable"
                    },
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": [
                                    "pancreatic protocol CT or MRI"
                                ],
                                "criterion": "imaging modality",
                                "requirement_type": "type",
                                "expected_value": "pancreatic protocol CT"
                            },
                            {
                                "exact_snippets": [
                                    "pancreatic protocol CT or MRI"
                                ],
                                "criterion": "imaging modality",
                                "requirement_type": "type",
                                "expected_value": "MRI"
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Surgical candidate per pancreatobiliary surgeon after multi-disciplinary discussion",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Surgical candidate"
                        ],
                        "criterion": "surgical candidacy",
                        "requirement_type": "status",
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                    },
                    {
                        "exact_snippets": [
                            "per pancreatobiliary surgeon"
                        ],
                        "criterion": "pancreatobiliary surgeon",
                        "requirement_type": "approval",
                        "expected_value": true
                    },
                    {
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                            "after multi-disciplinary discussion"
                        ],
                        "criterion": "multi-disciplinary discussion",
                        "requirement_type": "completion",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
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                        ],
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                    },
                    {
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                            "per pancreatobiliary surgeon"
                        ],
                        "criterion": "pancreatobiliary surgeon",
                        "requirement_type": "approval",
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                    },
                    {
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                            "after multi-disciplinary discussion"
                        ],
                        "criterion": "multi-disciplinary discussion",
                        "requirement_type": "completion",
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                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Surgery intent within 4 weeks",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Surgery intent"
                        ],
                        "criterion": "surgery",
                        "requirement_type": "intent",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "within 4 weeks"
                        ],
                        "criterion": "surgery",
                        "requirement_type": "timeframe",
                        "expected_value": {
                            "comparisons": [
                                {
                                    "operator": "<=",
                                    "value": 4
                                }
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Surgery intent"
                        ],
                        "criterion": "surgery",
                        "requirement_type": "intent",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "within 4 weeks"
                        ],
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                            "comparisons": [
                                {
                                    "operator": "<=",
                                    "value": 4
                                }
                            ]
                        }
                    }
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            }
        },
        {
            "identified_line": {
                "line": "* Endoscopic and surgical treatment to be provided by same team",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Endoscopic and surgical treatment to be provided by same team"
                        ],
                        "criterion": "endoscopic and surgical treatment",
                        "requirement_type": "provider",
                        "expected_value": "same team"
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Endoscopic and surgical treatment to be provided by same team"
                        ],
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                        "requirement_type": "provider",
                        "expected_value": "same team"
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Healthy volunteers allowed",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Healthy volunteers allowed"
                        ],
                        "criterion": "healthy volunteers",
                        "requirement_type": "participation",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Healthy volunteers allowed"
                        ],
                        "criterion": "healthy volunteers",
                        "requirement_type": "participation",
                        "expected_value": true
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "Must have minimum age of 18 Years",
                "criterions": [
                    {
                        "exact_snippets": [
                            "minimum age of 18 Years"
                        ],
                        "criterion": "age",
                        "requirement_type": "minimum",
                        "expected_value": {
                            "operator": ">=",
                            "value": 18
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "minimum age of 18 Years"
                        ],
                        "criterion": "age",
                        "requirement_type": "minimum",
                        "expected_value": {
                            "operator": ">=",
                            "value": 18
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [
        {
            "identified_line": {
                "line": "* Biliary strictures caused by confirmed benign tumors",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Biliary strictures"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "benign tumors"
                    },
                    {
                        "exact_snippets": [
                            "benign tumors"
                        ],
                        "criterion": "tumors",
                        "requirement_type": "nature",
                        "expected_value": "benign"
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": [
                            "Biliary strictures"
                        ],
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                        "requirement_type": "cause",
                        "expected_value": "benign tumors"
                    },
                    {
                        "exact_snippets": [
                            "benign tumors"
                        ],
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                        "expected_value": "benign"
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Biliary strictures caused by malignancies other than pancreatic cancer, distal CBD cholangiocarcinoma and other periampullary cancers",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than pancreatic cancer"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than pancreatic cancer"
                    },
                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than",
                            "distal CBD cholangiocarcinoma"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than distal CBD cholangiocarcinoma"
                    },
                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than",
                            "other periampullary cancers"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than other periampullary cancers"
                    }
                ]
            },
            "logical_structure": {
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                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than pancreatic cancer"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than pancreatic cancer"
                    },
                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than",
                            "distal CBD cholangiocarcinoma"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than distal CBD cholangiocarcinoma"
                    },
                    {
                        "exact_snippets": [
                            "Biliary strictures caused by malignancies other than",
                            "other periampullary cancers"
                        ],
                        "criterion": "biliary strictures",
                        "requirement_type": "cause",
                        "expected_value": "malignancies other than other periampullary cancers"
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Surgically altered biliary tract anatomy, not including prior cholecystectomy",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Surgically altered biliary tract anatomy"
                        ],
                        "criterion": "biliary tract anatomy",
                        "requirement_type": "surgical alteration",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "prior cholecystectomy"
                        ],
                        "criterion": "cholecystectomy",
                        "requirement_type": "history",
                        "expected_value": false
                    }
                ]
            },
            "logical_structure": {
                "condition": {
                    "and_criteria": [
                        {
                            "exact_snippets": [
                                "Surgically altered biliary tract anatomy"
                            ],
                            "criterion": "biliary tract anatomy",
                            "requirement_type": "surgical alteration",
                            "expected_value": true
                        },
                        {
                            "exact_snippets": [
                                "prior cholecystectomy"
                            ],
                            "criterion": "cholecystectomy",
                            "requirement_type": "history",
                            "expected_value": false
                        }
                    ]
                },
                "then_criteria": null,
                "else_criteria": null
            }
        },
        {
            "identified_line": {
                "line": "* Neoadjuvant chemotherapy for current malignancy",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Neoadjuvant chemotherapy for current malignancy"
                        ],
                        "criterion": "neoadjuvant chemotherapy",
                        "requirement_type": "association",
                        "expected_value": "current malignancy"
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": [
                        "Neoadjuvant chemotherapy for current malignancy"
                    ],
                    "criterion": "neoadjuvant chemotherapy",
                    "requirement_type": "association",
                    "expected_value": "current malignancy"
                }
            }
        },
        {
            "identified_line": {
                "line": "* Palliative indication due to reasons other than surgical candidate status",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Palliative indication"
                        ],
                        "criterion": "palliative indication",
                        "requirement_type": "reason",
                        "expected_value": "other than surgical candidate status"
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": [
                        "Palliative indication"
                    ],
                    "criterion": "palliative indication",
                    "requirement_type": "reason",
                    "expected_value": "other than surgical candidate status"
                }
            }
        },
        {
            "identified_line": {
                "line": "* Previous biliary drainage by ERCP/PTC",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Previous biliary drainage"
                        ],
                        "criterion": "biliary drainage",
                        "requirement_type": "history",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "ERCP"
                        ],
                        "criterion": "ERCP",
                        "requirement_type": "procedure",
                        "expected_value": true
                    },
                    {
                        "exact_snippets": [
                            "PTC"
                        ],
                        "criterion": "PTC",
                        "requirement_type": "procedure",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "or_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": [
                                    "Previous biliary drainage"
                                ],
                                "criterion": "biliary drainage",
                                "requirement_type": "history",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "ERCP"
                                ],
                                "criterion": "ERCP",
                                "requirement_type": "procedure",
                                "expected_value": true
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": [
                                    "Previous biliary drainage"
                                ],
                                "criterion": "biliary drainage",
                                "requirement_type": "history",
                                "expected_value": true
                            },
                            {
                                "exact_snippets": [
                                    "PTC"
                                ],
                                "criterion": "PTC",
                                "requirement_type": "procedure",
                                "expected_value": true
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "* Patients for whom endoscopic techniques are contraindicated",
                "criterions": [
                    {
                        "exact_snippets": [
                            "endoscopic techniques are contraindicated"
                        ],
                        "criterion": "endoscopic techniques",
                        "requirement_type": "contraindication",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": [
                        "endoscopic techniques are contraindicated"
                    ],
                    "criterion": "endoscopic techniques",
                    "requirement_type": "contraindication",
                    "expected_value": true
                }
            }
        },
        {
            "identified_line": {
                "line": "* Participation in another investigational trial within 90 days",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Participation in another investigational trial within 90 days"
                        ],
                        "criterion": "participation in another investigational trial",
                        "requirement_type": "time since last participation",
                        "expected_value": {
                            "operator": ">=",
                            "value": 90
                        }
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": [
                        "Participation in another investigational trial within 90 days"
                    ],
                    "criterion": "participation in another investigational trial",
                    "requirement_type": "time since last participation",
                    "expected_value": {
                        "operator": "<",
                        "value": 90
                    }
                }
            }
        },
        {
            "identified_line": {
                "line": "* Pregnancy",
                "criterions": [
                    {
                        "exact_snippets": [
                            "Pregnancy"
                        ],
                        "criterion": "pregnancy",
                        "requirement_type": "presence",
                        "expected_value": true
                    }
                ]
            },
            "logical_structure": {
                "not_criteria": {
                    "exact_snippets": [
                        "Pregnancy"
                    ],
                    "criterion": "pregnancy",
                    "requirement_type": "presence",
                    "expected_value": true
                }
            }
        }
    ],
    "miscellaneous_lines": [],
    "failed_inclusion": [],
    "failed_exclusion": [],
    "failed_miscellaneous": []
}