{
    "info": {
        "nct_id": "NCT03536182",
        "official_title": "CIPHER: A Prospective, Multi-Center Randomized Phase 3 Trial of Carbon Ion Versus Conventional Radiation Therapy for Locally Advanced, Unresectable Pancreatic Cancer",
        "inclusion_criteria": "1. All patients must be willing and capable to provide informed consent within the 30 days prior to registration to participate in the protocol.\n2. Histological and/or cytological diagnosis of pancreas adenocarcinoma must be done at any point prior to registration\n3. Unresectable by radiographic or exploration within 30 days of registration\n4. Age ≥ 18 years.\n5. Distance from the pancreas tumor edge to the bowel and stomach > 3 mm (in both the prone and supine positions)\n6. Tumor does not exceed 15 cm in greatest dimension\n7. No evidence for metastatic disease as assessed by CT imaging of the chest, abdomen and pelvis OR by PET-CT within the 30 days prior to registration. Pancreas-protocol CT or magnetic resonance imaging (MRI) with gadolinium (for patients who cannot receive CT contrast) is required as part of this evaluation.\n8. Zubrod performance status of 0-1, within 30 days prior to registration.\n9. Adequate hematologic, renal, and liver function as defined by:Adequate hematologic, renal, and liver function as defined by:\n\n   Absolute neutrophil count > 1500 cells/mm3 Creatinine <1.5 mg/dL Hemoglobin ≥ 8.0 g/dL AST and ALT < 2.5 X ULN Bilirubin ≤ 1.5 times the ULN (after stent placement, if necessary)\n10. Patients must complete all required pretreatment evaluations\n11. Able to travel to a foreign country within approximately 4 weeks of randomization (for patients enrolled outside of Japan and Italy)\n12. If a patient receives 1 or 2 cycles of chemotherapy at an outside facility, pre-treatment laboratory values must meet the above criteria. If the protocol-compliant imaging had not been obtained prior to chemotherapy, they may be performed prior to registration and any additional chemotherapy being infused.\n13. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days following completion of therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.\n\nA female of child-bearing potential is any woman (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:\n\n* Has not undergone a hysterectomy or bilateral oophorectomy; or\n* Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months).\nHealthy volunteers allowed\nMust have minimum age of 18 Years\nMust have maximum age of 120 Years",
        "exclusion_criteria": "1. Subjects receiving other investigational agents.\n2. History of allergic reactions attributed to compounds of similar chemical or biologic composition to gemcitabine or nab-paclitaxel or other agents used in study.\n3. Subjects who are pregnant or nursing due to the potential for congenital abnormalities and the potential of this regimen to harm nursing infants.\n4. Prior radiation to the upper abdomen\n5. Placement of a metal stent for relief of biliary obstruction (metal stents may be placed following completion of radiation therapy).\n6. Body weight >100 kg\n7. Active inflammatory bowel disease or active gastric/duodenal ulcer\n8. Metal implants in the upper abdomen\n9. Expected medical intolerance of radiotherapy, concurrent chemotherapy, and/or adjuvant chemotherapy.\n10. History of HIV or hepatitis B or C",
        "miscellaneous_criteria": ""
    },
    "inclusion_lines": [
        {
            "identified_line": {
                "line": "1. All patients must be willing and capable to provide informed consent within the 30 days prior to registration to participate in the protocol.",
                "criterions": [
                    {
                        "exact_snippets": "willing and capable to provide informed consent",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "willingness",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "willing and capable to provide informed consent",
                        "criterion": "informed consent",
                        "requirement": {
                            "requirement_type": "capability",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "within the 30 days prior to registration",
                        "criterion": "informed consent timing",
                        "requirement": {
                            "requirement_type": "timing",
                            "expected_value": {
                                "operator": "<=",
                                "value": 30,
                                "unit": "days"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "willing and capable to provide informed consent",
                                "criterion": "informed consent",
                                "requirement": {
                                    "requirement_type": "willingness",
                                    "expected_value": true
                                }
                            },
                            {
                                "exact_snippets": "willing and capable to provide informed consent",
                                "criterion": "informed consent",
                                "requirement": {
                                    "requirement_type": "capability",
                                    "expected_value": true
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "within the 30 days prior to registration",
                        "criterion": "informed consent timing",
                        "requirement": {
                            "requirement_type": "timing",
                            "expected_value": {
                                "operator": "<=",
                                "value": 30,
                                "unit": "days"
                            }
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "3. Unresectable by radiographic or exploration within 30 days of registration",
                "criterions": [
                    {
                        "exact_snippets": "Unresectable by radiographic or exploration",
                        "criterion": "tumor resectability",
                        "requirement": {
                            "requirement_type": "method",
                            "expected_value": [
                                "radiographic",
                                "exploration"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "Unresectable by radiographic or exploration",
                        "criterion": "tumor resectability",
                        "requirement": {
                            "requirement_type": "time frame",
                            "expected_value": "within 30 days of registration"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Unresectable by radiographic or exploration",
                        "criterion": "tumor resectability",
                        "requirement": {
                            "requirement_type": "method",
                            "expected_value": [
                                "radiographic",
                                "exploration"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "Unresectable by radiographic or exploration",
                        "criterion": "tumor resectability",
                        "requirement": {
                            "requirement_type": "time frame",
                            "expected_value": "within 30 days of registration"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "4. Age ≥ 18 years.",
                "criterions": [
                    {
                        "exact_snippets": "Age ≥ 18 years.",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "value",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Age ≥ 18 years.",
                        "criterion": "age",
                        "requirement": {
                            "requirement_type": "value",
                            "expected_value": {
                                "operator": ">=",
                                "value": 18,
                                "unit": "years"
                            }
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "6. Tumor does not exceed 15 cm in greatest dimension",
                "criterions": [
                    {
                        "exact_snippets": "Tumor does not exceed 15 cm in greatest dimension",
                        "criterion": "tumor size",
                        "requirement": {
                            "requirement_type": "size",
                            "expected_value": {
                                "operator": "<=",
                                "value": 15,
                                "unit": "cm"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "exact_snippets": "Tumor does not exceed 15 cm in greatest dimension",
                        "criterion": "tumor size",
                        "requirement": {
                            "requirement_type": "size",
                            "expected_value": {
                                "operator": "<=",
                                "value": 15,
                                "unit": "cm"
                            }
                        }
                    }
                ]
            }
        }
    ],
    "exclusion_lines": [],
    "miscellaneous_lines": [],
    "failed_inclusion": [
        {
            "identified_line": {
                "line": "2. Histological and/or cytological diagnosis of pancreas adenocarcinoma must be done at any point prior to registration",
                "criterions": [
                    {
                        "exact_snippets": "Histological and/or cytological diagnosis of pancreas adenocarcinoma",
                        "criterion": "pancreas adenocarcinoma diagnosis",
                        "requirement": {
                            "requirement_type": "method",
                            "expected_value": [
                                "histological",
                                "cytological"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "Histological and/or cytological diagnosis of pancreas adenocarcinoma",
                        "criterion": "pancreas adenocarcinoma diagnosis",
                        "requirement": {
                            "requirement_type": "timing",
                            "expected_value": "prior to registration"
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "or_criteria": [
                            {
                                "exact_snippets": "Histological and/or cytological diagnosis of pancreas adenocarcinoma",
                                "criterion": "pancreas adenocarcinoma diagnosis",
                                "requirement": {
                                    "requirement_type": "method",
                                    "expected_value": "histological"
                                }
                            },
                            {
                                "exact_snippets": "Histological and/or cytological diagnosis of pancreas adenocarcinoma",
                                "criterion": "pancreas adenocarcinoma diagnosis",
                                "requirement": {
                                    "requirement_type": "method",
                                    "expected_value": "cytological"
                                }
                            }
                        ]
                    },
                    {
                        "exact_snippets": "Histological and/or cytological diagnosis of pancreas adenocarcinoma",
                        "criterion": "pancreas adenocarcinoma diagnosis",
                        "requirement": {
                            "requirement_type": "timing",
                            "expected_value": "prior to registration"
                        }
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "5. Distance from the pancreas tumor edge to the bowel and stomach > 3 mm (in both the prone and supine positions)",
                "criterions": [
                    {
                        "exact_snippets": "Distance from the pancreas tumor edge to the bowel and stomach > 3 mm",
                        "criterion": "distance from pancreas tumor edge to bowel and stomach",
                        "requirement": {
                            "requirement_type": "distance",
                            "expected_value": {
                                "operator": ">",
                                "value": 3,
                                "unit": "mm"
                            }
                        }
                    },
                    {
                        "exact_snippets": "(in both the prone and supine positions)",
                        "criterion": "patient position",
                        "requirement": {
                            "requirement_type": "positions",
                            "expected_value": [
                                "prone",
                                "supine"
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "and_criteria": [
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Distance from the pancreas tumor edge to the bowel and stomach > 3 mm",
                                "criterion": "distance from pancreas tumor edge to bowel and stomach",
                                "requirement": {
                                    "requirement_type": "distance",
                                    "expected_value": {
                                        "operator": ">",
                                        "value": 3,
                                        "unit": "mm"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "(in both the prone and supine positions)",
                                "criterion": "patient position",
                                "requirement": {
                                    "requirement_type": "positions",
                                    "expected_value": [
                                        "prone"
                                    ]
                                }
                            }
                        ]
                    },
                    {
                        "and_criteria": [
                            {
                                "exact_snippets": "Distance from the pancreas tumor edge to the bowel and stomach > 3 mm",
                                "criterion": "distance from pancreas tumor edge to bowel and stomach",
                                "requirement": {
                                    "requirement_type": "distance",
                                    "expected_value": {
                                        "operator": ">",
                                        "value": 3,
                                        "unit": "mm"
                                    }
                                }
                            },
                            {
                                "exact_snippets": "(in both the prone and supine positions)",
                                "criterion": "patient position",
                                "requirement": {
                                    "requirement_type": "positions",
                                    "expected_value": [
                                        "supine"
                                    ]
                                }
                            }
                        ]
                    }
                ]
            }
        },
        {
            "identified_line": {
                "line": "7. No evidence for metastatic disease as assessed by CT imaging of the chest, abdomen and pelvis OR by PET-CT within the 30 days prior to registration. Pancreas-protocol CT or magnetic resonance imaging (MRI) with gadolinium (for patients who cannot receive CT contrast) is required as part of this evaluation.",
                "criterions": [
                    {
                        "exact_snippets": "No evidence for metastatic disease",
                        "criterion": "metastatic disease",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "CT imaging of the chest, abdomen and pelvis",
                        "criterion": "CT imaging",
                        "requirement": {
                            "requirement_type": "body parts",
                            "expected_value": [
                                "chest",
                                "abdomen",
                                "pelvis"
                            ]
                        }
                    },
                    {
                        "exact_snippets": "PET-CT within the 30 days prior to registration",
                        "criterion": "PET-CT",
                        "requirement": {
                            "requirement_type": "time frame",
                            "expected_value": "within the 30 days prior to registration"
                        }
                    },
                    {
                        "exact_snippets": "Pancreas-protocol CT or magnetic resonance imaging (MRI) with gadolinium",
                        "criterion": "imaging modality",
                        "requirement": {
                            "requirement_type": "type",
                            "expected_value": [
                                "Pancreas-protocol CT",
                                "MRI with gadolinium"
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "8. Zubrod performance status of 0-1, within 30 days prior to registration.",
                "criterions": [
                    {
                        "exact_snippets": "Zubrod performance status of 0-1",
                        "criterion": "Zubrod performance status",
                        "requirement": {
                            "requirement_type": "range",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": ">=",
                                        "value": 0,
                                        "unit": "N/A"
                                    },
                                    {
                                        "operator": "<=",
                                        "value": 1,
                                        "unit": "N/A"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "within 30 days prior to registration",
                        "criterion": "timeframe for performance status assessment",
                        "requirement": {
                            "requirement_type": "timeframe",
                            "expected_value": "within 30 days prior to registration"
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "9. Adequate hematologic, renal, and liver function as defined by:Adequate hematologic, renal, and liver function as defined by:",
                "criterions": [
                    {
                        "exact_snippets": "Adequate hematologic ... function",
                        "criterion": "hematologic function",
                        "requirement": {
                            "requirement_type": "adequacy",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Adequate ... renal ... function",
                        "criterion": "renal function",
                        "requirement": {
                            "requirement_type": "adequacy",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Adequate ... liver function",
                        "criterion": "liver function",
                        "requirement": {
                            "requirement_type": "adequacy",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "Absolute neutrophil count > 1500 cells/mm3 Creatinine <1.5 mg/dL Hemoglobin ≥ 8.0 g/dL AST and ALT < 2.5 X ULN Bilirubin ≤ 1.5 times the ULN (after stent placement, if necessary)",
                "criterions": [
                    {
                        "exact_snippets": "Absolute neutrophil count > 1500 cells/mm3",
                        "criterion": "absolute neutrophil count",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "operator": ">",
                                "value": 1500,
                                "unit": "cells/mm3"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Creatinine <1.5 mg/dL",
                        "criterion": "creatinine",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "operator": "<",
                                "value": 1.5,
                                "unit": "mg/dL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Hemoglobin ≥ 8.0 g/dL",
                        "criterion": "hemoglobin",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "operator": ">=",
                                "value": 8.0,
                                "unit": "g/dL"
                            }
                        }
                    },
                    {
                        "exact_snippets": "AST and ALT < 2.5 X ULN",
                        "criterion": "AST and ALT",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "operator": "<",
                                "value": 2.5,
                                "unit": "X ULN"
                            }
                        }
                    },
                    {
                        "exact_snippets": "Bilirubin ≤ 1.5 times the ULN (after stent placement, if necessary)",
                        "criterion": "bilirubin",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "operator": "<=",
                                "value": 1.5,
                                "unit": "times the ULN"
                            }
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "10. Patients must complete all required pretreatment evaluations",
                "criterions": [
                    {
                        "exact_snippets": "complete all required pretreatment evaluations",
                        "criterion": "pretreatment evaluations",
                        "requirement": {
                            "requirement_type": "completion",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "11. Able to travel to a foreign country within approximately 4 weeks of randomization (for patients enrolled outside of Japan and Italy)",
                "criterions": [
                    {
                        "exact_snippets": "Able to travel to a foreign country",
                        "criterion": "ability to travel",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "within approximately 4 weeks of randomization",
                        "criterion": "timeframe for travel",
                        "requirement": {
                            "requirement_type": "timeframe",
                            "expected_value": {
                                "operator": "<=",
                                "value": 4,
                                "unit": "weeks"
                            }
                        }
                    },
                    {
                        "exact_snippets": "(for patients enrolled outside of Japan and Italy)",
                        "criterion": "enrollment location",
                        "requirement": {
                            "requirement_type": "exclusion",
                            "expected_value": [
                                "Japan",
                                "Italy"
                            ]
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "12. If a patient receives 1 or 2 cycles of chemotherapy at an outside facility, pre-treatment laboratory values must meet the above criteria. If the protocol-compliant imaging had not been obtained prior to chemotherapy, they may be performed prior to registration and any additional chemotherapy being infused.",
                "criterions": [
                    {
                        "exact_snippets": "1 or 2 cycles of chemotherapy at an outside facility",
                        "criterion": "cycles of chemotherapy",
                        "requirement": {
                            "requirement_type": "quantity",
                            "expected_value": {
                                "comparisons": [
                                    {
                                        "operator": "=",
                                        "value": 1,
                                        "unit": "cycles"
                                    },
                                    {
                                        "operator": "=",
                                        "value": 2,
                                        "unit": "cycles"
                                    }
                                ]
                            }
                        }
                    },
                    {
                        "exact_snippets": "pre-treatment laboratory values must meet the above criteria",
                        "criterion": "pre-treatment laboratory values",
                        "requirement": {
                            "requirement_type": "compliance",
                            "expected_value": "must meet the above criteria"
                        }
                    },
                    {
                        "exact_snippets": "protocol-compliant imaging had not been obtained prior to chemotherapy",
                        "criterion": "protocol-compliant imaging",
                        "requirement": {
                            "requirement_type": "compliance",
                            "expected_value": "had not been obtained prior to chemotherapy"
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "13. Women of childbearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation, and for 90 days following completion of therapy. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.",
                "criterions": [
                    {
                        "exact_snippets": "Women of childbearing potential",
                        "criterion": "women of childbearing potential",
                        "requirement": {
                            "requirement_type": "presence",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "men must agree to use adequate contraception",
                        "criterion": "men contraception agreement",
                        "requirement": {
                            "requirement_type": "agreement",
                            "expected_value": true
                        }
                    },
                    {
                        "exact_snippets": "Women of childbearing potential ... must agree to use adequate contraception",
                        "criterion": "women contraception agreement",
                        "requirement": {
                            "requirement_type": "agreement",
                            "expected_value": true
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "A female of child-bearing potential is any woman (regardless of sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:",
                "criterions": [
                    {
                        "exact_snippets": "female",
                        "criterion": "gender",
                        "requirement": {
                            "requirement_type": "value",
                            "expected_value": "female"
                        }
                    },
                    {
                        "exact_snippets": "child-bearing potential",
                        "criterion": "reproductive potential",
                        "requirement": {
                            "requirement_type": "value",
                            "expected_value": "child-bearing potential"
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "* Has not undergone a hysterectomy or bilateral oophorectomy; or",
                "criterions": [
                    {
                        "exact_snippets": "Has not undergone a hysterectomy",
                        "criterion": "hysterectomy",
                        "requirement": {
                            "requirement_type": "underwent",
                            "expected_value": false
                        }
                    },
                    {
                        "exact_snippets": "bilateral oophorectomy",
                        "criterion": "bilateral oophorectomy",
                        "requirement": {
                            "requirement_type": "underwent",
                            "expected_value": false
                        }
                    }
                ]
            },
            "logical_structure": {
                "exact_snippets": "failed",
                "criterion": "failed",
                "requirement": {
                    "requirement_type": "failed",
                    "expected_value": "failed"
                }
            }
        },
        {
            "identified_line": {
                "line": "* Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months).",
                "criterions": [
                    {
                        "exact_snippets": "Has not been naturally postmenopausal for at least 12 consecutive months",
                        "criterion": "postmenopausal status",
                        "requirement": {
                            "requirement_type": "duration",
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            "identified_line": {
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                        "exact_snippets": "History of allergic reactions attributed to compounds of similar chemical or biologic composition to ... nab-paclitaxel",
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                        "exact_snippets": "active gastric/duodenal ulcer",
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                        "exact_snippets": "Metal implants in the upper abdomen",
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                            "requirement_type": "location",
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                        "exact_snippets": "hepatitis B",
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                    {
                        "exact_snippets": "hepatitis C",
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    "failed_miscellaneous": []
}