{
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    "extraction_notes": "Novo Nordisk trial NN9536-4373, protocol v2.0 section 2 \"Flowchart\". Pages are landscape content on portrait pages (rotated 90 degrees). Text layer present; marks binned by pdftotext -bbox against column boundaries recovered from raster rule lines (200 dpi). Header rows reprint on every page and were de-duplicated. The visit-label token \"V20P21V22\" is a single text-layer token and was split into V20/P21/V22 by the rule-line column boundaries and the week row (52/56/60). Inline section/appendix references stripped from activity names into source_note annotations pr1..pr30.",
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