{
    "document_id": 11496,
    "page": 1,
    "width_pt": 612,
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    "engine": "paddleocr_vl",
    "source_run_id": 11607,
    "item_count": 51,
    "counts_by_type": {
        "figure": 2,
        "footer": 2,
        "form_field": 6,
        "header": 3,
        "heading": 9,
        "list": 3,
        "list_item": 9,
        "text": 17
    },
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    "items": [
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            "id": "p1.1",
            "order": 1,
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            "type": "header",
            "bbox": {
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                "b": 690
            },
            "text": "MONTANA\nVETERINARY\nDIAGNOSTIC\nLABORATORY",
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        {
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            "text": "PHONE: (406) 994-4885\nFAX: (406) 994-6344\nWEBSITE: www.liv.mt.gov/lab\nWEB RESULTS: https://mvdl.mt.gov\nE-MAIL: mvdl@mt.gov",
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        {
            "id": "p1.4",
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            "type": "header",
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            "text": "1911 WEST LINCOLN STREET\nBOZEMAN, MT 59718",
            "attrs": {
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            "level": 2
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        {
            "id": "p1.5",
            "order": 5,
            "type": "figure",
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            "type": "heading",
            "bbox": {
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            },
            "text": "NECROPSY KIT",
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            "level": 3
        },
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            "id": "p1.7",
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            "type": "heading",
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            "text": "PURPOSE",
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        },
        {
            "id": "p1.8",
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            "text": "The necropsy kit is designed for routine postmortem collection of tissues for diseases other than abortions and neonatal diarrheas (specific kits are available for these circumstances), as improved collection and preservation of samples in the field will greatly facilitate laboratory analysis. The information and supplies provided can be useful for sample collection and submission in all species."
        },
        {
            "id": "p1.9",
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            "type": "heading",
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            },
            "text": "COLLECTION OVERVIEW",
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            "level": 3
        },
        {
            "id": "p1.10",
            "order": 10,
            "type": "text",
            "bbox": {
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                "r": 529.92,
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            "text": "The most common error is to fail to collect a complete tissue set because of a preconceived diagnosis."
        },
        {
            "id": "p1.11",
            "order": 11,
            "type": "text",
            "bbox": {
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                "r": 584.16,
                "b": 499.92
            },
            "text": "Another common error is to collect only tissues that appear grossly abnormal. Many disease processes can only be identified by microscopic examination. Therefore, collect both normal and abnormal tissues from all recommended sites."
        },
        {
            "id": "p1.12",
            "order": 12,
            "type": "heading",
            "bbox": {
                "l": 26.88,
                "t": 488.88,
                "r": 212.4,
                "b": 476.64
            },
            "text": "TEST ORDER & INTERPRETATION OVERVIEW",
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            "level": 3
        },
        {
            "id": "p1.13",
            "order": 13,
            "type": "text",
            "bbox": {
                "l": 26.4,
                "t": 474.72,
                "r": 583.2,
                "b": 435.12
            },
            "text": "A necropsy workup begins with histologic examination, which has the potential to guide further testing. If desired, additional testing can be specifically requested either at initial submission or following histologic evaluation and pathologist consultation."
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        {
            "id": "p1.14",
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            "type": "heading",
            "bbox": {
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            },
            "text": "SPECIMEN COLLECTION (LISTED IN ORDER OF IMPORTANCE), KIT CONTENTS & USE",
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            "level": 3
        },
        {
            "id": "p1.15",
            "order": 15,
            "type": "heading",
            "bbox": {
                "l": 40.56,
                "t": 406.56,
                "r": 128.88,
                "b": 395.28
            },
            "text": "Samples to collect:",
            "level": 3
        },
        {
            "id": "p1.16",
            "order": 16,
            "type": "text",
            "bbox": {
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                "r": 438.48,
                "b": 380.64
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            "text": "Primary: heart, lung, liver, kidney spleen, brain, stomach, small intestine and colon"
        },
        {
            "id": "p1.17",
            "order": 17,
            "type": "text",
            "bbox": {
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            "text": "As indicated: lymph nodes, adrenal gland, thyroid gland, pancreas, gastrointestinal contents, other"
        },
        {
            "id": "p1.18",
            "order": 18,
            "type": "text",
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            "text": "Single animal submission form and large Whirl-Pak® bag"
        },
        {
            "id": "p1.19",
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            "type": "list",
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                    "id": "p1.19.1",
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                    "text": "Complete the submission form – include history",
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                {
                    "id": "p1.19.2",
                    "order": 22,
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                    "text": "Place completed form back into the Whirl-Pak® bag and close bag to prevent contamination during transport",
                    "marker": "○",
                    "children": [
                        {
                            "id": "p1.19.2.1",
                            "order": 23,
                            "type": "form_field",
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                                "label": "Place completed form back into the Whirl-Pak® bag and close bag to prevent contamination during transport",
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        },
        {
            "id": "p1.20",
            "order": 24,
            "type": "text",
            "bbox": {
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                "r": 380.88,
                "b": 288.24
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            "text": "Bottle of 10% neutral buffered formalin (NBF) and large Biohazard bag Fixed Tissues:"
        },
        {
            "id": "p1.21",
            "order": 25,
            "type": "text",
            "bbox": {
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                "t": 285.84,
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            "text": "Tissues should not be greater than[p1.21.1] inch thick",
            "children": [
                {
                    "id": "p1.21.1",
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                    },
                    "text": "1/2",
                    "attrs": {
                        "inline": true,
                        "text_offset": 34,
                        "text_span": 9,
                        "bbox_estimated": true
                    }
                }
            ]
        },
        {
            "id": "p1.22",
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            "type": "text",
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            },
            "text": "○ Immediately place tissue in 10% NBF (the volume ratio of NBF to tissue should be at least 10 to 1)",
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            "id": "p1.23",
            "order": 29,
            "type": "text",
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                "l": 61.68,
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            "text": "Cap tightly (no tape please) and place bottle in Biohazard bag with absorbency labeled with animal ID"
        },
        {
            "id": "p1.24",
            "order": 30,
            "type": "text",
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            "text": "Two small and one large Whirl-Pak[p1.24.2] bags",
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                    "text": "^{\\circledR}",
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        },
        {
            "id": "p1.25",
            "order": 33,
            "type": "heading",
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            "text": "Fresh Tissues:",
            "level": 3
        },
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                    "text": "Tissues should be in approximately 2 to 3-inch cubes"
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                    "text": "Label each bag with animal ID, tissues contained, and Owner's name"
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                    },
                    "text": "Place labeled, closed small bags into a large Whirl-Pak b[p1.26.3.3]ag and close large bag",
                    "marker": "○",
                    "children": [
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                            "id": "p1.26.3.1",
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            "text": "The sealed Whirl-Pak® bags should be packed with frozen ice packs inside an absorbent filled plastic bag"
        },
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            "type": "heading",
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            "text": "LIVE ANIMAL SUBMISSION",
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            "text": "Submission of live animals for necropsy is not typically encouraged and should always be prearranged with the laboratory."
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            "text": "SHIPPING (ALL CARRIERS)",
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                    "text": "Montana Veterinary Diagnostic Lab"
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                    "id": "p1.31.2",
                    "order": 47,
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                    "bbox": {
                        "l": 78.24,
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                    "text": "1911 West Lincoln Street"
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                    "text": "Marsh Lab, Room 76"
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                    "type": "list_item",
                    "bbox": {
                        "l": 78,
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                    "text": "Bozeman, MT 59718-4132"
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            "text": "F:\\USER\\QMS Form\\System\\5.7.100.400 MVDL Necropsy Kit Supplement.doc\\ Revision Date 6-12-19\\ Page 1 of 1",
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            "text": "福",
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    ],
    "excluded_furniture": {
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