{
    "disease_id": "DOID:0061166",
    "recommended_name": {
        "id": "DOID:0061166",
        "resource": "Disease Ontology",
        "url": "https://disease-ontology.org/term/DOID:0061166",
        "name": "autosomal recessive distal renal tubular acidosis 3 with or without sensorineural hearing loss",
        "description": "A renal tubular transport disease characterized by the failure of the kidney to produce an appropriately acid urine in the presence of systemic metabolic acidosis or after acid loading, due to failure of hydrogen ion secretion or bicarbonate reabsorption in the distal nephron that has_material_basis_in homozygous mutation in the ATP6N1B gene on chromosome 7q34."
    },
    "synonyms": [
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "renal tubular acidosis, distal, 3, with or without sensorineural hearing loss",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "classical distal RTA",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "classical distal renal tubular acidosis",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "distal renal tubular acidosis 3, with or without sensorineural hearing loss",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "renal tubular acidosis, distal, 3, with or without sensorineural hearing loss",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "renal tubular acidosis, distal, autosomal recessive",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "type 1 RTA",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "type 1 renal tubular acidosis",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "RTADR",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "renal tubular acidosis, autosomal recessive with preserved hearing",
            "description": ""
        },
        {
            "id": "MONDO:0011268",
            "resource": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "name": "renal tubular acidosis, distal, autosomal recessive, with late-onset sensorineural hearing loss, included",
            "description": ""
        },
        {
            "id": "MIM:602722",
            "resource": "MIM",
            "url": "https://www.omim.org/entry/602722",
            "name": "Renal tubular acidosis, distal, 3, with or without sensorineural hearing loss",
            "description": "Renal tubular acidosis, distal, 3, with or without sensorineural hearing loss"
        }
    ],
    "children": [],
    "id_list": [
        "DOID:0061166"
    ],
    "unlinked_id_list": [],
    "crossref": [
        {
            "id": "DOID:0061166",
            "database": "Disease Ontology",
            "url": "https://disease-ontology.org/term/DOID:0061166",
            "categories": []
        },
        {
            "id": "MONDO:0011268",
            "database": "MONDO",
            "url": "https://monarchinitiative.org/disease/MONDO:0011268",
            "categories": []
        },
        {
            "id": "MIM:602722",
            "database": "MIM",
            "url": "https://www.omim.org/entry/602722",
            "categories": []
        }
    ],
    "proteins": [
        {
            "uniprot_canonical_ac": "Q920R6-1",
            "uniprot_ac": "Q920R6",
            "uniprot_id": "VPP4_MOUSE",
            "refseq_ac": "NP_536715",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Mus musculus",
                    "taxid": 10090,
                    "common_name": "Mouse",
                    "glygen_name": "Mouse",
                    "reference_species": "Mus musculus [10090]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase 116 kDa subunit a 4",
                    "type": "recommended"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal (vacuolar proton pump) noncatalytic accessory protein 1B",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 116 kDa isoform a 4",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 116 kDa",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase alpha 4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a 4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a isoform 4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase 116 kDa subunit a isoform 4",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase 116 kDa subunit a kidney isoform",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar proton translocating ATPase 100 kDa a4 subunit",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Atp6v0a4",
                    "type": "recommended"
                },
                {
                    "name": "Atp6n1b",
                    "type": "synonym"
                },
                {
                    "name": "Atp6v0a4",
                    "type": "synonym"
                },
                {
                    "name": "a4",
                    "type": "synonym"
                }
            ],
            "record_id": "Q920R6-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "Q9HBG4-1",
            "uniprot_ac": "Q9HBG4",
            "uniprot_id": "VPP4_HUMAN",
            "refseq_ac": "NP_065683",
            "glycoprotein": "yes",
            "species": [
                {
                    "name": "Homo sapiens",
                    "taxid": 9606,
                    "common_name": "Human",
                    "glygen_name": "Human",
                    "reference_species": "Homo sapiens [9606]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase 116 kDa subunit a 4",
                    "type": "recommended"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal (vacuolar proton pump) non-catalytic accessory protein 1B",
                    "type": "synonym"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal (vacuolar proton pump) non-catalytic accessory protein 2 (38kD)",
                    "type": "synonym"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal V0 subunit a4",
                    "type": "synonym"
                },
                {
                    "name": "H(+)-transporting two-sector ATPase, noncatalytic accessory protein 1B",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 116 kDa isoform a 4",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 116 kDa",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase subunit a4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a 4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase 116 kDa subunit a isoform 4",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase 116 kDa subunit a kidney isoform",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar proton pump 116 kDa accessory subunit",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar proton pump, subunit 2",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "ATP6V0A4",
                    "type": "recommended"
                },
                {
                    "name": "A4",
                    "type": "synonym"
                },
                {
                    "name": "ATP6N1B",
                    "type": "synonym"
                },
                {
                    "name": "ATP6N2",
                    "type": "synonym"
                },
                {
                    "name": "ATP6V0A4",
                    "type": "synonym"
                },
                {
                    "name": "DRTA3",
                    "type": "synonym"
                },
                {
                    "name": "RDRTA2",
                    "type": "synonym"
                },
                {
                    "name": "RTA1C",
                    "type": "synonym"
                },
                {
                    "name": "RTADR",
                    "type": "synonym"
                },
                {
                    "name": "STV1",
                    "type": "synonym"
                },
                {
                    "name": "VPH1",
                    "type": "synonym"
                },
                {
                    "name": "VPP2",
                    "type": "synonym"
                }
            ],
            "record_id": "Q9HBG4-1",
            "evidence": [
                {
                    "id": "602722",
                    "database": "MIM",
                    "url": "https://www.omim.org/entry/602722"
                },
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "P32563-1",
            "uniprot_ac": "P32563",
            "uniprot_id": "VPP1_YEAST",
            "refseq_ac": "NP_014913",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Saccharomyces cerevisiae S288C",
                    "taxid": 559292,
                    "common_name": "Baker's yeast",
                    "glygen_name": "Yeast",
                    "reference_species": "Saccharomyces cerevisiae S288C [559292]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a, vacuolar isoform",
                    "type": "recommended"
                },
                {
                    "name": "H(+)-transporting V0 sector ATPase subunit a",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 95 kDa subunit",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase a 1 subunit",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar pH protein 1",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton pump a subunit",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase subunit a 1",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "VPH1",
                    "type": "recommended"
                },
                {
                    "name": "VPH1",
                    "type": "synonym"
                }
            ],
            "record_id": "P32563-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "P37296-1",
            "uniprot_ac": "P37296",
            "uniprot_id": "VPP2_YEAST",
            "refseq_ac": "NP_013770",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Saccharomyces cerevisiae S288C",
                    "taxid": 559292,
                    "common_name": "Baker's yeast",
                    "glygen_name": "Yeast",
                    "reference_species": "Saccharomyces cerevisiae S288C [559292]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a, Golgi isoform",
                    "type": "recommended"
                },
                {
                    "name": "H(+)-transporting V0 sector ATPase subunit a",
                    "type": "synonym"
                },
                {
                    "name": "Similar to VPH1 protein 1",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase 101 kDa subunit",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase a 2 subunit",
                    "type": "synonym"
                },
                {
                    "name": "V-ATPase subunit AC115",
                    "type": "synonym"
                },
                {
                    "name": "Vacuolar proton translocating ATPase subunit a 2",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "STV1",
                    "type": "recommended"
                },
                {
                    "name": "STV1",
                    "type": "synonym"
                },
                {
                    "name": "YM9796.07",
                    "type": "synonym"
                }
            ],
            "record_id": "P37296-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "D4A1H0-1",
            "uniprot_ac": "D4A1H0",
            "uniprot_id": "D4A1H0_RAT",
            "refseq_ac": "NP_001402767",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Rattus norvegicus",
                    "taxid": 10116,
                    "common_name": "Rat",
                    "glygen_name": "Rat",
                    "reference_species": "Rattus norvegicus [10116]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal V0 subunit A4",
                    "type": "synonym"
                },
                {
                    "name": "ATPase, H+ transporting, lysosomal V0 subunit A",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a 4",
                    "type": "synonym"
                },
                {
                    "name": "V-type proton ATPase 116 kDa subunit a",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Atp6v0a4",
                    "type": "recommended"
                },
                {
                    "name": "Atp6v0a4",
                    "type": "synonym"
                }
            ],
            "record_id": "D4A1H0-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "A1ZBF7-1",
            "uniprot_ac": "A1ZBF7",
            "uniprot_id": "A1ZBF7_DROME",
            "refseq_ac": "NP_725837",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Drosophila melanogaster",
                    "taxid": 7227,
                    "common_name": "Fruit fly",
                    "glygen_name": "Fruit fly",
                    "reference_species": "Drosophila melanogaster [7227]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "CG30329-PA",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-3-PA",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase 100kD subunit 3",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase subunit 100-3",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Vha100-3",
                    "type": "recommended"
                },
                {
                    "name": "BcDNA:AT03238",
                    "type": "synonym"
                },
                {
                    "name": "CG30329",
                    "type": "synonym"
                },
                {
                    "name": "Dmel\\CG30329",
                    "type": "synonym"
                },
                {
                    "name": "Dmel_CG30329",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-3",
                    "type": "synonym"
                },
                {
                    "name": "vha100-3",
                    "type": "synonym"
                }
            ],
            "record_id": "A1ZBF7-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "Q9VE77-1",
            "uniprot_ac": "Q9VE77",
            "uniprot_id": "Q9VE77_DROME",
            "refseq_ac": "NP_650720",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Drosophila melanogaster",
                    "taxid": 7227,
                    "common_name": "Fruit fly",
                    "glygen_name": "Fruit fly",
                    "reference_species": "Drosophila melanogaster [7227]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "CG7678-PA",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-4-PA",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase 100kD subunit 4",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase subunit 100-4",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Vha100-4",
                    "type": "recommended"
                },
                {
                    "name": "CG7678",
                    "type": "synonym"
                },
                {
                    "name": "Dmel\\CG7678",
                    "type": "synonym"
                },
                {
                    "name": "Dmel_CG7678",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-4",
                    "type": "synonym"
                },
                {
                    "name": "vha100-4",
                    "type": "synonym"
                }
            ],
            "record_id": "Q9VE77-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "Q9XZ10-1",
            "uniprot_ac": "Q9XZ10",
            "uniprot_id": "Q9XZ10_DROME",
            "refseq_ac": "NP_651672",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Drosophila melanogaster",
                    "taxid": 7227,
                    "common_name": "Fruit fly",
                    "glygen_name": "Fruit fly",
                    "reference_species": "Drosophila melanogaster [7227]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "CG1709-PE",
                    "type": "synonym"
                },
                {
                    "name": "V0-ATPase a1",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-1-PE",
                    "type": "synonym"
                },
                {
                    "name": "neuron-specific V[[0]] subunit a1",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar ATPase V0, subunit a1",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase 100kD subunit 1, isoform E",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase subunit 100-1",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Vha100-1",
                    "type": "recommended"
                },
                {
                    "name": "BcDNA:LD21248",
                    "type": "synonym"
                },
                {
                    "name": "CG1709",
                    "type": "synonym"
                },
                {
                    "name": "Dmel\\CG1709",
                    "type": "synonym"
                },
                {
                    "name": "Dmel_CG1709",
                    "type": "synonym"
                },
                {
                    "name": "V0a",
                    "type": "synonym"
                },
                {
                    "name": "V0",
                    "type": "synonym"
                },
                {
                    "name": "V100-1",
                    "type": "synonym"
                },
                {
                    "name": "V100",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-1",
                    "type": "synonym"
                },
                {
                    "name": "Vha100",
                    "type": "synonym"
                },
                {
                    "name": "v0a1",
                    "type": "synonym"
                },
                {
                    "name": "v100",
                    "type": "synonym"
                },
                {
                    "name": "vha100-1",
                    "type": "synonym"
                },
                {
                    "name": "vha",
                    "type": "synonym"
                }
            ],
            "record_id": "Q9XZ10-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "Q9VE75-1",
            "uniprot_ac": "Q9VE75",
            "uniprot_id": "Q9VE75_DROME",
            "refseq_ac": "NP_650722",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Drosophila melanogaster",
                    "taxid": 7227,
                    "common_name": "Fruit fly",
                    "glygen_name": "Fruit fly",
                    "reference_species": "Drosophila melanogaster [7227]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "CG18617-PB",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-2-PB",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H + ATPase subunit 100-2",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase 100kD subunit 2, isoform B",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase subunit 100-2",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Vha100-2",
                    "type": "recommended"
                },
                {
                    "name": "BcDNA:LD21735",
                    "type": "synonym"
                },
                {
                    "name": "CG18617",
                    "type": "synonym"
                },
                {
                    "name": "CG7679",
                    "type": "synonym"
                },
                {
                    "name": "Dmel\\CG18617",
                    "type": "synonym"
                },
                {
                    "name": "Dmel_CG18617",
                    "type": "synonym"
                },
                {
                    "name": "V100-2",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-2",
                    "type": "synonym"
                },
                {
                    "name": "anon-WO0118547.296",
                    "type": "synonym"
                },
                {
                    "name": "vha100-2",
                    "type": "synonym"
                }
            ],
            "record_id": "Q9VE75-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        },
        {
            "uniprot_canonical_ac": "Q9VKF6-1",
            "uniprot_ac": "Q9VKF6",
            "uniprot_id": "Q9VKF6_DROME",
            "refseq_ac": "NP_001260388",
            "glycoprotein": "no",
            "species": [
                {
                    "name": "Drosophila melanogaster",
                    "taxid": 7227,
                    "common_name": "Fruit fly",
                    "glygen_name": "Fruit fly",
                    "reference_species": "Drosophila melanogaster [7227]"
                }
            ],
            "protein_names": [
                {
                    "name": "V-type proton ATPase subunit a",
                    "type": "recommended"
                },
                {
                    "name": "CG12602-PB",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-5-PB",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase 100kD subunit 5, isoform B",
                    "type": "synonym"
                },
                {
                    "name": "vacuolar H[+] ATPase subunit 100-5",
                    "type": "synonym"
                }
            ],
            "gene_names": [
                {
                    "name": "Vha100-5",
                    "type": "recommended"
                },
                {
                    "name": "CG12602",
                    "type": "synonym"
                },
                {
                    "name": "Dmel\\CG12602",
                    "type": "synonym"
                },
                {
                    "name": "Dmel_CG12602",
                    "type": "synonym"
                },
                {
                    "name": "Vha100-5",
                    "type": "synonym"
                },
                {
                    "name": "vha100-5",
                    "type": "synonym"
                }
            ],
            "record_id": "Q9VKF6-1",
            "evidence": [
                {
                    "id": "0061166",
                    "database": "AGR",
                    "url": "https://www.alliancegenome.org/disease/DOID:0061166"
                }
            ]
        }
    ],
    "glycans": [],
    "biomarkers": [],
    "association_flag": "1000",
    "record_id": "doid.0061166"
}
