Explore the supplied examples
Source documents, templates and results from the supplied NuExtract examples.
Claim FormTemplate → JSON
Explore the claim form source document and its supplied JSON extraction result.
Template fields document type · claim · policy · insured · loss event · damages · authorization

{
"document_type": "HEALTH INSURANCE CLAIM FORM",
"claim": {
"date_reported": "2008-06-01",
"line_of_business": "Health Insurance",
"loss_type": "Inability to work",
"loss_cause": "300.4"
},
"policy": {
"policy_number": null,
"carrier_name": "Medicare",
"policyholder_name": "DOE, JOHN S."
},
"insured": {
"Id number": "987 65 4321A",
"name": "DOE, JOHN S.",
"address": "10 Adams Street, Anytown, NJ 01234",
"phone": "9735559876"
},
"loss_event": {
"date_of_loss": "2008-06-01",
"location": "Workplace",
"description": "300.4",
"police_report_filed": null,
"police_report_number": null
},
"damages": {
"damage_description": "300.4",
"estimated_loss_amount": 475.0,
"currency": "USD",
"property_damage": false
},
"authorization": {
"signature_present": true,
"signature_date": "2008-08-08"
}
}{
"document_type": "string",
"claim": {
"date_reported": "date",
"line_of_business": "verbatim-string",
"loss_type": "verbatim-string",
"loss_cause": "verbatim-string"
},
"policy": {
"policy_number": "verbatim-string",
"carrier_name": "verbatim-string",
"policyholder_name": "verbatim-string"
},
"insured": {
"Id number": "verbatim-string",
"name": "verbatim-string",
"address": "verbatim-string",
"phone": "phone-number"
},
"loss_event": {
"date_of_loss": "date",
"location": "verbatim-string",
"description": "string",
"police_report_filed": "boolean",
"police_report_number": "verbatim-string"
},
"damages": {
"damage_description": "verbatim-string",
"estimated_loss_amount": "number",
"currency": "currency",
"property_damage": "boolean"
},
"authorization": {
"signature_present": "boolean",
"signature_date": "string"
}
}Lab ReportTemplate → JSON
Explore the lab report source document and its supplied JSON extraction result.
Template fields document type · patient · report information · lab results · abnormal findings · interpretation · follow up recommended

{
"document_type": "Laboratory Report",
"patient": {
"name": "Daniel A. Whitman",
"date_of_birth": "08/14/1982",
"sex": "M"
},
"report_information": {
"report_date": "2025-05-26T08:47:00",
"collection_date": "2025-05-24T07:15:00",
"specimen_id": "SP-052425-0715",
"ordering_physician": "Dr. Michael Reynolds",
"facility": "Northview Medical Center"
},
"lab_results": [
{
"panel": "HEMATOLOGY",
"test_name": "WBC (White Blood Cells)",
"result": "11.6",
"units": "x10^3/µL",
"reference_range": "4.0 - 10.5",
"flag": "H"
},
{
"panel": "HEMATOLOGY",
"test_name": "RBC (Red Blood Cells)",
"result": "4.72",
"units": "x10^6/µL",
"reference_range": "4.20 - 5.40",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Hemoglobin",
"result": "14.1",
"units": "g/dL",
"reference_range": "13.0 - 17.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Hematocrit",
"result": "42.3",
"units": "%",
"reference_range": "40.0 - 50.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "MCV",
"result": "89.6",
"units": "fL",
"reference_range": "80.0 - 100.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "MCH",
"result": "29.9",
"units": "pg",
"reference_range": "27.0 - 33.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "MCHC",
"result": "33.3",
"units": "g/dL",
"reference_range": "32.0 - 36.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "RDW",
"result": "13.8",
"units": "%",
"reference_range": "11.5 - 14.5",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Platelets",
"result": "233",
"units": "x10^3/µL",
"reference_range": "150 - 400",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "MPV",
"result": "9.6",
"units": "fL",
"reference_range": "7.5 - 11.5",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Neutrophils",
"result": "72.1",
"units": "%",
"reference_range": "40.0 - 70.0",
"flag": "H"
},
{
"panel": "HEMATOLOGY",
"test_name": "Lymphocytes",
"result": "18.2",
"units": "%",
"reference_range": "20.0 - 45.0",
"flag": "L"
},
{
"panel": "HEMATOLOGY",
"test_name": "Monocytes",
"result": "7.4",
"units": "%",
"reference_range": "2.0 - 10.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Eosinophils",
"result": "1.6",
"units": "%",
"reference_range": "1.0 - 6.0",
"flag": "Normal"
},
{
"panel": "HEMATOLOGY",
"test_name": "Basophils",
"result": "0.7",
"units": "%",
"reference_range": "0.0 - 1.0",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Glucose",
"result": "112",
"units": "mg/dL",
"reference_range": "70 - 99",
"flag": "H"
},
{
"panel": "CHEMISTRY",
"test_name": "BUN",
"result": "16",
"units": "mg/dL",
"reference_range": "7 - 20",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Creatinine",
"result": "0.96",
"units": "mg/dL",
"reference_range": "0.60 - 1.30",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "eGFR (CKD-EPI)",
"result": "92",
"units": "mL/min/1.73m²",
"reference_range": ">= 90",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Sodium",
"result": "138",
"units": "mmol/L",
"reference_range": "135 - 145",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Potassium",
"result": "4.2",
"units": "mmol/L",
"reference_range": "3.5 - 5.1",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Chloride",
"result": "102",
"units": "mmol/L",
"reference_range": "98 - 107",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "CO2 (Total)",
"result": "26",
"units": "mmol/L",
"reference_range": "22 - 29",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Calcium",
"result": "9.4",
"units": "mg/dL",
"reference_range": "8.6 - 10.2",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Total Protein",
"result": "7.6",
"units": "g/dL",
"reference_range": "6.0 - 8.3",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Albumin",
"result": "4.6",
"units": "g/dL",
"reference_range": "3.5 - 5.0",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Total Bilirubin",
"result": "0.9",
"units": "mg/dL",
"reference_range": "0.2 - 1.2",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "Alkaline Phosphatase",
"result": "74",
"units": "U/L",
"reference_range": "44 - 147",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "AST (SGOT)",
"result": "22",
"units": "U/L",
"reference_range": "10 - 40",
"flag": "Normal"
},
{
"panel": "CHEMISTRY",
"test_name": "ALT (SGPT)",
"result": "28",
"units": "U/L",
"reference_range": "7 - 56",
"flag": "Normal"
},
{
"panel": "LIPID PANEL (Fasting)",
"test_name": "Cholesterol, Total",
"result": "226",
"units": "mg/dL",
"reference_range": "< 200",
"flag": "H"
},
{
"panel": "LIPID PANEL (Fasting)",
"test_name": "Triglycerides",
"result": "154",
"units": "mg/dL",
"reference_range": "< 150",
"flag": "H"
},
{
"panel": "LIPID PANEL (Fasting)",
"test_name": "HDL Cholesterol",
"result": "36",
"units": "mg/dL",
"reference_range": ">= 40",
"flag": "L"
},
{
"panel": "LIPID PANEL (Fasting)",
"test_name": "LDL Cholesterol (Calculated)",
"result": "159",
"units": "mg/dL",
"reference_range": "< 130",
"flag": "H"
},
{
"panel": "LIPID PANEL (Fasting)",
"test_name": "Non-HDL Cholesterol",
"result": "190",
"units": "mg/dL",
"reference_range": "< 160",
"flag": "H"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Color",
"result": "Yellow",
"units": null,
"reference_range": "Yellow",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Appearance",
"result": "Clear",
"units": null,
"reference_range": "Clear",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Specific Gravity",
"result": "1.026",
"units": null,
"reference_range": "1.005 - 1.030",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "pH",
"result": "6.0",
"units": null,
"reference_range": "5.0 - 8.0",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Protein",
"result": "Negative",
"units": "mg/dL",
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Glucose",
"result": "Negative",
"units": "mg/dL",
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Ketones",
"result": "Negative",
"units": "mg/dL",
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Blood",
"result": "Negative",
"units": "RBC/µL",
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Bilirubin",
"result": "Negative",
"units": "mg/dL",
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Urobilinogen",
"result": "0.2",
"units": "EU/dL",
"reference_range": "0.2 - 1.0",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Nitrite",
"result": "Negative",
"units": null,
"reference_range": "Negative",
"flag": "Normal"
},
{
"panel": "URINALYSIS (Chemical)",
"test_name": "Leukocyte Esterase",
"result": "Trace",
"units": "WBC/µL",
"reference_range": "Negative",
"flag": "A"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "WBC",
"result": "3-5",
"units": "/HPF",
"reference_range": "0 - 5",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "RBC",
"result": "0-1",
"units": "/HPF",
"reference_range": "0 - 2",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "Epithelial Cells",
"result": "0-2",
"units": "/HPF",
"reference_range": "0 - 5",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "Bacteria",
"result": "None Seen",
"units": "/HPF",
"reference_range": "None Seen",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "Casts",
"result": "None Seen",
"units": "/LPF",
"reference_range": "None Seen",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "Crystals",
"result": "None Seen",
"units": "/HPF",
"reference_range": "None Seen",
"flag": "Normal"
},
{
"panel": "URINE MICROSCOPIC",
"test_name": "Mucus",
"result": "Few",
"units": "/HPF",
"reference_range": "Few",
"flag": "Normal"
},
{
"panel": "THYROID PROFILE",
"test_name": "TSH",
"result": "5.21",
"units": "µIU/mL",
"reference_range": "0.40 - 4.20",
"flag": "H"
},
{
"panel": "THYROID PROFILE",
"test_name": "Free T4",
"result": "0.92",
"units": "ng/dL",
"reference_range": "0.80 - 1.80",
"flag": "Normal"
},
{
"panel": "THYROID PROFILE",
"test_name": "Free T3",
"result": "2.8",
"units": "pg/mL",
"reference_range": "2.3 - 4.2",
"flag": "Normal"
},
{
"panel": "IRON STUDIES",
"test_name": "Iron",
"result": "78",
"units": "µg/dL",
"reference_range": "60 - 170",
"flag": "Normal"
},
{
"panel": "IRON STUDIES",
"test_name": "TIBC",
"result": "312",
"units": "µg/dL",
"reference_range": "250 - 450",
"flag": "Normal"
},
{
"panel": "IRON STUDIES",
"test_name": "Transferrin Saturation",
"result": "25",
"units": "%",
"reference_range": "20 - 50",
"flag": "Normal"
},
{
"panel": "IRON STUDIES",
"test_name": "Ferritin",
"result": "86",
"units": "ng/mL",
"reference_range": "30 - 400",
"flag": "Normal"
}
],
"abnormal_findings": [
{
"test_name": "WBC (White Blood Cells)",
"result": "11.6",
"flag": "H",
"clinical_relevance": "Slightly elevated WBC with neutrophilia."
},
{
"test_name": "Neutrophils",
"result": "72.1",
"flag": "H",
"clinical_relevance": "Slightly elevated WBC with neutrophilia."
},
{
"test_name": "Lymphocytes",
"result": "18.2",
"flag": "L",
"clinical_relevance": null
},
{
"test_name": "Glucose",
"result": "112",
"flag": "H",
"clinical_relevance": null
},
{
"test_name": "Cholesterol, Total",
"result": "226",
"flag": "H",
"clinical_relevance": "Lipid panel shows elevated total cholesterol and LDL with low HDL."
},
{
"test_name": "Triglycerides",
"result": "154",
"flag": "H",
"clinical_relevance": null
},
{
"test_name": "HDL Cholesterol",
"result": "36",
"flag": "L",
"clinical_relevance": "Lipid panel shows elevated total cholesterol and LDL with low HDL."
},
{
"test_name": "LDL Cholesterol (Calculated)",
"result": "159",
"flag": "H",
"clinical_relevance": "Lipid panel shows elevated total cholesterol and LDL with low HDL."
},
{
"test_name": "Non-HDL Cholesterol",
"result": "190",
"flag": "H",
"clinical_relevance": null
},
{
"test_name": "Leukocyte Esterase",
"result": "Trace",
"flag": "A",
"clinical_relevance": null
},
{
"test_name": "TSH",
"result": "5.21",
"flag": "H",
"clinical_relevance": null
}
],
"interpretation": "Slightly elevated WBC with neutrophilia. Lipid panel shows elevated total cholesterol and LDL with low HDL. Correlate clinically.",
"follow_up_recommended": true
}{
"document_type": "string",
"patient": {
"name": "verbatim-string",
"date_of_birth": "verbatim-string",
"sex": [
"M",
"F",
"Other"
]
},
"report_information": {
"report_date": "date-time",
"collection_date": "date-time",
"specimen_id": "verbatim-string",
"ordering_physician": "verbatim-string",
"facility": "verbatim-string"
},
"lab_results": [
{
"panel": "verbatim-string",
"test_name": "verbatim-string",
"result": "verbatim-string",
"units": "verbatim-string",
"reference_range": "verbatim-string",
"flag": [
"H",
"L",
"A",
"Critical",
"Normal"
]
}
],
"abnormal_findings": [
{
"test_name": "verbatim-string",
"result": "verbatim-string",
"flag": [
"H",
"L",
"A",
"Critical"
],
"clinical_relevance": "verbatim-string"
}
],
"interpretation": "verbatim-string",
"follow_up_recommended": "boolean"
}Mixed LayoutOCR → Markdown
Explore the mixed layout source document and its supplied OCR Markdown result.

SUMMIT INDUSTRIAL SYSTEMS
1847 North Harbor Avenue, Suite 410
Milwaukee, WI 53202, United States
Phone: +1 (414) 555-0276
Email: documents@summitindsys.com
Vendor ID: SIS-44-02918
| Document Ref | SD-2406-1187 |
|---|---|
| Issue Date | June 03, 2024 |
| Account Code | AC-77841 |
| Currency | USD |
| Terms | Net 21 |
| PO Reference | PO-90413 |
| Logged | June 07, 2024 |
MATERIAL REGISTER — SECTION A
| Item Code | Description | Amount (USD) |
|---|---|---|
| 3101 | Nitrile gloves, powder-free, box of 100 | $82.00 |
| 3102 | Safety goggles, anti-fog, clear lens | $126.40 |
| 3103 | Absorbent pads, industrial grade, pack of 50 | $174.00 |
| 3104 | Caution cones, reflective, 28 in | $268.50 |
| 3105 | Lockout tags, weatherproof, set of 25 | $61.25 |
| 3106 | Cable markers, heat resistant, assorted set | $94.80 |
| 3107 | Utility blades, heavy duty, pack of 100 | $58.00 |
| 3108 | Hand cleaner, citrus formula, 4 L | $72.90 |
| 3109 | Floor degreaser concentrate, 5 gal | $188.40 |
| 3110 | Disposable coveralls, XL, case of 25 | $241.75 |
| 3111 | Respirator cartridges, organic vapor pair | $153.60 |
| 3112 | Barrier chain, yellow-black, 25 m reel | $87.50 |
| 3113 | Extension leads, 12/3 industrial, 50 ft | $219.30 |
| 3114 | Steel toe overshoes, universal fit | $133.20 |
| 3115 | Inspection flashlight, magnetic base | $104.85 |
| 3116 | Spill socks, absorbent, case of 12 | $166.40 |
| 3117 | Warehouse labels, laminated, roll of 500 | $49.60 |
| 3118 | Dust masks, fold-flat, box of 50 | $63.90 |
| 3119 | First aid refill modules, standard kit | $145.00 |
| 3120 | Hand truck wheels, non-marking pair | $96.30 |
| 3121 | Stretch wrap, 80 gauge, case of 4 | $112.80 |
| 3122 | Packing list envelopes, carton of 1000 | $54.70 |
| Item Code | Description | Amount (USD) |
|---|---|---|
| 3123 | Shelf bin labels, removable adhesive | $38.50 |
| 3124 | Anti-slip matting, black, 6 m roll | $129.40 |
| 3125 | Forklift checklist books, duplicate format | $44.10 |
| 3126 | Paint marker set, white and yellow | $51.60 |
| 3127 | Rechargeable work light, slim profile | $118.90 |
| 3128 | Pallet corner boards, 48 in, bundle | $69.20 |
| 3129 | Tamper seals, numbered, pack of 500 | $77.75 |
| 3130 | Warehouse brooms, 24 in push type | $92.00 |
| 3131 | Sanitizing wipes, canister carton | $86.40 |
Remittance Details
Summit Industrial Systems
Northern Trust Bank
Account No.: 902771540
Routing No.: 071000088
SWIFT: CNORUS44
RECEIVED stamp
JUN 07 2024
## SUMMIT INDUSTRIAL SYSTEMS
1847 North Harbor Avenue, Suite 410
Milwaukee, WI 53202, United States
Phone: +1 (414) 555-0276
Email: documents@summitindsys.com
Vendor ID: SIS-44-02918
| Document Ref | SD-2406-1187 |
|---|---|
| Issue Date | June 03, 2024 |
| Account Code | AC-77841 |
| Currency | USD |
| Terms | Net 21 |
| PO Reference | PO-90413 |
| Logged | June 07, 2024 |
### MATERIAL REGISTER — SECTION A
| Item Code | Description | Amount (USD) |
|---|---|---|
| 3101 | Nitrile gloves, powder-free, box of 100 | $82.00 |
| 3102 | Safety goggles, anti-fog, clear lens | $126.40 |
| 3103 | Absorbent pads, industrial grade, pack of 50 | $174.00 |
| 3104 | Caution cones, reflective, 28 in | $268.50 |
| 3105 | Lockout tags, weatherproof, set of 25 | $61.25 |
| 3106 | Cable markers, heat resistant, assorted set | $94.80 |
| 3107 | Utility blades, heavy duty, pack of 100 | $58.00 |
| 3108 | Hand cleaner, citrus formula, 4 L | $72.90 |
| 3109 | Floor degreaser concentrate, 5 gal | $188.40 |
| 3110 | Disposable coveralls, XL, case of 25 | $241.75 |
| 3111 | Respirator cartridges, organic vapor pair | $153.60 |
| 3112 | Barrier chain, yellow-black, 25 m reel | $87.50 |
| 3113 | Extension leads, 12/3 industrial, 50 ft | $219.30 |
| 3114 | Steel toe overshoes, universal fit | $133.20 |
| 3115 | Inspection flashlight, magnetic base | $104.85 |
| 3116 | Spill socks, absorbent, case of 12 | $166.40 |
| 3117 | Warehouse labels, laminated, roll of 500 | $49.60 |
| 3118 | Dust masks, fold-flat, box of 50 | $63.90 |
| 3119 | First aid refill modules, standard kit | $145.00 |
| 3120 | Hand truck wheels, non-marking pair | $96.30 |
| 3121 | Stretch wrap, 80 gauge, case of 4 | $112.80 |
| 3122 | Packing list envelopes, carton of 1000 | $54.70 |
| Item Code | Description | Amount (USD) |
|---|---|---|
| 3123 | Shelf bin labels, removable adhesive | $38.50 |
| 3124 | Anti-slip matting, black, 6 m roll | $129.40 |
| 3125 | Forklift checklist books, duplicate format | $44.10 |
| 3126 | Paint marker set, white and yellow | $51.60 |
| 3127 | Rechargeable work light, slim profile | $118.90 |
| 3128 | Pallet corner boards, 48 in, bundle | $69.20 |
| 3129 | Tamper seals, numbered, pack of 500 | $77.75 |
| 3130 | Warehouse brooms, 24 in push type | $92.00 |
| 3131 | Sanitizing wipes, canister carton | $86.40 |
Remittance Details
Summit Industrial Systems
Northern Trust Bank
Account No.: 902771540
Routing No.: 071000088
SWIFT: CNORUS44
RECEIVED stamp
JUN 07 2024From a document to your project
- Create a project. Set up a workspace for your extraction task.
- Define the template. Name the fields and choose their types. The template can include nested objects and lists.
- Add examples. Use document and output pairs in the project’s Example Set.
- Run in the Playground. Upload a document to see the extraction result.
- Connect your application. Find the project ID and integration details in the API tab.
Learn more: NuExtract user guide.
Product documentation
Learn more: NuExtract user guide, NuExtract3 model card, NuExtract3 release.