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Drain sites leave small marks.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"A single operation under one hospital admission."},"stages":[{"code":"valve_replacement_surgery","label":"Valve replacement operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage surgery; follow-up checks are not counted as treatment sessions."},"success":{"metric":"Survival at 5 years after isolated surgical valve replacement","value":85,"unit":"percent","horizon":"5 years","population":"Adults with isolated aortic or mitral valve replacement, elective, without major comorbidity","evidence_status":"limited"},"techniques":[{"name":"Conventional open surgical valve replacement (median sternotomy)","suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","suits_whom":"Selected patients with suitable anatomy at experienced centers.","recovery":"May allow somewhat shorter recovery and smaller scar."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Operating time for one isolated valve replacement on cardiopulmonary bypass; excludes anesthesia preparation and ICU recovery."},"initial_assessment_documents":["Recent echocardiogram report","Cardiologist report with valve diagnosis","Coronary angiography or cardiac CT report","Recent ECG report","Current medication list including anticoagulants","Recent blood test results including INR and creatinine"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 2-3 weeks including 5-10 hospital nights and early check before flying. Later follow-up done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check how much experience the surgeon has treating your specific heart valve condition","scope":"procedure","source":{"url":"https://renaissance.stonybrookmedicine.edu/node/14676","host":"renaissance.stonybrookmedicine.edu","quote":"How much experience does the surgeon have in treating their specific condition?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you can put your treatment questions to the medical team","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check whether facilities and healthcare professionals abroad hold accreditation or certification","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C5","text":"Understand the possible complications and side effects of the treatment before going ahead","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how your aftercare will be coordinated once you are home","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers, before booking","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don't be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"An advert or information promising complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Sharp chest pain","urgency":"emergency","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"you have sudden breathlessness, sharp chest pain (this may be worse when you breathe in)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Heart palpitations are a sign to","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"heart palpitations (where your heartbeat becomes more noticeable)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Bleeding or pus from the wound","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/tests-and-treatments/heart-valve-replacement/complications/","host":"nhs.uk","quote":"bleeding or pus from your wound","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Explains your medicines so your home doctor can continue them","document":"letter about your medicines","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"you will be given a letter about your medicines and a copy will be sent to your GP.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Sets out regular follow-up blood tests your home doctor needs to arrange","document":"blood test arrangements (warfarin)","source":{"url":"https://guysandstthomas.nhs.uk/health-information/heart-surgery-and-what-expect/discharge-hospital","host":"guysandstthomas.nhs.uk","quote":"If you take warfarin you will receive information and arrangements for follow-up blood tests with your GP or local clinic, which you will need to have regularly.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"conventional-open-surgical","name":"Conventional open surgical valve replacement (median sternotomy)","how_it_works":{"text":"The surgeon opens the chest to reach the heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"text":"The surgeon works through small cuts between the 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heart","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Open-heart surgery (also called traditional heart surgery) is when the surgeon cuts the chest open to reach the heart.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most adults needing aortic or mitral valve replacement, especially with complex disease or combined procedures.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Hospital stay about 5-10 nights; return to usual activity over about 6-12 weeks."},{"id":"minimally-invasive-surgical","name":"Minimally invasive surgical replacement (mini-sternotomy or thoracotomy)","how_it_works":{"id":"H1","text":"The surgeon works through small cuts between the ribs","source":{"url":"https://medlineplus.gov/heartsurgery.html","host":"medlineplus.gov","quote":"Minimally invasive heart surgery uses small cuts between the ribs.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":2,"max":4,"unit":"weeks","label":"2–4 weeks","source":{"url":"https://my.clevelandclinic.org/health/treatments/17233-minimally-invasive-heart-surgery","host":"my.clevelandclinic.org","quote":"Most people return to their usual activities within two to four weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"suits_whom":"Selected patients with suitable anatomy at experienced centers.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"May allow somewhat shorter recovery and smaller scar."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your valve is suitable for repair rather than replacement","name":"Heart valve repair surgery","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"So, when repair is possible, it's preferred over valve replacement.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"Your symptoms can be controlled with medicine for now","name":"Medicines for heart valve disease","source":{"url":"https://medlineplus.gov/heartvalvediseases.html","host":"medlineplus.gov","quote":"Medicines to control your symptoms and keep your heart pumping well","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"uk","volatile":true,"text":"UK passport holders can travel to Italy without a visa for up to 90 days in any 180-day period","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"You can travel without a visa to the Schengen area , which includes Italy, for up to 90 days in any 180-day period.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"visa","audience":"us","volatile":true,"text":"U.S. citizens may enter Italy without a visa for up to 90 days for tourist or business purposes","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"U.S. citizens may enter Italy for up to 90 days for tourist or business purposes without a visa.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must expire at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V4","item":"passport_validity","audience":"us","volatile":true,"text":"A U.S. passport must be valid for at least 3 months beyond the period of stay in Italy","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Your passport must be valid for at least 3 months beyond the period of stay.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"medicines","audience":"all","volatile":false,"text":"Foreigners may bring personal medications for 30 days into Italy; bringing a copy of the prescription is recommended","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"According to the Ministry of Health, foreigners entering Italy are allowed to bring personal medications for a period of 30 days, but it is recommended that travelers also bring a copy of their prescription with them.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"A UK GHIC or EHIC is needed to get medically necessary state healthcare in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Italy, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals in Italy usually require advance payment or proof of adequate insurance before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Italy.html","host":"travel.state.gov","quote":"Private hospitals usually require advance payment or proof of adequate insurance before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 118 and ask for an ambulance in Italy","source":{"url":"https://www.gov.uk/foreign-travel-advice/italy/health","host":"gov.uk","quote":"Dial 118 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["albania","azerbaijan","china","colombia","cyprus","czech-republic","dominican-republic","germany","greece","india","israel","japan","kazakhstan","lithuania","mexico","poland","republic-of-korea","romania","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates","united-kingdom","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.72,"count":145,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Heart valve replacement in Italy typically costs from _op_2_price_from_ to _op_2_price_to_. The final price depends on the surgical approach, valve type, and clinic location. In the US, similar procedures cost around _price_compare_US_average_ on average. Patients save around _price_percent_discount_% compared to the US. Inclusions often cover the surgical procedure, pre-operative evaluation, and intensive care stays.</p>\n\n<ul>\n<li><strong>Replacement of the aortic valve:</strong> _op_795_price_from_ to _op_795_price_to_.</li>\n<li><strong>Transcatheter aortic valve implantation (TAVI):</strong> _op_724_price_from_ to _op_724_price_to_ for minimally invasive replacement.</li>\n<li><strong>Valvuloplasty:</strong> _op_1306_price_from_ to _op_1306_price_to_ to repair a narrowed heart valve.</li>\n<li><strong>Technique premium:</strong> Robotic-assisted or minimally invasive techniques typically add 20-30% to the total cost.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Milan and Rome are the primary hubs for heart surgery in Italy. Choosing Milan offers access to high-volume centers like San Donato Hospital. It performs over 9,400 heart operations annually and is accredited by IRCCS. For mitral issues, San Raffaele is a top choice. Dr. Ottavio Alfieri developed the world-renowned Alfieri Mitral Repair technique there.</p>","faq":[{"q":"What recent trends have characterized heart valve interventions in Italian hospitals?","a":"<p>Italian heart valve interventions focus on transcatheter techniques and minimally invasive surgery at centralized high-volume centers. Key trends include a 53.3% rise in aortic procedures, increased center volumes for TAVI, and improved survival rates despite treating older patients with complex conditions.</p> <ul> <li><strong>Procedure volume:</strong> Aortic interventions increased 53.3% while mitral valve procedures grew by 29.5%.</li> <li><strong>Expertise centralization:</strong> Center volumes for TAVI rose from 185 to 218 annual procedures.</li> <li><strong>Technique shift:</strong> Broad adoption of percutaneous Alfieri Mitral Repair and transcatheter aortic valve implantation.</li> <li><strong>Clinical outcomes:</strong> Significant reductions in 1-year mortality and rehospitalization rates for heart failure.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian cardiac care shows a clear concentration of expertise in Milan. Maria Cecilia Hospital handles 15% of national cardiac surgeries alone. San Donato Hospital performs over 9,400 heart operations annually. Patients benefit from this high volume as low-exposure operators are becoming less common.</p> <p><strong>Patient Consensus:</strong> Patients report that tertiary centers manage complex Ross operations and urgent cases with high speed. Recovery often involves unexpected fatigue and audible clicking from mechanical valves that requires lifelong anticoagulation management.</p>"},{"q":"What factors influence the overall cost of a heart valve procedure in Italy?","a":"<p>Heart valve procedure costs in Italy depend on the surgical technique, valve type, and hospital choice. Minimally invasive methods like TAVI often cost more due to specialized technology. Prices range from _op_2_price_from_ to _op_2_price_to_, offering _price_percent_discount_% savings compared to United States averages.</p> <ul> <li><strong>Surgical approach:</strong> Percutaneous TAVI ranges from _op_724_price_from_ to _op_724_price_to_, exceeding traditional surgical costs.</li> <li><strong>Valve material:</strong> Biological tissue valves generally shift pricing higher than standard mechanical valve alternatives.</li> <li><strong>Clinical setting:</strong> Private facility fees in Milan or Rome vary based on hospital prestige.</li> <li><strong>Service inclusions:</strong> Total expenses scale with ICU duration, pre-operative angiograms, and post-surgical rehabilitation needs.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Milan serves as a primary hub for cardiac innovation. Maria Cecilia Hospital handles 15% of Italy’s heart surgeries. Meanwhile, San Donato Hospital performs over 9,400 cardiovascular operations annually. Choosing these high-capacity centers often ensures access to specialized techniques like the Alfieri Mitral Repair at San Raffaele.</p> <p><strong>Patient Consensus:</strong> Patients emphasize requesting itemized quotes to account for daily hospital supply fees and monitoring charges. Many highlight that private care offers superior organization and immediate access to top-tier masters of cardiac surgery.</p>"},{"q":"How can a patient find qualified cardiac surgeons or book a consultation in Italy?","a":"<p>Patients can find qualified Italian cardiac surgeons through the Italian Society of Cardiac Surgery directory or international platforms like Bookimed. Prominent specialists work at Newsweek-ranked centers like San Donato and San Raffaele in Milan, which combine advanced clinical research with high surgical success rates.</p> <ul> <li><strong>Specialized centers:</strong> Milan hosts top-tier facilities like San Donato, performing 9,400 cardiovascular operations annually.</li> <li><strong>Surgeon credentials:</strong> Look for inventors of techniques, such as the Alfieri Mitral Repair at San Raffaele.</li> <li><strong>Booking pathways:</strong> Access care privately through hospital solventi offices or via regional CUP booking systems.</li> <li><strong>Expertise volume:</strong> Leading clinics like Maria Cecilia Hospital handle 15% of all Italian cardiac surgeries.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Italian cardiac excellence is concentrated in Milan and Rome, where specialists like Dr. Giuseppe Speziale and Dr. Ottavio Alfieri hold major leadership roles. While public wait times exist, private consultations at centers with IRCCS research accreditation provide faster access to surgeons who have performed over 15,000 procedures.</p> <p><strong>Patient Consensus:</strong> Patients recommend sending imaging CDs ahead of appointments and prioritizing surgeons who clearly explain repair versus replacement strategies. Prompt communication and detailed medical history preparation are essential for coordinating complex heart surgeries across borders.</p>"}],"h2":[{"text":"Как это работает","kind":"content"},{"text":"Какая цена замены сердечного клапана в Италии?","kind":"content"},{"text":"Лучшие клиники по замене сердечного клапана в Италии — 6 проверенных вариантов с ценами","kind":"content"},{"text":"Обзор процедуры Замена сердечного клапана в Италии","kind":"content"},{"text":"Получите медицинскую консультацию по замене сердечного клапана в Италии: Выбирайте среди лучших специалистов в этой области","kind":"content"},{"text":"Видеоистории пациентов Bookimed","kind":"content"},{"text":"Отзывы о Bookimed: узнайте о реальном опыте пациентов","kind":"content"},{"text":"Поделитесь этим материалом","kind":"content"},{"text":"FAQ по замене сердечного клапана в Италии","kind":"content"},{"text":"Получить бесплатную консультацию","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}