{"id":1133,"created_at":"2016-11-29T18:41:36.000-05:00","updated_at":"2016-12-03T16:38:04.000-05:00","events":{"upstream_event":{"name":"Occurrence, tophi (urate) deposition","id":1102},"downstream_event":{"name":"Occurrence, renal proximal tubular necrosis","id":1097}}}