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Severity is deterministic uncalibrated triage metadata, not validated review priority. Operation-level severity
is inferred from deterministic path rules. Rule matches shown per operation are approximate previews (they skip
the pipeline's suppression passes); the authoritative classification is the stored
event record.
Plain-language summary
Manual review pending.
Rules fired
arms_or_interventions_changeprimary_outcome_any_changesecondary_outcome_any_change
Value signals
[
{
"path": "/protocolSection/statusModule/primaryCompletionDateStruct",
"reason": "date_unparsed_or_missing",
"signal": "timeline_shift",
"category": "timeline_shift",
"new_type": "ACTUAL",
"old_type": null,
"severity": "medium",
"direction": "unknown",
"new_value": "2002-07",
"old_value": null,
"date_struct": "primaryCompletionDateStruct"
},
{
"path": "/protocolSection/statusModule/completionDateStruct",
"reason": "date_unparsed_or_missing",
"signal": "timeline_shift",
"category": "timeline_shift",
"new_type": "ESTIMATED",
"old_type": null,
"severity": "medium",
"direction": "unknown",
"new_value": "2008-07",
"old_value": null,
"date_struct": "completionDateStruct"
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 19:10:53+00
Raw hash 5b2884eb9317491c96a987a7789679693201828d60bd0baafd698dc4342f22d2 Primary outcomes Outcome measures that define the trial's primary evidence target. Triage: Critical 1 ops add /protocolSection/outcomesModule/primaryOutcomes/0/timeFrame
Triage: Critical Primary Outcome Change Operation 9
Matched rules primary_outcome_any_change Any add/remove/replace under primary outcome measures is critical review priority. Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 2 ops add /protocolSection/designModule/enrollmentInfo/type
Triage: Uncategorized Uncategorized Operation 7
add /protocolSection/armsInterventionsModule/interventions/0/description
Triage: High Arm Intervention Change Operation 8
Matched rules arms_or_interventions_change Arms or interventions changes can alter treatment/comparator structure. After
Wide excision of DCIS and a minimum of 1cm histologically negatic breast tissue Secondary outcomes Additional endpoints and outcome descriptions. Triage: High 1 ops add /protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame
Triage: High Secondary Outcome Change Operation 10
Matched rules secondary_outcome_any_change Any add/remove/replace under secondary outcome measures is high review priority. Timeline Start, primary completion, and completion date movement. Triage: Medium 2 ops add /protocolSection/statusModule/primaryCompletionDateStruct
Triage: Medium Timeline Shift Operation 4
Matched rules primary_completion_timeline_change Primary completion date changes are operational timeline signals. After
{
"date": "2002-07",
"type": "ACTUAL"
} add /protocolSection/statusModule/completionDateStruct
Triage: Medium Timeline Shift Operation 5
Matched rules completion_timeline_change Completion date changes are operational timeline signals. After
{
"date": "2008-07",
"type": "ESTIMATED"
} Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 1
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 2
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 3
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 1 ops add /protocolSection/sponsorCollaboratorsModule/responsibleParty
Triage: Uncategorized Uncategorized Operation 6
After
{
"oldNameTitle": "Julia Wong, MD",
"oldOrganization": "Dana-Farber Cancer Institute/Brigham and Women's Hospital"
} Raw JSON Patch [
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2007-12"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2007-12-22"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2007-12-28"
},
{
"op": "add",
"path": "/protocolSection/statusModule/primaryCompletionDateStruct",
"value": {
"date": "2002-07",
"type": "ACTUAL"
}
},
{
"op": "add",
"path": "/protocolSection/statusModule/completionDateStruct",
"value": {
"date": "2008-07",
"type": "ESTIMATED"
}
},
{
"op": "add",
"path": "/protocolSection/sponsorCollaboratorsModule/responsibleParty",
"value": {
"oldNameTitle": "Julia Wong, MD",
"oldOrganization": "Dana-Farber Cancer Institute/Brigham and Women's Hospital"
}
},
{
"op": "add",
"path": "/protocolSection/designModule/enrollmentInfo/type",
"value": "ACTUAL"
},
{
"op": "add",
"path": "/protocolSection/armsInterventionsModule/interventions/0/description",
"value": "Wide excision of DCIS and a minimum of 1cm histologically negatic breast tissue"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/primaryOutcomes/0/timeFrame",
"value": "TBD-survivorship"
},
{
"op": "add",
"path": "/protocolSection/outcomesModule/secondaryOutcomes/0/timeFrame",
"value": "TBD-survivorship"
}
]