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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
None recorded.
Value signals
[
{
"path": "/protocolSection/statusModule/startDateStruct/date",
"signal": "timeline_actualized_earlier",
"category": "timeline_actualized_earlier",
"new_type": "ACTUAL",
"old_type": "ESTIMATED",
"severity": "low",
"direction": "earlier",
"new_value": "2018-10-08",
"old_value": "2018-10-31",
"delta_days": 23,
"date_struct": "startDateStruct",
"new_precision": "day",
"old_precision": "day"
},
{
"path": "/protocolSection/statusModule/startDateStruct/type",
"signal": "milestone_realized",
"category": "milestone_realized",
"new_date": "2018-10-08",
"new_type": "ACTUAL",
"old_date": "2018-10-31",
"old_type": "ESTIMATED",
"severity": "low",
"delta_days": 23,
"date_struct": "startDateStruct"
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 19:11:00+00
Raw hash 28851965d750f0497b99714de15eec915f9da85570020d9e7142d270b57b219d Timeline Start, primary completion, and completion date movement. Triage: Medium 2 ops replace /protocolSection/statusModule/startDateStruct/date
Triage: Medium Timeline Shift Operation 3
Matched rules start_timeline_change Start date changes are operational timeline signals. replace /protocolSection/statusModule/startDateStruct/type
Triage: Medium Timeline Shift Operation 4
Matched rules start_timeline_change Start date changes are operational timeline signals. Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 1 ops add /protocolSection/contactsLocationsModule/locations
Triage: Uncategorized Uncategorized Operation 7
After
[
{
"zip": "20007",
"city": "Washington D.C.",
"state": "District of Columbia",
"status": "RECRUITING",
"country": "United States",
"contacts": [
{
"name": "Nellie Novielli, RN",
"role": "CONTACT",
"email": "noviella@georgetown.edu",
"phone": "202-784-3923"
},
{
"name": "Paula Pohlmann, MD",
"role": "PRINCIPAL_INVESTIGATOR"
}
],
"facility": "MedStar Georgetown University Hospital",
"geoPoint": {
"lat": 38.89511,
"lon": -77.03637
}
}
] 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 5
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 6
Status and stopping reason Recruitment status, termination, suspension, withdrawal, or why-stopped text. Triage: Uncategorized 1 ops replace /protocolSection/statusModule/overallStatus
Triage: Uncategorized Uncategorized Operation 2
Before
NOT_YET_RECRUITING Raw JSON Patch [
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2018-10"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/overallStatus",
"value": "RECRUITING"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/startDateStruct/date",
"value": "2018-10-08"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/startDateStruct/type",
"value": "ACTUAL"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2018-10-09"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2018-10-10"
},
{
"op": "add",
"path": "/protocolSection/contactsLocationsModule/locations",
"value": [
{
"zip": "20007",
"city": "Washington D.C.",
"state": "District of Columbia",
"status": "RECRUITING",
"country": "United States",
"contacts": [
{
"name": "Nellie Novielli, RN",
"role": "CONTACT",
"email": "noviella@georgetown.edu",
"phone": "202-784-3923"
},
{
"name": "Paula Pohlmann, MD",
"role": "PRINCIPAL_INVESTIGATOR"
}
],
"facility": "MedStar Georgetown University Hospital",
"geoPoint": {
"lat": 38.89511,
"lon": -77.03637
}
}
]
}
]