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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
enrollment_count_change
Value signals
[
{
"path": "/protocolSection/statusModule/completionDateStruct/date",
"signal": "timeline_actualized_earlier",
"category": "timeline_actualized_earlier",
"new_type": "ACTUAL",
"old_type": "ESTIMATED",
"severity": "low",
"direction": "earlier",
"new_value": "2025-11-07",
"old_value": "2025-12-31",
"delta_days": 54,
"date_struct": "completionDateStruct",
"new_precision": "day",
"old_precision": "day"
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 18:59:05+00
Raw hash fc82ed702f5b80531533f609eb9b0844583246937146ef2ed6ea3bf5edd18a02 Design Trial model, phase, allocation, masking, arms, or interventions. Triage: High 1 ops replace /protocolSection/designModule/enrollmentInfo/count
Triage: High Enrollment Change Operation 9
Matched rules enrollment_count_change Enrollment count changes can signal scope or feasibility shifts. Timeline Start, primary completion, and completion date movement. Triage: Medium 2 ops replace /protocolSection/statusModule/completionDateStruct/date
Triage: Medium Timeline Shift Operation 5
Matched rules completion_timeline_change Completion date changes are operational timeline signals. replace /protocolSection/statusModule/completionDateStruct/type
Triage: Medium Timeline Shift Operation 6
Matched rules completion_timeline_change Completion date changes are operational timeline signals. Contacts and locations Site, contact, and location updates that are usually operational. Triage: Uncategorized 1 ops replace /protocolSection/contactsLocationsModule/locations/25/facility
Triage: Uncategorized Uncategorized Operation 10
Before
Aga Khan University Hospital After
The Aga Khan University-Kenya. Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 3
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 7
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 8
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 2 ops replace /protocolSection/identificationModule/secondaryIdInfos/1/type
Triage: Uncategorized Uncategorized Operation 1
remove /protocolSection/identificationModule/secondaryIdInfos/1/domain
Triage: Uncategorized Uncategorized Operation 2
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 4
Before
ACTIVE_NOT_RECRUITING Raw JSON Patch [
{
"op": "replace",
"path": "/protocolSection/identificationModule/secondaryIdInfos/1/type",
"value": "CTIS"
},
{
"op": "remove",
"path": "/protocolSection/identificationModule/secondaryIdInfos/1/domain"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2025-11"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/overallStatus",
"value": "COMPLETED"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/date",
"value": "2025-11-07"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/completionDateStruct/type",
"value": "ACTUAL"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2025-11-10"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2025-11-12"
},
{
"op": "replace",
"path": "/protocolSection/designModule/enrollmentInfo/count",
"value": 346
},
{
"op": "replace",
"path": "/protocolSection/contactsLocationsModule/locations/25/facility",
"value": "The Aga Khan University-Kenya."
}
]