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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_shift",
"category": "timeline_shift",
"new_type": "ESTIMATED",
"old_type": "ESTIMATED",
"severity": "medium",
"direction": "later",
"new_value": "2023-01",
"old_value": "2022-12",
"delta_days": 31,
"date_struct": "startDateStruct",
"new_precision": "month",
"old_precision": "month"
}
] Provenance
Source ctgov_internal_history
Fetched 2026-06-18 19:11:36+00
Raw hash 8189c3e586d2d95cac7ce0eabddba0d0a7b87b1352f8cbe63160e7820ef9461c Timeline Start, primary completion, and completion date movement. Triage: Medium 1 ops replace /protocolSection/statusModule/startDateStruct/date
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": "63110",
"city": "St Louis",
"state": "Missouri",
"status": "RECRUITING",
"country": "United States",
"facility": "Clinical Trial Site",
"geoPoint": {
"lat": 38.62727,
"lon": -90.19789
}
}
] Other registry fields Changes outside the current high-signal rule families. Triage: Uncategorized 3 ops replace /protocolSection/statusModule/statusVerifiedDate
Triage: Uncategorized Uncategorized Operation 2
replace /protocolSection/statusModule/lastUpdateSubmitDate
Triage: Uncategorized Uncategorized Operation 5
replace /protocolSection/statusModule/lastUpdatePostDateStruct/date
Triage: Uncategorized Uncategorized Operation 6
Sponsor and administrative fields Sponsor, collaborator, oversight, or registry maintenance changes. Triage: Uncategorized 1 ops add /protocolSection/identificationModule/secondaryIdInfos
Triage: Uncategorized Uncategorized Operation 1
After
[
{
"id": "C4891025",
"type": "OTHER",
"domain": "Pfizer"
}
] 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 3
Before
NOT_YET_RECRUITING Raw JSON Patch [
{
"op": "add",
"path": "/protocolSection/identificationModule/secondaryIdInfos",
"value": [
{
"id": "C4891025",
"type": "OTHER",
"domain": "Pfizer"
}
]
},
{
"op": "replace",
"path": "/protocolSection/statusModule/statusVerifiedDate",
"value": "2023-01"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/overallStatus",
"value": "RECRUITING"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/startDateStruct/date",
"value": "2023-01"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdateSubmitDate",
"value": "2023-01-26"
},
{
"op": "replace",
"path": "/protocolSection/statusModule/lastUpdatePostDateStruct/date",
"value": "2023-01-27"
},
{
"op": "add",
"path": "/protocolSection/contactsLocationsModule/locations",
"value": [
{
"zip": "63110",
"city": "St Louis",
"state": "Missouri",
"status": "RECRUITING",
"country": "United States",
"facility": "Clinical Trial Site",
"geoPoint": {
"lat": 38.62727,
"lon": -90.19789
}
}
]
}
]