{
  "ud_version": "0.1.0",
  "state": "UDR",
  "metadata": {
    "id": "c3d5ad45-357a-45d9-b777-8f210b5856a6",
    "title": "Trial Provenance Pack — NCT03694015",
    "created_at": "2026-09-21T15:03:37.778Z",
    "updated_at": "2026-09-21T15:03:37.792Z",
    "created_by": "UD Trial Provenance local build",
    "revoked": false,
    "document_type": "clinical-trial-provenance-pack",
    "tags": [
      "clinical-trial",
      "provenance",
      "NCT03694015"
    ]
  },
  "manifest": {
    "base_language": "en",
    "language_manifest": [
      {
        "code": "en",
        "label": "English",
        "direction": "ltr"
      }
    ],
    "clarity_layer_manifest": [],
    "permissions": {
      "allow_copy": true,
      "allow_print": true,
      "allow_export": true,
      "require_auth": false
    }
  },
  "blocks": [
    {
      "id": "heading-6870d695-39f0-48c5-bace-0b97aefbe154",
      "type": "heading",
      "base_content": {
        "text": "Trial identity",
        "level": 2
      }
    },
    {
      "id": "paragraph-41367d97-9ad5-46aa-882a-090d8917eaad",
      "type": "paragraph",
      "base_content": {
        "text": "NCT03694015 · SUPR-3D: Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases"
      }
    },
    {
      "id": "paragraph-ed93962c-b101-4df3-8a0a-4f01d3c480a0",
      "type": "paragraph",
      "base_content": {
        "text": "Registry status: TERMINATED"
      }
    },
    {
      "id": "paragraph-533df661-c33f-4eaf-aca7-d54e67126441",
      "type": "paragraph",
      "base_content": {
        "text": "Sources retrieved: 2"
      }
    },
    {
      "id": "heading-9dbc4266-38ee-4263-aed5-ed6477348aad",
      "type": "heading",
      "base_content": {
        "text": "What this pack proves",
        "level": 2
      }
    },
    {
      "id": "paragraph-544a188a-c191-4d1b-8cc4-36e2dc1917d6",
      "type": "paragraph",
      "base_content": {
        "text": "The manifest commits to the source observations and claim ledger stored in this pack. It does not prove that an external source is scientifically true."
      }
    }
  ],
  "provenance": {
    "current_version": "1.0.0",
    "history": [
      {
        "event": "created",
        "actor": "UD Trial Provenance local build",
        "timestamp": "2026-09-21T15:03:37.778Z"
      }
    ],
    "versions": [
      {
        "version": "1.0.0",
        "actor": "UD Trial Provenance local build",
        "timestamp": "2026-09-21T15:03:37.778Z",
        "note": "Initial version"
      }
    ],
    "extension": "ud.trial_provenance.v0.1",
    "pack_id": "tpp-53fc6e3dc1f40714ebdfede8",
    "evidence_manifest": {
      "manifest_version": "ud-trial-provenance/0.1",
      "pack_id": "tpp-53fc6e3dc1f40714ebdfede8",
      "trial_id": "NCT03694015",
      "generated_at": "2026-09-21T15:03:37.778Z",
      "software_version": "0.1.0",
      "policy_version": "clinical-trial-provenance/0.1",
      "ordered_sources": [
        {
          "source_id": "src-2362cc674dba3e2b6fb3",
          "canonical_url": "https://clinicaltrials.gov/study/NCT03694015",
          "retrieved_at": "2026-09-21T15:03:37.089Z",
          "content_hash": "67b20dfa3ebe360b827dfd572662913391c3fcb2509866767fa8e1cea61d0bc5",
          "tier": 1
        },
        {
          "source_id": "src-c29eff414e5a97b05e23",
          "canonical_url": "https://pubmed.ncbi.nlm.nih.gov/31660894/",
          "retrieved_at": "2026-09-21T15:03:37.778Z",
          "content_hash": "997ad11c8250eb0aadd87a9b8ddfb502c47a3629dee5812b2aaa71765cd39645",
          "tier": 1
        }
      ],
      "claims_digest": "365979d6bb6a5ad9b3abc9288783c1c4ca15bc991ed15d238987a6a23b458975",
      "field_observations_digest": "1c58230f7b5f7680d2d82d62a10cb8f70a34222b575b52abf8a1a4161e9cfee9",
      "change_events_digest": "4f53cda18c2baa0c0354bb5f9a3ecbe5ed12ab4d8e11ba873c2f11161202b945",
      "contradictions_digest": "4f53cda18c2baa0c0354bb5f9a3ecbe5ed12ab4d8e11ba873c2f11161202b945",
      "trust_state": {
        "integrity": "INTEGRITY VERIFIED",
        "signer_identity": "NOT CHECKED",
        "timestamp": "LOCAL SIGNED TIME ONLY",
        "current_status": "NOT CHECKED",
        "transparency": "NOT PRESENT"
      },
      "manifest_digest": "af8ec71d059d01d1479765cc5a305b41a76a18d0a7f41fba7d5cd4e9b1d7d21e"
    },
    "source_records": [
      {
        "source_id": "src-2362cc674dba3e2b6fb3",
        "source_type": "CLINICALTRIALS_GOV_RECORD",
        "tier": 1,
        "canonical_url": "https://clinicaltrials.gov/study/NCT03694015",
        "external_identifier": "NCT03694015",
        "publisher": "U.S. National Library of Medicine",
        "published_at": null,
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "content_hash": "67b20dfa3ebe360b827dfd572662913391c3fcb2509866767fa8e1cea61d0bc5",
        "snapshot_locator": null,
        "status": "CURRENTLY_RETRIEVED"
      },
      {
        "source_id": "src-c29eff414e5a97b05e23",
        "source_type": "PUBMED_RECORD",
        "tier": 1,
        "canonical_url": "https://pubmed.ncbi.nlm.nih.gov/31660894/",
        "external_identifier": "31660894",
        "publisher": "BMC cancer",
        "published_at": "2019 Oct 28",
        "retrieved_at": "2026-09-21T15:03:37.778Z",
        "content_hash": "997ad11c8250eb0aadd87a9b8ddfb502c47a3629dee5812b2aaa71765cd39645",
        "snapshot_locator": null,
        "status": "CURRENTLY_RETRIEVED"
      }
    ],
    "claim_ledger": [
      {
        "claim_id": "claim-9339948cd27795923967",
        "subject": "NCT03694015",
        "predicate": "brief_title",
        "value": "SUPR-3D: Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "normalized_value": "SUPR-3D: Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-0a695aaa3b747ef649cf",
        "subject": "NCT03694015",
        "predicate": "official_title",
        "value": "SUPR-3D: A Randomized Phase III Trial Comparing Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "normalized_value": "SUPR-3D: A Randomized Phase III Trial Comparing Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-94a26a1b82592b3770fa",
        "subject": "NCT03694015",
        "predicate": "overall_status",
        "value": "TERMINATED",
        "normalized_value": "TERMINATED",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-21368bc8337459a0f9db",
        "subject": "NCT03694015",
        "predicate": "phase",
        "value": [
          "NA"
        ],
        "normalized_value": [
          "NA"
        ],
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-a3e9dc6ca8a58ba2c194",
        "subject": "NCT03694015",
        "predicate": "sponsor",
        "value": "British Columbia Cancer Agency",
        "normalized_value": "British Columbia Cancer Agency",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-d66d2e9091e5ec0e3760",
        "subject": "NCT03694015",
        "predicate": "collaborators",
        "value": [],
        "normalized_value": [],
        "claim_type": "UNKNOWN",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-6b01baa6e8a7a34800be",
        "subject": "NCT03694015",
        "predicate": "enrollment",
        "value": 160,
        "normalized_value": 160,
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-bc0e34acfb0b19911327",
        "subject": "NCT03694015",
        "predicate": "enrollment_type",
        "value": "ACTUAL",
        "normalized_value": "ACTUAL",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-98ec256de6b9ba86bff5",
        "subject": "NCT03694015",
        "predicate": "interventions",
        "value": [
          {
            "type": "RADIATION",
            "name": "SUPR"
          },
          {
            "type": "RADIATION",
            "name": "VMAT"
          }
        ],
        "normalized_value": [
          {
            "type": "RADIATION",
            "name": "SUPR"
          },
          {
            "type": "RADIATION",
            "name": "VMAT"
          }
        ],
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-a747ceb6edcc6b050476",
        "subject": "NCT03694015",
        "predicate": "conditions",
        "value": [
          "Neoplasm Metastasis",
          "Neoplastic Processes",
          "Neoplasms",
          "Pathologic Processes"
        ],
        "normalized_value": [
          "Neoplasm Metastasis",
          "Neoplastic Processes",
          "Neoplasms",
          "Pathologic Processes"
        ],
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-64e81c3697ab866c1175",
        "subject": "NCT03694015",
        "predicate": "primary_outcomes",
        "value": [
          {
            "measure": "Patient Reported Quality of life related to Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          }
        ],
        "normalized_value": [
          {
            "measure": "Patient Reported Quality of life related to Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          }
        ],
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-ce89658d18745f291d2f",
        "subject": "NCT03694015",
        "predicate": "secondary_outcomes",
        "value": [
          {
            "measure": "Control of RINV Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          },
          {
            "measure": "Patient Reported Pain Response",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Use of Medications",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Fatigue, Nausea, Vomiting",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Quality of Life",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Economic Analysis",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          }
        ],
        "normalized_value": [
          {
            "measure": "Control of RINV Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          },
          {
            "measure": "Patient Reported Pain Response",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Use of Medications",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Fatigue, Nausea, Vomiting",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Quality of Life",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Economic Analysis",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          }
        ],
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-65a7f3c09a11377f7d4d",
        "subject": "NCT03694015",
        "predicate": "start_date",
        "value": "2019-12-02",
        "normalized_value": "2019-12-02",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-7d11872f41f03e8f8f3d",
        "subject": "NCT03694015",
        "predicate": "primary_completion_date",
        "value": "2026-02-27",
        "normalized_value": "2026-02-27",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-9ea9d5ad152c54828d9b",
        "subject": "NCT03694015",
        "predicate": "study_completion_date",
        "value": "2026-02-27",
        "normalized_value": "2026-02-27",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      },
      {
        "claim_id": "claim-d1032ac3ffbe0ad287a1",
        "subject": "NCT03694015",
        "predicate": "study_type",
        "value": "INTERVENTIONAL",
        "normalized_value": "INTERVENTIONAL",
        "claim_type": "SOURCE_FACT",
        "observed_at": "2026-09-21T15:03:37.089Z",
        "created_at": "2026-09-21T15:03:37.089Z"
      }
    ],
    "claim_support": [
      {
        "claim_id": "claim-9339948cd27795923967",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.identificationModule.briefTitle",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-0a695aaa3b747ef649cf",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.identificationModule.officialTitle",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-94a26a1b82592b3770fa",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.statusModule.overallStatus",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-21368bc8337459a0f9db",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.designModule.phases",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-a3e9dc6ca8a58ba2c194",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.sponsorCollaboratorsModule.leadSponsor.name",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-6b01baa6e8a7a34800be",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.designModule.enrollmentInfo.count",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-bc0e34acfb0b19911327",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.designModule.enrollmentInfo.type",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-98ec256de6b9ba86bff5",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.armsInterventionsModule.interventions",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-a747ceb6edcc6b050476",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.conditionsModule.conditions",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-64e81c3697ab866c1175",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.outcomesModule.primaryOutcomes",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-ce89658d18745f291d2f",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.outcomesModule.secondaryOutcomes",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-65a7f3c09a11377f7d4d",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.statusModule.startDateStruct.date",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-7d11872f41f03e8f8f3d",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.statusModule.primaryCompletionDateStruct.date",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-9ea9d5ad152c54828d9b",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.statusModule.completionDateStruct.date",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      },
      {
        "claim_id": "claim-d1032ac3ffbe0ad287a1",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "exact_locator": "protocolSection.designModule.studyType",
        "relationship": "SUPPORTS",
        "confidence": 1,
        "reviewer_state": "DIRECT_STRUCTURED_FIELD"
      }
    ],
    "field_observations": [
      {
        "trial_id": "NCT03694015",
        "field_name": "brief_title",
        "normalized_value": "SUPR-3D: Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "raw_value": "SUPR-3D: Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "ab13fcdcb7b38d0aa9b4455635c56ecf23b44f73060d604b649115d32054dc10"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "official_title",
        "normalized_value": "SUPR-3D: A Randomized Phase III Trial Comparing Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "raw_value": "SUPR-3D: A Randomized Phase III Trial Comparing Simple Unplanned Palliative Radiotherapy Versus 3D Conformal Radiotherapy for Patients With Bone Metastases",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "a059d869368d0038a340ae64cba0feb1cd7cca35c787d129030bf5eb8294b509"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "overall_status",
        "normalized_value": "TERMINATED",
        "raw_value": "TERMINATED",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "42e854d5f0b98986cc8cdbe1df2db0ad31a2ef845fc1e9ab107f8e01f3a81eb0"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "phase",
        "normalized_value": [
          "NA"
        ],
        "raw_value": [
          "NA"
        ],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "1066eeb54e7a6feec8b8b98d0bfbfddb0d12626238cd9e5f2df6fd73182ebc8a"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "sponsor",
        "normalized_value": "British Columbia Cancer Agency",
        "raw_value": "British Columbia Cancer Agency",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "581002c0e38a9f1686a4376e3d72f969cc625308a76189ad9c8ca105e5c7adb1"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "collaborators",
        "normalized_value": [],
        "raw_value": [],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "c53433a7fbdf830e170708874b9e8dc1c0b1a1fb57abf72aabd1d0772854071e"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "enrollment",
        "normalized_value": 160,
        "raw_value": 160,
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "984a652568dd099c892043b6fbc1d7a1eebe97b3d41ea5bebbc92189167e6b4f"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "enrollment_type",
        "normalized_value": "ACTUAL",
        "raw_value": "ACTUAL",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "1a6b2d9dcae439c396218d0afd32b7341758d092acd8d5ebe1ebd831f802d34d"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "interventions",
        "normalized_value": [
          {
            "type": "RADIATION",
            "name": "SUPR"
          },
          {
            "type": "RADIATION",
            "name": "VMAT"
          }
        ],
        "raw_value": [
          {
            "type": "RADIATION",
            "name": "SUPR"
          },
          {
            "type": "RADIATION",
            "name": "VMAT"
          }
        ],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "29cbd6e86c0680bbd0483537883b4f16eacdd7304a9faacf1c9f395d73aa48c1"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "conditions",
        "normalized_value": [
          "Neoplasm Metastasis",
          "Neoplastic Processes",
          "Neoplasms",
          "Pathologic Processes"
        ],
        "raw_value": [
          "Neoplasm Metastasis",
          "Neoplastic Processes",
          "Neoplasms",
          "Pathologic Processes"
        ],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "d3813d8509c49351dfe5e6aac694de1b0ebba069d91f63e442c6cf2635dac673"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "primary_outcomes",
        "normalized_value": [
          {
            "measure": "Patient Reported Quality of life related to Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          }
        ],
        "raw_value": [
          {
            "measure": "Patient Reported Quality of life related to Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          }
        ],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "82f4ee9e3260a9aeb34efc98c64e7b15e5ec2c8fbf6df5335f738a40f19624bb"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "secondary_outcomes",
        "normalized_value": [
          {
            "measure": "Control of RINV Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          },
          {
            "measure": "Patient Reported Pain Response",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Use of Medications",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Fatigue, Nausea, Vomiting",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Quality of Life",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Economic Analysis",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          }
        ],
        "raw_value": [
          {
            "measure": "Control of RINV Radiation Induced Nausea and Vomiting (RINV)",
            "timeFrame": "day 1-5"
          },
          {
            "measure": "Patient Reported Pain Response",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Use of Medications",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Fatigue, Nausea, Vomiting",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Patient Reported Quality of Life",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          },
          {
            "measure": "Economic Analysis",
            "timeFrame": "baseline, 2 weeks, and 4 weeks post treatment"
          }
        ],
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "07caf0a78b2b5b42f04db9b31c279da0c9ad8876338f6d753403e2abcc2e365d"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "start_date",
        "normalized_value": "2019-12-02",
        "raw_value": "2019-12-02",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "23548b54791513e0025219dafc32c73dca036e1759511efb21d0943501f35126"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "primary_completion_date",
        "normalized_value": "2026-02-27",
        "raw_value": "2026-02-27",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "2db9463df5d7e93e755019c21eb69019dc5c2a58b4d2fb827b47c1ba8e4b8268"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "study_completion_date",
        "normalized_value": "2026-02-27",
        "raw_value": "2026-02-27",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "3000b6354a888e086eae7f96cd7cefc1b2d22c0e4203ba83edf0d951b324c31c"
      },
      {
        "trial_id": "NCT03694015",
        "field_name": "study_type",
        "normalized_value": "INTERVENTIONAL",
        "raw_value": "INTERVENTIONAL",
        "source_id": "src-2362cc674dba3e2b6fb3",
        "retrieved_at": "2026-09-21T15:03:37.089Z",
        "observation_hash": "1e16b480533fa77ab6821d9160c08dc128a9d51df01f36c9282b99b40b61ad67"
      }
    ],
    "changes": [],
    "contradictions": []
  }
}
