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hardScenarioDesignMidSeniorStaffLead

You need to change a field on a live trial's data capture system. What evidence does that change have to produce?

7 min readUpdated 2026-08-15

Answer

Short answer

A change to a validated system needs a documented requirement, an assessed risk and impact, approved test evidence that the change does what was specified, an intact audit trail over any affected data, and an approval record showing who authorised release.

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Likely follow-ups

  • What would you do differently for a change to a reporting tool that no clinical decision depends on?
  • How do you handle data already entered against the old field definition when the new one is not equivalent?
  • What does an inspector look for first when they ask to see the audit trail for a single data point?
  • Why is validation a lifecycle rather than a one-off event before go-live?

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