historical or legacy term.
Here’s the progression:
- ICH E6(R2): Used source documents and source data.
- ICH E6(R3): Replaced source documents with source records and broadened the concept to include documents, data, and relevant metadata, in any format.
The change is deliberate. “Document” implies a document-like artifact (paper, PDF, etc.), whereas “record” is technology-neutral and better covers:
- eSource systems
- EHRs
- Medical devices
- Wearables
- Imaging systems
- Audit trails and metadata
- Databases
As a result, source records is now the preferred concept.