CCDM Exam Dumps - SCDM Clinical Data Management Questions and Answers

Regulatory agencies such as theFDAandICHrequire thatelectronic data be retained in a format that preserves audit trails and traceability.

While PDF images (option C) provide a static representation of data, they do not preserve theunderlying audit trail(i.e., who changed what, when, and why). TheASCII data files with corresponding audit trails(option D) provide complete transparency and comply with21 CFR Part 11andGCDMParchival standards.

Option A(storing computers) is unnecessary and impractical, andOption B(paper source documents) are site records, not system archives.

Hence,option Dis correct —ASCII data files with audit trailsmeet traceability and compliance standards.

Reference (CCDM-Verified Sources):

SCDM GCDMP, Chapter: Database Lock and Archiving, Section 5.4 – Archival Formats and Audit Trail Retention

ICH E6(R2) GCP, Section 5.5.3 – Data Integrity, Audit Trails, and Record Retention

FDA 21 CFR Part 11 – Electronic Records; Audit Trail and Retention Requirements

InElectronic Data Capture (EDC)systems, edit checks are categorized based on when and how they are executed — typicallyimmediate (at data entry)orbatch (post-entry). Checks that require data frommultiple visits or formsare generallyinefficient to run at data entrybecause they depend on information that may not yet exist in the system.

According to theGood Clinical Data Management Practices (GCDMP, Chapter: Data Validation and Cleaning),cross-visit consistency checks— such as comparing baseline and follow-up blood pressure or verifying date order between screening and dosing — should be executed asbatch or scheduled validations, not at the point of data entry. Running these complex checks in real time can slow system performance, increase query load unnecessarily, and confuse site users if related data are not yet entered.

Conversely, edit checks against valid ranges, formats, or predefined value lists (options A, C, and D) are simple, local validations ideally performed immediately at data entry to prevent basic errors.

Therefore,cross-visit consistency checks(Option B) are best executed later, making theminefficient for real-time data entry validation.

Reference (CCDM-Verified Sources):

SCDM Good Clinical Data Management Practices (GCDMP), Chapter: Data Validation and Cleaning, Section 6.4 – Real-Time vs. Batch Edit Checks

FDA Guidance for Industry: Computerized Systems Used in Clinical Investigations – Section on Edit Checks and Data Validation Logic

CDISC SDTM Implementation Guide – Section on Temporal Data Consistency Validation

TheMedDRA (Medical Dictionary for Regulatory Activities)is a standardized medical terminology used for coding and analyzing adverse event (AE) and medical history data in clinical trials. Its hierarchical structure supports aggregation, analysis, and reporting across varying levels of medical specificity.

Frommost specific to least specific, the hierarchy is as follows:

Lowest Level Term (LLT):The most granular term, often reflecting the verbatim text reported by the investigator.

Preferred Term (PT):The standardized medical concept representing one or more LLTs describing the same condition.

High Level Term (HLT):A grouping of related PTs describing similar medical conditions.

High Level Group Term (HLGT):A broader grouping of related HLTs.

System Organ Class (SOC):The highest level of classification, grouping HLGTs by body system or etiology (e.g., cardiac disorders, infections).

Thus, the correct order — frommost specific to least specific— is:

LLT → PT → HLT → HLGT → SOC, which corresponds tooption D.

Reference (CCDM-Verified Sources):

SCDM GCDMP, Chapter: Medical Coding and Dictionaries, Section 5.2 – MedDRA Hierarchical Structure

ICH M1 MedDRA Terminology Guide, Version 26.0 – Hierarchy Overview

ICH E2B(R3) Guidelines – Clinical Safety Data Management

During a regulatory inspection, inspectors expect to find documentedStandard Operating Procedures (SOPs)governing the use, validation, and maintenance ofcomputerized systems, includingdata backup and recovery procedures.

According to theGCDMP (Chapter: Computerized Systems and Compliance)andFDA 21 CFR Part 11, organizations must maintain an SOP that ensuresdata protection against loss, corruption, or unauthorized access. The SOP should describe backup frequency, secure storage, verification of backup integrity, and procedures for data restoration.

While theData Management Plan (A)andEdit Specifications (D)are study-level documents, and theStatistical Analysis Plan (C)focuses on analysis procedures,only a Data Backup Plan (B)constitutes a requiredsystem-level SOPensuring compliance and data continuity.

Reference (CCDM-Verified Sources):

SCDM GCDMP, Chapter: Computerized Systems and Compliance, Section 5.2 – Data Security, Backup, and Recovery SOPs

FDA 21 CFR Part 11 – Subpart B, Controls for Closed Systems

ICH E6(R2) GCP, Section 5.5.3 – System Security, Data Backup, and Recovery Requirements

Aself-evident correction (SEC)refers to a data correction that is obvious, logical, and unambiguous — such as correcting an impossible date (e.g., 31-APR-2024) or standardizing a known abbreviation (e.g., “BP” to “Blood Pressure”). According to theGood Clinical Data Management Practices (GCDMP), SECs can be applied by data management stafffollowing pre-approved conventions defined in the Data Management Plan (DMP).

The DMP should explicitly describe the criteria for SECs, including the types of errors eligible for this correction method, the required documentation, and the communication procedure to inform the investigative site. The process must maintainaudit trail transparencyand ensure that all changes aretraceable and justified.

Options A and B suggest unauthorized or informal change procedures, which violate audit and compliance standards. Option C is too restrictive, as it prevents the efficient correction of non-clinical transcription or formatting errors.

Therefore,option Dis correct:“Self-evident changes may be made per the listed conventions and documented to the investigative site.”This approach aligns with CCDM expectations for balancing efficiency, accuracy, and regulatory compliance.

Reference (CCDM-Verified Sources):

SCDM GCDMP, Chapter: Data Validation and Cleaning, Section 6.2 – Self-Evident Corrections

FDA 21 CFR Part 11 – Electronic Records; Audit Trails and Traceability Requirements