Reason for Change
Initial value entry is free — enter and save. But as soon as you change an already-saved value, X7 Insight asks for a reason for change (Reason for Change, RfC). This is part of the data-integrity requirements: the audit trail must answer not only “what and when changed”, but also why.
When the dialog appears
Section titled “When the dialog appears”The “Reason for Change” dialog opens on any edit of a value that has already been saved:
- changing a field value to a new one;
- clearing a value;
- marking a previously filled field as “Not done” or “Unavailable”.
Initial entry (from the Empty state) does not require a reason.
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Change a value in a field that already held data.
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The dialog shows Previous value → New value.
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Pick a Reason from the catalog. By default these are “Data entry error”, “Correction per source document”, “New information received”, “Correction in response to a query” and “Other (specify)” — the last opens a free-text field. The reason set is an organization- or study-level setting (Admin → Settings), not part of the design version.
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Click Confirm. Saving is impossible without a chosen reason; cancelling returns the field to the saved value.
What happens to the other status axes
Section titled “What happens to the other status axes”A value has several independent status axes. Editing the data synchronously, in the same operation, resets the “derived” marks that no longer match the new value. The order of reactions is fixed:
| Axis | Was | Becomes after the edit |
|---|---|---|
| SDV (verification) | verified | pending |
| Medical review | Reviewed | Not reviewed |
| Form | Complete | In progress |
| Signature | valid | invalidated |
Resetting SDV verification
Section titled “Resetting SDV verification”If a field has already been verified by the monitor against source documents, the dialog warns directly: after saving, the SDV mark is removed and the monitor will have to verify the value again. The value changed — so what needs to be checked against the source changed too.
Invalidating the electronic signature
Section titled “Invalidating the electronic signature”If a valid electronic signature covers the form (or its visit, or the whole casebook), the dialog warns: saving invalidates the signature. A signature covers a snapshot of the data at the moment it was applied — by changing the covered data, you make the snapshot invalid.
Why it is designed this way
Section titled “Why it is designed this way”- The reason is part of the flow, not a barrier. RfC is a short step right at the moment of the edit, not a separate screen and not an after-the-fact question. It must not break up the entry.
- Marks do not outlive their data. Verification, medical review and the signature only make sense for a specific value. By resetting them automatically, the system keeps “verified” and “signed” data from silently drifting apart from reality.
- A complete trail. The “before → after” pair + the reason + the author + the time make every edit explainable during monitoring and inspection.