The eSOURCE-READINESS ASSESSMENT TOOL (eSRA)

The tool contains questions based on regulations and regulatory agency guidelines for clinical research data sources and should be used to evaluate the suitability of an Investigator Site computerized system to provide data for clinical trials. An eClinical Forum team, comprised of CRAs and Data Managers from different clinical research sponsor organizations and CROs and representatives from sites, has produced the "eSource-Readiness Assessment", otherwise known as "eSRA" for sites to perform a self-assessment of their computerized system's ability to be compliant with clinical research regulations.

Clinical research draws on a combination of data collected during a clinical trial and historical medical information relating to the research subject(s). Many of the data points needed for clinical research are originating in Electronic Health Record Systems, making them "eSource" for clinical research. Even if these data points are not used directly from the site's healthcare system, but are re-entered into a Sponsor's system for a clinical trial, the source of the information (the healthcare system) must still be confirmed as compliant with standards set forth in clinical research regulations and applicable guidance documents.

The eSRA Questionnaire Version 2024 can be downloaded as part of the eSRA Handbook below.  (This version incorporates changes based on the EMA Guideline on computerised systems and electronic data in clinical trials.)

Notice to those intending to include eSRA in their own materials: Copyrighted by the eClinical Forum 2024. The eClinical Forum keeps all rights of this material. Please see the License for Fair Use in the eSRA Handbook and “Implementing eSRA” Guide. We welcome eSRA to be used in other formats, however, it is required that eSRA text be used exactly, that all eSRA questions are included, that your use of eSRA is updated when eCF eSRA is updated, and that eClinical Forum is notified in writing and credited. By using these materials, you acknowledge the terms and conditions for use.  The eClinical Forum is only responsible for the eSRA materials as distributed via the eClinical Forum website. If using the eCF form, downloaded from this website, in it's original format, there is no need to notify eCF.

Stay Current!!

As new regulations are released or updated, the eClinical Forum will evaluate if the eSRA questions should be updated. To be notified of future releases of the eSRA Questionnaire, please send an email to eSRA@eClinicalForum.org. Your email address will not be used for purposes other than to inform you of updates to eSRA.

Sponsors & CROS -- Please take our very brief survey regarding how you are using eSRA.  This will help us improve eSRA. Survey link: eCF eSRA Survey (eclinicalforum.org) THANK YOU!!!

Do we keep a list of sites that have completed eSRAs?

We have frequently been asked if we can provide a list of which sites have already completed an eSRA. Due to privacy laws in different countries, eClinical Forum does not keep such a list. We supply the eSRA questionnaire, free of charge, to anyone who wants to use it. We encourage sponsors to keep a list for themselves of which sites they have received a completed eSRA from. We encourage sites to store their completed eSRA in a central location (such as their IT department) so that other groups within the same organization / using the same electronic healthcare system, can use the completed eSRA as a basis to complete their own eSRA.

eSRA RESOURCES – Scroll to see all resources

Published on 12 August 2026

eCF Views & News

August 2026

eCF News:

1. Preliminary Agenda and Registration Workshop 2026

Curious about this year’s workshop topics? Have a look at the Preliminary Agenda in the attachment below. Details are still being developed – if you are interested in presenting on any of the topics on the agenda or have your own topic you would like to speak on, contact one of our Facilitators (see email addresses below). 

Whether you plan on attending in person or online, as a guest or as a speaker, don’t forget to register! 

  • Americas: 13.-15. October 2026, hosted by GenInvo in  Bloomington, Illinois, USA. SIGN UP
  • APAC/Hybrid: 21.-22. October 2026, hosted by Clario in Shanghai, China.SIGN UP
  • Europe/Hybrid: 27.-29. October 2026, hosted by BSI Software in Zurich, Switzerland. SIGN UP

Anyone from our member companies can register for remote participation in the hybrid workshops for free, regardless of seat availability and location. For in-person attendance, each eCF Member company can use 1 or 2 seats depending on your membership type and as allocated by your eCF Primary Representative. 

 

2. eCF Webinar: Exploring ICH E6 (R3) Annex 2 for Decentralized Trials and Real-World Data  

Are you looking for an opportunity to share perspectives and explore the implications of Annex 2 for the future of clinical trials? Join our webinar on Wednesday, September 9 for a discussion on Annex 2 and its role in modernizing GCP to better reflect the evolving landscape of clinical research. The webinar will explore key considerations for Decentralized Clinical Trials (DCTs) and Real-World Data (RWD), including practical challenges and emerging requirements for data quality and oversight. The webinar will be held twice, at 3am EDT/9am CEST, and at 9am EDT/3pm CEST. Register here

 

eCF Views: 

What’s new in the world of clinical research? Any questions you urgently need answers to, or topics that keep you up at night?  Share them with your fellow eCF members on our eCF Discussion Forum

1. E6(R3) Redistributes Data Governance Accountability - And the Inspection Data Explains Why

A late-July analysis argues that E6(R3)'s most consequential architectural change is elevating data governance into its own dedicated section: where E6(R2) housed data integrity expectations almost entirely within sponsor obligations, E6(R3) names both investigators and sponsors as responsible parties, closing a long-standing ambiguity that auditors flagged consistently. The FDA's own numbers make the case: in FY2024 the agency conducted 692 clinical investigator inspections and issued Form 483s in 23% of cases, with inadequate case histories among the leading deficiency themes. For site-facing eClinical systems, joint accountability changes what "adequate site training" and access controls need to demonstrate. 🔗 ICH E6(R3) Redistributes Data Governance Accountability — Clinical Trial Vanguard, July 2026

2. EMA's AI Reflection Paper: Frozen Models and Prespecified Pipelines

A recent analysis in Applied Clinical Trials unpacks EMA's position that applicants bear responsibility for ensuring all algorithms, models, datasets, and data processing pipelines are fit for purpose and aligned with GxP standards, and that where AI/ML models transform or analyse data, they are considered part of the statistical analysis and must follow applicable guidelines including impact on downstream inference. Most consequentially for late-stage development: EMA expects a prespecified data curation pipeline and a fully frozen set of models used for inference. "Frozen" is the operative word, continuously updating models are effectively off the table for pivotal analyses. 🔗 Harnessing AI in European Clinical Trials: Regulation in Progress — Applied Clinical Trials Online, July 2026

3. The AI Regulatory Landscape Is Genuinely Uneven - And That's the Story

A mid-2026 assessment describes the current state plainly: a detailed FDA framework still in draft form after more than a year, a finished EMA reflection paper that reads more as a statement of expectations than an enforceable rule, and an ICH process that has issued nothing AI-specific at all, leaning instead on general clinical trial principles recently rewritten in technology-neutral language. The FDA's seven-step, risk-based credibility assessment framework remains unfinalised as of mid-2026. For sponsors running global programmes, the practical takeaway is that "wait for harmonisation" is not a strategy. Build to the strictest applicable standard now. 🔗 Regulating AI in Drug Discovery: What FDA, EMA and ICH Guidance Means — Drug Discovery News, July 2026

These articles are not endorsed by the eCF and don’t necessarily represent our own views

eCF Views & News is a monthly newsletter of the eClinical Forum (www.eclinicalforum.org) to keep our members informed. Please feel free to forward this email to your colleagues. Please let us know if colleague(s) want to be added to this monthly distribution!

 

Your eCF facilitators are always interested in what you have to say …

Wolfgang.Summa@eClinicalForum.org, Sean.Higashio@eClinicalForum.org, Jana.Summa@eClinicalForum.org, Tom.Haag@eClinicalForum.org.

 

 

 

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