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Clinical & Trials [Clinical Evidence](/ecosystems/clinical-evidence)RWD 

# Real-World Data

Data relating to patient health status or care delivery routinely collected from sources other than traditional clinical trials, the inputs from which Real-World Evidence is derived.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed June 20, 2026 

## Definition

Real-World Data (RWD) is data relating to patient health status and/or the delivery of health care routinely collected from a variety of sources outside the traditional clinical trial setting. Sources include electronic health records (EHRs), medical claims and billing data, product and disease registries, patient-generated data from wearables and patient-reported outcome instruments, and data gathered from other sources such as mobile devices. RWD is distinct from  [Real-World Evidence](/terms/real-world-evidence) (RWE), which is the clinical evidence about a medical product's usage, benefits, or risks derived from analysis of RWD. 

What the regulation says

FDA's 'Real-World Data: Assessing Electronic Health Records and Medical Claims Data To Support Regulatory Decision-Making for Drug and Biological Products' guidance and 'Use of  [Real-World Evidence](/terms/real-world-evidence) to Support Regulatory Decision-Making for Medical Devices' guidance set the methodological expectations. 

## What this means in practice

RWD has become foundational for  [post-market surveillance](/terms/post-market-surveillance), label expansions,  [Section 522](/terms/section-522) studies, and increasingly for premarket evidence in  [De Novo](/terms/de-novo) and  [PMA](/terms/pma) submissions. FDA's  [RWE](/terms/real-world-evidence) Program (mandated by 21st Century Cures Act §3022) provides framework guidance. The quality of RWD matters enormously: data provenance, relevance to the clinical question, completeness, and fitness for the regulatory purpose are what distinguish usable RWD from data that won't withstand FDA review. 

Common pitfalls

-   • Conflating RWD with RWE, RWD is the input, RWE is the analytical conclusion. 
-   • Assuming claims data alone supports clinical effectiveness conclusions, claims rarely capture outcomes; usually claims + EHR linkage is needed. 
-   • Treating wearable or patient-generated data as ready for regulatory submission without validation of the underlying sensors and data pipeline. 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Clinical & Trials

Real-World Evidence(RWE) 

Clinical evidence regarding the usage and potential benefits or risks of a device derived from real-world data.





](/terms/real-world-evidence)[

Software & AI

Data Governance (AI/ML)

Policies, controls, and documentation for the data used to train, tune, and validate medical AI models.





](/terms/data-governance)[

Post-Market

Post-Market Clinical Follow-up(PMCF) 

Proactive collection of clinical data on a CE-marked device to confirm safety and performance.





](/terms/pmcf)[

Post-Market

Post-Market Surveillance(PMS) 

Activities to monitor device safety and performance after market release.





](/terms/post-market-surveillance)

### More in Clinical & Trials

· Same category 

[

Clinical & Trials

Adaptive Trial Design

Trial design that pre-specifies opportunities to modify aspects (sample size, arms, endpoints) based on interim data.





](/terms/adaptive-trial)[

Clinical & Trials

Adverse Event(AE) 

Any untoward medical occurrence in a subject, whether or not related to the device.





](/terms/adverse-event)[

Clinical & Trials

ALCOA+

Data integrity principles: Attributable, Legible, Contemporaneous, Original, Accurate (plus Complete, Consistent, Enduring, Available).





](/terms/alcoa-plus)[

Clinical & Trials

Analytical Sensitivity

An IVD's ability to detect small quantities of an analyte.





](/terms/analytical-sensitivity)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Clinical Evidence](/ecosystems/clinical-evidence)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

1.  [1 
    
    FDA RWE Program
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/science-research/science-and-research-special-topics/real-world-evidence)
2.  [2 
    
    Use of RWE for Medical Devices Guidance
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/regulatory-information/search-fda-guidance-documents/use-real-world-evidence-support-regulatory-decision-making-medical-devices)
3.  [3 
    
    FDA - Clinical Trials and Human Subject Protection
    
    Verified 
    
    FDA · fda.gov 
    
    
    
    ](https://www.fda.gov/science-research/science-and-research-special-topics/clinical-trials-and-human-subject-protection)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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On this term

Category

Clinical & Trials

Acronym

RWD

Sources

3

Updated

6/20/2026

[Compare with another term](/compare?a=rwd)

Learn in 60 seconds

Card Lesson Quiz

Data relating to patient health status or care delivery routinely collected from sources other than traditional clinical trials, the inputs from which Real-World Evidence is derived.

-   · RWD has become foundational for post-market surveillance, label expansions, Section 522 studies, and increasingly for premarket evidence in De Novo and PMA submissions. 
-   · FDA's RWE Program (mandated by 21st Century Cures Act §3022) provides framework guidance. 
-   · RWD is distinct from Real-World Evidence (RWE), which is the clinical evidence about a medical product's usage, benefits, or risks derived from analysis of RWD. 

Remember this

Watch out: Conflating RWD with RWE, RWD is the input, RWE is the analytical conclusion.

Related terms

-   [Real-World Evidence(RWE) ](/terms/real-world-evidence)
-   [Section 522 Postmarket Surveillance(Section 522) ](/terms/section-522)
-   [Post-Market Clinical Follow-up(PMCF) ](/terms/pmcf)
-   [Post-Market Surveillance(PMS) ](/terms/post-market-surveillance)
-   [Data Governance (AI/ML) ](/terms/data-governance)
-   [Wearables and Remote Patient Monitoring(RPM) ](/terms/wearables-rpm)

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[All Clinical & Trials terms](/terms?cat=Clinical%20%26%20Trials)

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