Operational Telemetry is the layer between data collection and action.
Data platforms collect data. Operational Telemetry detects trusted signals, relates them to workflow, and supports timely decisions.
Core principles
The public framework spine for the site.
Signals, not dashboards
A dashboard displays information. A telemetry system detects whether something meaningful has changed.
Trust before action
Real-time does not mean ready-to-use. Signals need context, traceability, and fit for intended use.
Workflow is evidence
Clinical data quality depends on the workflow that created it. Burden and workarounds are part of the signal.
Timing matters
Late evidence may be beautiful and useless. The question is when a signal becomes useful for a decision.
Governed loops
Ingestion, governance, analysis, and execution have to operate as a loop, not as disconnected departments.
Human reality stays in scope
Patients, sites, coordinators, nurses, sponsors, and regulators all live inside the operating system.
Framework materials
Selected materials that support the public Operational Telemetry framework.
Operational Telemetry proof card
Links the framework to the archived OT PDFs, 3-layer OpsTel diagram, and C4I+Trust image.
FDA Real-Time Trials field note
Shows why the OT frame matters now: agreed-upon clinical signals becoming visible while the trial is alive.
Rarify / UGX connection
Connects OT principles to recent regulated digital clinical development and site/patient workflow proof.