With the development, implementation and gradual evolution of IT systems, the clinical research industry had undergone years of ever-narrowing specialisation. Kaia Koppel, Senior Clinical Data Manger in the Biometrics and Clinical Trial Data Execution Systems Department, and Martin Noor, KCR Clinical Data Manager, propose a piece discussing how changes in the digital environment also meant changes in classical ‘clinical data management’ activities, as they became more and more prevalent across all operational levels within the industry.