Why traceability matters more in 2026

Traceability is how you prove design controls work. Under QMSR, design and development is one of six areas FDA inspects, and verification, validation and software validation are explicit inspection elements (FDA CP 7382.850). FDA’s own QMSR design training says design planning should “Note roles and responsibilities, traceability methods, and resources needed,” and gives the example that “updates were made to the risk traceability matrix of the device” (FDA, Tartal).

For how to build traceability that FDA and auditors trust, see Requirements Traceability for Medical Devices: Building a Traceability Matrix Auditors Trust.

What FDA expects for software traceability

FDA’s 2023 guidance “Content of Premarket Submissions for Device Software Functions” sets clear expectations (FDA):

  • “Each requirement identified in the software requirements specification should be traceable.”
  • Risk management should include “tracing the identified hazard to the verified specific risk control measures.”
  • Verification includes “traceability analyses (e.g., software requirements specification to software design specification.”

In its webinar on the guidance, FDA explained that a separate traceability document is no longer requested in submissions, but that at minimum it expects traceability of “test cases to requirement” (FDA webinar transcript). The matrix still belongs in your design and development file.

For software, IEC 62304 includes clauses on documenting traceability and providing traceability of changes (OpenRegulatory mapping).

Design traceability matrix template

One row per design input. Link each column to a controlled document ID and version.

IDUser needDesign inputDesign outputVerificationValidationHazard / risk controlStatus
DI-001Device runs 8 h on batteryBattery life ≥ 8 h at max loadBattery spec BAT-02 v3; power design PD-01 v4TR-110 battery life test (pass)Simulated-use study VAL-03HZ-12 loss of power; RC-05 low-battery alarm (verified TR-115)Complete
DI-002Clinician enters dose quicklyDose entry ≤ 3 stepsUI spec UI-04 v2; SW req SRS-031SW test ST-031 (pass)HF summative HF-VAL-01HZ-20 wrong dose; RC-09 confirmation screen (verified ST-045)Complete
DI-003Safe for skin contactBiocompatible materials per ISO 10993Material spec MAT-07 v1Biocompatibility report BIO-02Clinical evaluation CE-01HZ-31 irritation; RC-11 material selectionOpen: BIO-02 pending

Rows are illustrative.

Software layer

For device software, add rows or a linked matrix: software requirement → architecture/design element → unit or integration test → system test, plus hazard → risk control → verifying test.

Traceability matrix checklist

  • Every user need traces to at least one design input
  • Every design input traces to output(s) and verification with acceptance criteria
  • Validation traces to user needs and intended use
  • Every hazard traces to risk controls, and every control to verification of implementation and effectiveness
  • Every software requirement traces to tests
  • No orphan outputs or tests without a parent requirement
  • All references point to controlled documents with versions
  • Matrix updated with every design change, with change ID recorded
  • Matrix stored in the design and development file

Check traceability without rebuilding the spreadsheet

Matrices drift: a test is renamed, a requirement is split, a risk control is added late. AI document assessment can read requirements, test reports and risk files, flag inputs without verification and controls without evidence, and cite the passage behind every finding.

Run a sample regulatory document assessment on one product’s design file. AskDona shows the evidence; your engineers decide.

FAQ

Is a traceability matrix required by FDA? No regulation names the format, but QMSR design controls and FDA’s software guidance expect traceability between requirements, design, tests and risk controls (FDA).

Do I submit the traceability matrix in a 510(k)? FDA no longer asks for a separate traceability document in software submissions, but expects test-to-requirement traceability (FDA webinar).

What should a risk traceability matrix include? Hazards, hazardous situations, harms, risk controls and the verification that each control works.

How often should the matrix be updated? With every design change, so it always reflects the current design.

References

All pages opened and checked by October 9, 2026.

SourceTypeDateUsed for
FDA: Content of Premarket Submissions for Device Software FunctionsRegulator guidanceJun 14, 2023Software traceability
FDA: Software guidance webinar transcriptRegulatorJul 20, 2023Test-to-requirement minimum
FDA: QMSR – Design and Development (Tartal)Regulator training2026Traceability methods
FDA: CP 7382.850RegulatorFeb 2, 2026Design inspection elements
OpenRegulatory: IEC 62304 mappingIndustry resourceCurrentIEC 62304 clause titles