Every output is built on industry standards from the start — not bolted on at submission time. Some standards are live today (used by Protocol Authoring + Study Build); others are scoped for roadmap modules as they ship. Your sponsor extensions layer on top of CDISC either way.
CDASH collection. SDTM tabulation. ADaM analysis. Define.xml metadata. Annotated CRFs. Reviewer guides. Every domain mapped, every variable traced.
Dictionaries themselves are not edited — usage and conventions are. Versions pin per study and per environment to preserve consistency through lock.
The platform's audit, validation, and submission machinery is shaped by these regulations. Compliance isn't a feature — it's the architecture.
Sponsor edit-check libraries, SDTM extension domains, sponsor codelists, authoring templates — all layer on top of CDISC. Your standards inherit from theirs.