# Ongoing Participant Record Updates During a Study

Flexpa supports ongoing retrieval of participant-authorized records when the connected source permits refreshable access. Request multiple usage with the offline_access scope and choose a sync schedule. Updates depend on the source, a valid authorization, and successful syncs; this is not real-time clinical monitoring.

How it works: Participant authorizes ongoing access -> Supported source permits refresh -> Application retrieves synced records. Monitor sync freshness and prompt reconnection when access can no longer be refreshed.

## Configure and check ongoing access

- Request offline_access for multiple usage. Sources without refresh support fall back to one-time usage.
- Choose a daily, weekly, or monthly sync schedule in application settings.
- Check sync.lastSyncedAt and handle the refresh_expired webhook rather than treating an active authorization as proof of fresh data.
- Review newly available encounter, diagnosis, procedure, and medication records where supplied by the source.

## Questions

**Can researchers retrieve participant record updates throughout a study?** Flexpa's multiple-usage authorization supports scheduled updates where the source permits refreshable access. Access can expire or be revoked, and some sources support only one-time retrieval. Researchers must monitor sync freshness and request reconnection when needed.

**Can participants revoke Flexpa access?** Participants can request revocation through Flexpa's privacy portal or the methods in its revocation guide. Revoking Flexpa access does not remove copies already shared with a research application; participants must contact that application to manage those copies.

## More

- [Clinical research](https://www.flexpa.com/solutions/clinical-research)
- [Study data acquisition](https://www.flexpa.com/one-pagers/study-data-acquisition)
- [Ongoing access and sync schedules](https://www.flexpa.com/docs/guides/usage)
- [Revoking access](https://www.flexpa.com/docs/guides/patient/revoking-access)

Last updated 2026-11-11.