Chain of identity proves that the right starting material and product belong to the correct donor, patient or manufacturing lot, while chain of custody records who controlled the material at every step. Both rely on unique identifiers, reconciled records, controlled labelling and verified handovers.
Autologous products make patient-level identity especially critical, but allogeneic products also require complete donor, bank, batch and dose traceability. Electronic or paper systems must remain aligned across collection, shipment, receipt, manufacture, testing, storage and clinical delivery. Label design should prevent mix-ups while protecting personal data. Deviations such as damaged labels, temperature excursions or missed scans need predefined investigation and disposition rules. The logistics model might be challenged in a simulated workflow before patient material is placed at risk.