Sponsors, CROs, eClinical partners, and sites all struggle with data interoperability, even though the tools that they use may have APIs; they have the data, but they can’t make it all work together. With the advent of new Digital Health Technologies (DHTs) and expanding use of EMR/EHR and eSources, the pharmaceutical industry has witnessed tens of millions of data points being captured per study in very short time periods. This was recently re-affirmed in SCDM’s white paper, The 5Vs of Clinical Data, the Society notes, “today we measure m-Health data points in the billions.”