In this section we address some of the challenges of creating technological infrastructure to support clinical cancer research. The conduct of clinical trials is a highly complex and distributed enterprise. Any such infrastructure must support rapid ongoing evolution in the clinical practices and trial processes it supports and in its many technological elements. These range from the underlying communications and information technologies to the processes, protocols, and standards adopted to support clinical trials. The infrastructure must support a broad community of users, including individuals and institutions, with diverse and often conflicting interests. The infrastructure must also operate within a complex and evolving legal, regulatory, and procedural framework.
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