Imagine British computer scientist Tony Hoare once said, “There are two ways of constructing software design. One way is to make it so simple that there are obviously no deficiencies. And the other way is to make it so complicated that there are no obvious deficiencies.” Almac Clinical Technologies always subscribes to the first approach, even when elements of the study protocol could add additional layers of complexity to IXRS. This was the case when one sponsor wanted the study’s IRT system to accommodate a very flexible protocol.