The document discusses electronic Trial Master File (eTMF) systems. It defines an eTMF as a formal way to organize and store documents and files required by regulatory agencies for clinical trials. eTMF systems can facilitate efficiencies in trials through improved document collection and management. The key to implementing interoperable eTMF systems is using standards-based models, vocabularies, and web technologies. DBI's cloud-based eTMF platform provides real-time access to clinical documents throughout a trial. Their flat rate licensing fee helps maintain budgets and allows flexibility.