Whilst such integrated services are relatively new to the industry, the acceptance of the concept and adoption of such integrated solutions is gaining momentum in the marketplace. Seamless data integration and interoperability between IVR systems and other study management tools is being developed as a direct response to sponsor and user requests to streamline the entire clinical trials management process. The main challenge for the industry is not with the technology associated service integration but more with the large number of systems and external processes that a successful solution must integrate with. The successful organization in this market place will be the one which focuses on the user and their relationship with the data moving around the integrated environment.