Best ePRO Software

Guide to ePRO Software

ePRO (electronic Patient-Reported Outcomes) software is a digital tool that enables patients to report their health status, symptoms, and quality of life directly to healthcare providers using electronic devices. This software collects data in real time, often through smartphones, tablets, or computers, and helps clinicians monitor patients’ conditions more efficiently and accurately. By utilizing ePRO, healthcare teams can access patient-reported data quickly, allowing them to make informed decisions and improve treatment outcomes.

One of the key benefits of ePRO software is its ability to streamline the data collection process. It eliminates the need for paper-based forms or manual input, reducing errors and ensuring that the information gathered is consistent and up-to-date. Additionally, ePRO systems often offer customizable surveys or questionnaires tailored to specific conditions, enabling healthcare providers to gather precise, relevant data on a patient's health. This leads to a more personalized approach to care, as healthcare teams can adjust treatment plans based on the real-time data collected from patients.

Moreover, ePRO software plays a significant role in enhancing patient engagement. By allowing patients to actively participate in tracking and reporting their symptoms, they become more invested in their own healthcare journey. This can lead to better adherence to treatment protocols and more proactive management of chronic conditions. The software also benefits clinical trials by providing real-time, accurate patient-reported data, which is crucial for evaluating the effectiveness of new treatments. As healthcare continues to move towards digital solutions, ePRO systems represent a crucial step in improving both the patient experience and overall healthcare delivery.

What Features Does ePRO Software Provide?

ePRO (electronic Patient Reported Outcomes) software is designed to gather patient-reported data through digital means, allowing healthcare providers and researchers to efficiently track, monitor, and manage patient health. Below are some of the key features provided by ePRO software:

• Patient Data Collection: ePRO systems enable the collection of patient-reported outcomes (PROs) through electronic surveys, forms, or apps. This feature allows patients to input their symptoms, health conditions, quality of life, and other relevant health information directly from their mobile devices, computers, or tablets.
• Real-Time Data Monitoring: With ePRO software, data collected from patients is transmitted in real-time to healthcare professionals or research teams. This allows clinicians to monitor patient progress and adjust treatment plans promptly, without waiting for follow-up appointments.
• Customizable Questionnaires: ePRO platforms provide the flexibility to customize questionnaires to fit specific research protocols or clinical needs. Healthcare providers or researchers can design assessments with relevant questions to capture the exact data required for particular treatments, studies, or conditions.
• Multilingual Support: Many ePRO systems support multiple languages, enabling diverse patient populations to use the software in their preferred language.
• User-Friendly Interface: The software is typically designed with an intuitive and easy-to-navigate interface, which ensures that patients, even those with limited technical knowledge, can complete surveys or questionnaires without difficulty.
• Automated Data Integration: ePRO software can automatically integrate with other healthcare systems, such as electronic health records (EHR), clinical trial management systems (CTMS), or patient management platforms. This integration streamlines the process of updating patient records with PRO data.
• Patient Engagement and Feedback: ePRO platforms often include features to keep patients engaged, such as automated reminders to complete surveys, progress tracking dashboards, and feedback on the results they report. Some systems also provide personalized care recommendations based on the data submitted.
• Data Security and Compliance: ePRO systems are designed with robust security measures, including encryption, multi-factor authentication, and secure cloud storage to ensure patient data is protected. Additionally, they comply with healthcare regulations such as HIPAA (Health Insurance Portability and Accountability Act) in the U.S., ensuring privacy and confidentiality.
• Analytics and Reporting Tools: ePRO platforms come equipped with advanced analytics tools that help researchers and clinicians analyze patient data. These tools provide insights into trends, patient outcomes, and overall treatment effectiveness. Reports can often be customized based on specific metrics.
• Remote Patient Monitoring: Many ePRO platforms integrate with other remote monitoring tools, such as wearable devices or home monitoring equipment, to collect additional patient health data (e.g., blood pressure, glucose levels, physical activity).
• Patient Recruitment and Enrollment: In clinical trials or research studies, ePRO software can be used to streamline patient recruitment by reaching potential participants through online platforms. Some systems also help with enrollment management by automating eligibility checks and consent forms.
• Compliance with Regulatory Standards: ePRO software often adheres to regulatory standards, such as FDA 21 CFR Part 11 (for clinical trials), ensuring that the collected data is valid, reliable, and usable for official regulatory submissions.
• Patient Consent Management: ePRO software often includes functionality to capture and manage patient consent electronically. This feature ensures that patients have been informed about the use of their data, particularly in clinical trials and research studies.
• Real-Time Alerts and Notifications: ePRO systems allow clinicians or researchers to set up alerts based on specific patient responses or trends in the data. For example, a patient reporting a significant worsening of symptoms might trigger an alert for immediate follow-up.
• Cost-Effective and Scalable Solution: By digitizing the patient data collection process, ePRO software reduces the need for paper-based methods and in-person data gathering, thus reducing administrative costs. It is also scalable, allowing healthcare organizations to manage large volumes of patient data efficiently.

ePRO software provides healthcare providers, researchers, and patients with a more efficient, accurate, and accessible way to manage health data, contributing to improved outcomes and streamlined healthcare operations.

What Are the Different Types of ePRO Software?

ePRO (electronic Patient Reported Outcomes) software is designed to capture data directly from patients regarding their health status, treatments, and quality of life. These systems are increasingly used in clinical trials, healthcare settings, and research to gather insights from patients efficiently. Here are the different types of ePRO software, categorized based on their functionalities and features:

• Data Collection Platforms: These systems are designed to capture a wide range of patient-reported data, including symptoms, side effects, quality of life, and functional status.
• Patient Engagement Tools: ePRO software often includes patient-facing mobile applications that allow patients to enter data from smartphones or tablets. These apps may include reminders, notifications, and educational content to increase patient compliance.
• Clinical Trial Management Integration: ePRO tools often integrate with clinical trial management systems (CTMS) to streamline the data collection process and ensure alignment with study protocols.
• Data Analytics and Reporting: Some ePRO platforms include data analytics features that allow researchers or healthcare providers to assess trends in patient-reported outcomes as the data is collected. This can improve decision-making and treatment plans.
• Regulatory Compliance: For clinical trials, some ePRO systems are designed to comply with regulatory standards like FDA's 21 CFR Part 11, which ensures that electronic records and signatures are secure and trustworthy.
• Multi-Language and Global Support: Some ePRO systems support multiple languages, making them accessible to patients in different regions and helping researchers maintain the integrity of global clinical trials.
• Remote Monitoring and Telehealth Integration: ePRO software may be integrated with remote monitoring devices to automatically collect patient data, such as heart rate or blood pressure, alongside self-reported symptoms.
• Automated Data Validation and Quality Control: ePRO systems often include features to automatically validate incoming data for accuracy and consistency, reducing human error and ensuring higher data quality.
• Integration with Electronic Health Records (EHR): Many ePRO systems can be linked with EHR systems to provide a seamless flow of information between patient-reported outcomes and clinical data, giving healthcare providers a more holistic view of patient health.
• Patient-Centered Design: ePRO software is often designed with a focus on ease of use for patients, ensuring minimal burden and clear instructions for completing surveys or reports.
• Longitudinal Monitoring: Some ePRO platforms are specifically designed for long-term, ongoing monitoring of patients with chronic conditions, allowing healthcare providers to track their condition over extended periods.
• Patient Population Management: ePRO systems can be used to collect data from specific patient populations, such as those with particular diseases, comorbidities, or demographic profiles.

What Are the Benefits Provided by ePRO Software?

ePRO software provides numerous advantages in clinical trials and healthcare settings. Here’s a detailed breakdown of these advantages:

• Real-Time Data Capture: ePRO systems allow patients to report their outcomes in real time, minimizing recall bias or errors that can occur with paper-based methods where patients may forget to record symptoms or side effects accurately.
• Automated Validation: The system can automatically validate responses for inconsistencies or missing data, ensuring more accurate and complete data collection.
• Ease of Use: Patients can submit their responses conveniently through smartphones, tablets, or computers, making the process more user-friendly compared to paper-based forms. This helps reduce the burden on patients, leading to better compliance.
• Timely Feedback: Patients can be alerted to fill out surveys at specified times, increasing engagement with the study or treatment process. This consistent interaction helps keep them more involved in their care.
• Reduction in Administrative Costs: ePRO systems eliminate the need for printing, mailing, and manually entering paper forms, leading to significant savings in administrative costs.
• Fewer Data Entry Errors: Since the data is captured electronically, there are fewer opportunities for errors during manual entry, reducing the need for expensive corrections and reducing costs associated with rework.
• Instant Data Availability: Researchers and clinicians can access the data as soon as it is entered, allowing them to monitor patient progress and make more informed decisions in a timely manner. This leads to better decision-making in both clinical trials and healthcare settings.
• Data Integration: ePRO can be integrated with other clinical data sources like electronic health records (EHRs), creating a more holistic view of patient health, and allowing for comprehensive, data-driven decision-making.
• Automated Reminders: ePRO software can send automatic reminders to patients to complete assessments, helping to maintain high levels of compliance and reduce dropout rates in clinical trials.
• Tracking Adherence: ePRO systems can also track whether patients are consistently submitting their reports, allowing clinicians to address any potential issues of non-compliance early on.
• Data Encryption: ePRO systems use encryption protocols to ensure that patient data is secure, protecting it from unauthorized access. This is particularly important in clinical trials where sensitive health data is involved.
• Regulatory Compliance: Many ePRO platforms are designed to comply with strict regulations such as HIPAA (Health Insurance Portability and Accountability Act) and FDA 21 CFR Part 11, ensuring that patient data is managed with the highest level of security and privacy.
• Data Processing Automation: ePRO platforms can automatically process and analyze the data, drastically reducing the time spent manually inputting and analyzing data. This leads to quicker turnaround times for study results and faster decision-making.
• Comprehensive Data Analysis: Researchers can leverage advanced analytics tools integrated with ePRO systems to derive insights from large datasets, potentially discovering trends and correlations that could be missed with manual methods.
• Early Detection of Adverse Events: By capturing real-time data, ePRO systems can help identify adverse events more quickly, allowing for timely interventions and improving patient safety.
• Monitoring Patient-Reported Symptoms: ePRO systems enable better tracking of patient-reported symptoms, which can alert clinicians to potential issues that might not be immediately apparent during clinical visits.
• Access from Anywhere: ePRO systems can be used by patients regardless of their location, allowing for remote monitoring of patients' health outcomes, especially valuable for trials or patient groups in rural or underserved areas.
• Reduced Need for In-Person Visits: Remote monitoring reduces the need for frequent visits to healthcare facilities, benefiting patients who might have mobility issues or live in locations far from care centers.
• Easier Submission to Regulatory Bodies: The structured data collected by ePRO systems is easier to format and submit to regulatory agencies, ensuring compliance with the necessary documentation requirements.
• Audit Trails: Many ePRO platforms automatically generate audit trails, which can be reviewed by regulatory authorities, making it easier to demonstrate compliance during inspections or audits.
• Multi-Language Support: ePRO systems can be configured to offer support for multiple languages, making them suitable for use in international clinical trials and ensuring that patients from diverse linguistic backgrounds can easily report their outcomes.
• Centralized Data Collection: Researchers can aggregate data from global sites in one centralized location, streamlining data management and simplifying cross-country collaboration.
• Reduction in Paper Usage: By eliminating the need for paper forms, ePRO systems contribute to more environmentally friendly practices, reducing the carbon footprint of clinical trials and healthcare practices.
• Lower Waste Generation: The reduction in physical paperwork, printing materials, and other related resources helps minimize waste, contributing to more sustainable practices in healthcare.

ePRO software offers many advantages, such as enhanced data accuracy, patient engagement, cost savings, and faster data analysis. It provides significant improvements in monitoring patient safety, ensuring regulatory compliance, and fostering more efficient clinical trials and healthcare processes. These benefits ultimately lead to better outcomes for patients, researchers, and healthcare providers alike.

Types of Users That Use ePRO Software

• Clinical Trial Participants: These are individuals who take part in clinical trials and are the primary users of ePRO software. They use the system to report their health status, symptoms, medication adherence, and overall experience during the trial. ePRO software ensures participants can easily provide data using devices like smartphones, tablets, or computers, often through intuitive and user-friendly interfaces. This data is critical for assessing the efficacy and safety of treatments in a trial.
• Clinical Trial Coordinators: Clinical trial coordinators manage the logistics and operations of a clinical study. They use ePRO software to monitor participants' engagement and adherence to data reporting schedules. Coordinators can view dashboards, track data submissions in real time, and send reminders to participants to complete assessments. ePRO platforms help them ensure data collection aligns with protocol timelines, contributing to the trial's success.
• Healthcare Providers: Physicians, nurses, and other healthcare professionals involved in clinical trials utilize ePRO software to monitor patient-reported data. This enables them to track participants' health trends, identify adverse events, and make informed decisions about care adjustments. For healthcare providers, ePRO software provides a comprehensive view of patient-reported outcomes alongside other clinical data, enhancing their ability to ensure participant safety.
• Clinical Researchers and Investigators: Researchers and investigators analyze the data collected during clinical trials to evaluate treatment efficacy and safety. They rely on ePRO software to access high-quality, real-time patient-reported data that can be integrated with other trial datasets. This software helps them draw meaningful insights, generate reports, and prepare findings for regulatory submissions and publications.
• Pharmaceutical and Biotechnology Companies: Sponsors of clinical trials, including pharmaceutical and biotech companies, use ePRO software to streamline data collection and ensure compliance with regulatory standards. They depend on the system to gather reliable patient-reported outcomes, which are crucial for securing approvals for new drugs or treatments. ePRO tools also help sponsors save time and resources by automating data aggregation and minimizing errors.
• Regulatory Authorities: Agencies such as the FDA and EMA review clinical trial data, including patient-reported outcomes, to approve new drugs and treatments. ePRO software ensures data integrity, audit trails, and adherence to regulatory requirements like 21 CFR Part 11. Regulatory authorities benefit from the standardized and transparent data collection processes provided by these platforms.
• Data Management Teams: Data managers oversee the integrity and quality of data collected during clinical trials. They use ePRO systems to ensure that patient-reported data is complete, accurate, and consistent. Data management teams often perform data cleaning and validation within the software, ensuring that the dataset is ready for statistical analysis and regulatory submission.
• Statisticians and Data Analysts: These professionals analyze the data collected from ePRO systems to evaluate the outcomes of clinical trials. Statisticians rely on the system’s robust reporting features to access patient-reported data in various formats. They perform analyses that support conclusions about the treatment’s efficacy, quality of life improvements, or other patient-centered outcomes.
• Quality Assurance (QA) Teams: QA professionals ensure that ePRO software is implemented correctly and complies with Good Clinical Practice (GCP) guidelines and other regulatory standards. They review the system’s performance, monitor adherence to data collection protocols, and verify that the software produces reliable results.
• Technology and IT Support Teams: IT professionals maintain the ePRO software, ensure it integrates seamlessly with other clinical trial systems (e.g., electronic data capture platforms), and troubleshoot technical issues. They also ensure the software is secure, compliant with data privacy regulations like GDPR and HIPAA, and accessible to all users.
• Patient Advocacy Groups: Organizations that represent patient communities may interact with ePRO software to understand patient experiences and provide feedback to sponsors and researchers. These groups value the insights gathered from patient-reported data and advocate for the use of ePRO tools to capture the voices of trial participants more accurately.
• Site Administrators: These are staff members at clinical trial sites responsible for onboarding participants and ensuring they understand how to use ePRO software. Site administrators may also help troubleshoot issues participants encounter and ensure that the necessary devices are available for data entry. They play a key role in ensuring participants remain engaged with the software throughout the study.
• Caregivers and Family Members: In some cases, caregivers or family members use ePRO software on behalf of participants, particularly if the participant is unable to enter data independently due to age, disability, or illness. Caregivers use the system to report observations about the participant’s symptoms, treatment adherence, and quality of life.

This list outlines the diverse range of users who engage with ePRO software, each with unique roles and responsibilities in the clinical trial ecosystem.

How Much Does ePRO Software Cost?

The cost of ePRO software can vary significantly depending on several factors, including the scope of its functionality, the complexity of the study or trial it supports, and the level of customization required. For small-scale studies or basic implementations, costs may be lower, particularly if the software includes standard features such as survey templates, data collection tools, and basic analytics. On the other hand, larger studies or organizations often require more sophisticated features like multi-language support, advanced integration with other systems, or tailored user interfaces, which can substantially increase the overall cost. Pricing structures also differ, with some providers charging a flat fee, while others offer subscription-based models, charging per user or per study.

Additional costs should also be considered when budgeting for ePRO software. For example, setup fees, training expenses for study staff, and ongoing support or maintenance costs can add to the total price. Moreover, some platforms charge extra for advanced features, such as real-time reporting, customizable dashboards, or enhanced data security measures. The duration of the study and the number of participants can also influence costs, as larger or longer trials generally require greater resources to manage. Organizations should carefully assess their specific needs, study requirements, and budget constraints when evaluating ePRO solutions to ensure they select a cost-effective and scalable option.

What Does ePRO Software Integrate With?

ePRO (electronic Patient Reported Outcome) software is typically designed to collect data directly from patients about their health status, experiences, or treatment outcomes. Various types of software can integrate with ePRO platforms to enhance their functionality, streamline workflows, and ensure a more seamless experience for users.

Clinical trial management systems (CTMS) are one example of software that can integrate with ePRO solutions. These systems are used in clinical research to manage the planning, tracking, and monitoring of clinical trials. Integration allows trial managers to monitor patient-reported data alongside clinical data, improving overall trial management and ensuring accurate and comprehensive information.

Electronic health record (EHR) systems can also integrate with ePRO software, facilitating the sharing of patient data between healthcare providers and ensuring that patient-reported outcomes are available within the context of a patient’s full medical record. This integration can provide a more complete picture of a patient's health history and treatment progress.

Data analytics platforms are another type of software that can work in tandem with ePRO systems. These tools can analyze the vast amounts of data collected from patients to derive insights, detect trends, and support evidence-based decisions. This integration is particularly useful in clinical trials, where real-time analysis of patient-reported outcomes can be crucial for adaptive trial designs.

Patient engagement and telemedicine platforms can also integrate with ePRO systems to enhance patient interaction and monitoring. These platforms enable healthcare providers to communicate with patients remotely, deliver educational content, and track health progress. Integration with ePRO allows these platforms to collect real-time patient feedback, improving remote care management.

Regulatory compliance software may be used to ensure that data from ePRO platforms meets the necessary standards and regulations, such as those established by the FDA or HIPAA. Integrating this type of software can help streamline compliance workflows and reduce the risk of errors.

In short, ePRO software can integrate with a variety of other software solutions, including those used for clinical trial management, electronic health records, data analytics, patient engagement, and regulatory compliance, among others. These integrations help improve data accuracy, streamline workflows, and enhance the overall experience for both patients and healthcare providers.

Recent Trends Related to ePRO Software

Here are some of the key trends related to ePRO (electronic Patient Reported Outcomes) software:

• Increased Use for Data Collection: ePRO software has become a central part of clinical trials, replacing paper-based methods of collecting patient-reported outcomes.
• Remote Patient Monitoring: With the rise of decentralized trials, ePRO tools are essential for collecting patient data remotely, improving trial accessibility for participants.
• Regulatory Approval: Regulatory bodies like the FDA have started recognizing ePROs as a reliable data source, leading to their widespread acceptance in clinical research.
• Electronic Health Records (EHR) Integration: ePRO systems are increasingly integrated with EHR systems to allow seamless data exchange between patient-reported information and clinical data, improving overall patient care and workflow efficiency.
• Clinical Trial Management Systems (CTMS): Integration with CTMS software is helping streamline the collection and analysis of patient data in clinical trials.
• Smartphone Apps and Wearables: The increasing use of mobile apps and wearables in healthcare is a driving force behind ePRO adoption. These devices capture real-time data on patients' health conditions and provide valuable insights.
• Real-Time Data Collection: Patients can report their symptoms, side effects, and quality of life data directly through their mobile devices, enhancing the timeliness and accuracy of the data collected.
• Improved Patient Engagement: ePRO systems are designed with user-friendly interfaces that encourage patients to actively participate in their own healthcare, improving patient engagement and satisfaction.
• Personalized Care: These systems enable personalized healthcare by collecting data that reflects the individual patient's experiences, leading to more tailored treatment plans.
• Expanding Role in RWE: As healthcare organizations and regulators increasingly rely on real-world evidence to inform decision-making, ePRO software is playing a crucial role in gathering real-world patient-reported data that can be used to assess the effectiveness of treatments outside clinical trial settings.
• Post-Marketing Surveillance: ePROs are becoming essential for post-market surveillance to track how patients are responding to treatments over time in real-world settings.
• Advanced Analytics: The integration of AI and machine learning technologies in ePRO systems is enabling advanced analytics to process large datasets quickly and efficiently, providing valuable insights into patient outcomes and trends.
• Predictive Analytics: AI-driven algorithms can predict adverse events or deterioration in health conditions, helping healthcare providers intervene early and potentially improve outcomes.
• Compliance with Industry Standards: ePRO software is increasingly being developed with an emphasis on meeting regulatory requirements such as FDA 21 CFR Part 11 and EU Annex 11, ensuring data integrity and security.
• Data Privacy Concerns: As ePRO tools collect sensitive patient information, ensuring compliance with data privacy regulations like HIPAA (Health Insurance Portability and Accountability Act) is becoming increasingly important.
• Lower Operational Costs: By eliminating paper forms and manual data entry, ePRO systems reduce administrative costs, errors, and delays in clinical trials and patient care processes.
• Streamlined Data Management: Automating the collection and analysis of patient-reported outcomes allows healthcare providers and researchers to manage data more efficiently, improving the overall effectiveness of clinical trials and patient care.
• Cross-Border Data Collection: With the rise of global clinical trials, ePRO tools facilitate cross-border data collection by offering multilingual support and enabling remote data capture from patients around the world.
• International Regulations: As ePROs become more common, different countries are establishing regulatory frameworks to ensure these tools are compliant with local laws, including data protection and medical device regulations.
• Interactive Dashboards: Modern ePRO software often includes interactive dashboards that provide healthcare professionals and researchers with easy-to-read visualizations of patient data, enabling quicker decision-making.
• Real-Time Reporting: Real-time reporting capabilities allow clinical teams to track patient-reported outcomes continuously, making it easier to adjust treatments or interventions as needed.
• Multi-Party Data Sharing: ePRO platforms enable collaboration between various stakeholders in the healthcare ecosystem, including patients, doctors, researchers, and pharmaceutical companies, by providing centralized access to patient-reported data.
• Public Health Insights: ePRO data is increasingly being used to gather insights for public health research, contributing to broader understanding and policy development related to patient outcomes and disease management.
• Intuitive User Interfaces: As ePRO systems evolve, there’s a strong emphasis on improving user interfaces to make them simple and intuitive for patients, especially those with limited technical expertise.
• Accessibility Features: New ePRO platforms are incorporating accessibility features, such as voice-enabled input and visual aids, to cater to a broader range of patients, including those with disabilities or low literacy levels.

These trends indicate that ePRO software is moving toward becoming an indispensable tool in modern healthcare and clinical trials, benefiting both healthcare providers and patients.

How To Select the Best ePRO Software

Selecting the right ePRO software involves evaluating several key factors to ensure it aligns with your organization's specific needs and objectives. Start by identifying the purpose and scope of your project, including the types of data you need to collect, the target patient population, and the regulatory requirements you must meet. Understanding these foundational elements will guide your search for a platform that supports your goals.

Consider the user experience for both patients and researchers. The software should be intuitive, accessible, and compatible with various devices, such as smartphones, tablets, and computers. An easy-to-use interface can enhance patient compliance and reduce the need for extensive training. Look for features like multilingual support, offline capabilities, and accessibility options to ensure inclusivity for diverse patient groups.

Data security and compliance are critical. Verify that the ePRO software adheres to relevant regulatory standards, such as HIPAA and 21 CFR Part 11, to protect patient data and maintain compliance with industry regulations. Robust encryption, secure data storage, and audit trails are essential features for safeguarding sensitive information.

Integration capabilities with other systems, such as EDC (electronic data capture) platforms or clinical trial management systems, should also be evaluated. Seamless integration minimizes data silos and streamlines workflows, enhancing overall efficiency. Additionally, assess the software's reporting and analytics features to ensure it provides actionable insights and supports real-time monitoring of patient data.

Scalability and customization options are equally important. Choose a solution that can grow with your needs, accommodating larger studies or expanding into new therapeutic areas. The ability to tailor the software to your specific protocols and branding can improve user engagement and align with organizational requirements.

Finally, consider the vendor's reputation and level of support. Look for a provider with a proven track record, positive client feedback, and strong customer service. Reliable technical support and training resources can make a significant difference in the successful implementation and operation of the ePRO system. By carefully evaluating these factors, you can select an ePRO solution that meets your clinical or research needs effectively.

Make use of the comparison tools above to organize and sort all of the ePRO software products available.