The cost of rebuilding the same workflow infrastructure.

A diagnostic lab builds identity-resolution logic. A sponsor builds similar logic for trial records. A manufacturer builds it for chain-of-identity. A CRO builds it for submissions.

Same problem, solved independently, four times.

Precision-medicine programs repeatedly build similar onboarding, lineage, validation, and compliance workflows.

Diagnostic labs, CROs, and study teams often solve related identity-resolution problems against different records and workflows. Each implementation must handle local identifiers, exceptions, and audit context.

Systemic waste

The work is identical. The implementations are bespoke.

That is repeated implementation work rather than differentiated science.

Scientific findings can move across organizations, but the infrastructure that records who did what, which rules ran, and what was reviewed is often rebuilt for each program.

Precision medicine pays infrastructure costs without shared infrastructure. The difference can show up as longer timelines, more rework, and repeated submission preparation.