I served as a clinical medical physicist and oncology administrator for 12 years and joined an oncology information systems vendor in 2004. I left that vendor in 2011 to build a new oncology information solution that enhances use of legacy solutions, currently in the clinic and provides a framework for clinical research. This new solution is being built with an emphasis on characterizing discrete relationships between diagnosis, therapy and long-term follow-up, anticipating the future widespread use of "-omic" technologies for diagnosis and companion diagnostic applications.