Figure 3 shows activity for the REDCap project at Vanderbilt University and our CTSA partner institution, Meharry Medical College, from August, 2004 through September, 2008. REDCap was initially created to support clinical research studies, but we now also use the project to support basic science and operational databases for our CTSA organization (e.g. process database for managing REDCap projects, accounting activity for CTSA Community Engagement core). The total number of projects is currently 204 (clinical=189; basic=7; operational=8), including 156 active projects and 48 projects in prototype (pre-production) status. The project creation process may take from less than a day to over a year to move from prototype to production status and depends entirely on the motivation and readiness of the research team in defining CRF requirements and launching the study. Projects are allowed to remain in prototype status as long as researchers are interested in continuing development.