How do you bring advanced data systems to field hospitals without internet or IT staff? That’s the challenge we faced in implementing the tools for a new clinical trial called endTB. The project covers 15 countries and is designed to find shorter, less toxic, and more effective treatments for patients with multi-drug resistant forms of TB. To join this collaboration, teams must be equipped to capture rich patient data and share it securely with international colleagues. Médecins Sans Frontières project manager Safiya Arnaout describes her experience integrating a high-tech solution into low-tech hospital settings, empowering medical teams to use data in innovative ways.