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                                                                   EXHIBIT 10.14

                          DATATRAK INTERNATIONAL, INC.
                     1999 OUTSIDE DIRECTOR STOCK OPTION PLAN

     DATATRAK International, Inc., hereinafter called the "Company," hereby
adopts a stock option plan for eligible Directors of the Company pursuant to the
following terms and provisions:

     1. PURPOSE OF THE PLAN. The purpose of this plan, hereinafter called the
"Plan," is to provide additional incentive to those Directors of the Company who
are not employees of the Company or any of its subsidiaries or affiliates by
encouraging them to acquire a new or an additional share ownership in the
Company, thus increasing their proprietary interest in the Company's business
and providing them with an increased personal interest in the Company's
continued success and progress. These objectives will be promoted through the
grant of options to acquire the Company's Common Shares, without par value per
share (the "Common Shares"), pursuant to the terms of the Plan. Only those
Directors who meet the qualifications stated above are eligible for and shall
receive options under this Plan.

     2. EFFECTIVE DATE OF THE PLAN. The Plan shall become effective as of
September 22, 1999, subject to approval by holders of shares representing a
majority of the outstanding voting stock of the Company present at a meeting of
shareholders called for that purpose. In the event that such shareholder
approval has not occurred on or before December 31, 2000, the Plan and any
options granted hereunder shall be null and void.

     3. COMMON SHARES SUBJECT TO THE PLAN. The Common Shares to be issued upon
the exercise of the options granted under the Plan shall be Common Shares of the
Company. Either treasury or authorized and unissued Common Shares, or both, as
the Board of Directors shall from time to time determine, may be so issued.
Common Shares which are the subject of any lapsed, expired or terminated options
may be made available for re-offering under the Plan. If an option granted under
this Plan is exercised pursuant to the terms and conditions of subsection 5(b),
any Common Shares which are the subject thereof shall not thereafter be
available for re-offering under the Plan.

     Subject to the provisions of the next succeeding paragraph of this Section
3, the aggregate number of Common Shares for which options may be granted under
the Plan shall be Two Hundred and Fifty Thousand (250,000) Common Shares.

     In the event that, subsequent to the date of adoption of the Plan by the
Board of Directors, the Common Shares should, as a as a result of a stock split,
stock dividend, combination or exchange of shares, exchange for other
securities, reclassification, reorganization, redesignation, merger,
consolidation, recapitalization or other such change, be increased or decreased
or changed into or exchanged for a different number or kind of shares of stock
or other securities of the Company or of another corporation, then (i) there
shall automatically be substituted for each Common Share subject to an
unexercised option (in whole or in part) granted under the Plan, each Common
Share available for additional grants of options under the Plan and each Common
Share made available for grant to each eligible Director pursuant to Section 4
hereof, the number and kind of shares of stock or other securities into which
each outstanding Common Share shall be changed or for which each such Common
Share shall be exchanged, (ii) the option price per Common Share or unit of
securities shall be increased or decreased proportionately so that the aggregate
purchase price for the securities subject to the option shall remain the same as
immediately prior to such event, and (iii) the Board of Directors shall make
such other adjustments as may be appropriate and equitable to prevent
enlargement or dilution of option rights. Any such adjustment may provide for
the elimination of fractional shares.

     4. GRANT OF OPTIONS.

     a. AUTOMATIC GRANTS. Subject to the terms of the Plan (including without
limitation the receipt of shareholder approval contemplated by Section 2
hereof), each eligible Director shall be granted a non-qualified stock option
for 12,500 Common Shares as of September 22, 1999, and subsequent non-qualified
stock options for 12,500 Common Shares at each annual meeting of the
shareholders of the Company thereafter so long as he or she is an eligible
Director. Each eligible Director first appointed or elected to the Board of
Directors after September 22,

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1999 shall be granted a non-qualified stock option to purchase 10,000 Common
Shares as of the date of such appointment or election, and subsequent
non-qualified stock options for 12,500 Common Shares at each annual meeting of
the shareholders of the Company thereafter so long as he or she is an eligible
Director.

     b. OPTION PRICE. The price at which each Common Share may be purchased
pursuant to an option granted under the Plan shall be equal to the "fair market
value" (as determined pursuant to Section 7) for each such share as of the date
on which the option is granted (the "Date of Grant"), but in no event shall such
price be less than the par value of such Common Shares. Anything contained in
this subsection (b) to the contrary notwithstanding, in the event that the
number of Common Shares subject to any option is adjusted pursuant to Section 3,
a corresponding adjustment shall be made in the price at which the Common Shares
subject to such option may thereafter be purchased.

     c. DURATION OF OPTIONS. Each option granted under the Plan shall expire and
all rights to purchase Common Shares pursuant thereto shall cease on the date
(the "Expiration Date") which shall be the tenth anniversary of the Date of
Grant of such option.

     d. VESTING OF OPTIONS. For the initial grant to eligible Directors as of
September 22, 1999 of an option to purchase 12,500 Common Shares, one hundred
percent (100%) of each such option granted under the Plan shall become fully
vested and exercisable as of the date of the first annual meeting of the
Company's shareholders following the Date of Grant, subject to shareholder
approval. For the annual grants of options to purchase 12,500 Common Shares, one
hundred percent (100%) of each such option granted under the Plan shall become
fully vested and exercisable on the date of the first annual meeting of the
Company's shareholders following the Date of Grant. For the grants of 10,000
Common Shares upon the initial appointment or election of an eligible Director,
one hundred percent (100%) of each such option granted under the Plan shall
become fully vested and exercisable on the first anniversary of the Date of
Grant.

     5. OPTION PROVISIONS.

     a. LIMITATION ON EXERCISE AND TRANSFER OF OPTIONS.

     Each option agreement shall be binding upon and inure to the benefit of any
successor of the Company and the heirs, estate, personal representative and
transferees of the optionee. All or any portion of an option shall be
transferable by the optionee, in whole at any time or in part from time to time,
to (i) any member of the optionee's Immediate Family, (ii) any trust whose
beneficiaries consist solely of the optionee and/or members of the optionee's
Immediate Family, and (iii) any person or entity who is an "affiliate" of the
optionee (as such term is defined in Rule 501(b) of Regulation D promulgated
under the Securities Act of 1933). Notwithstanding the foregoing, the Company
shall be under no obligation to record any such transfer upon the books of the
Company and may treat the optionee as the record and beneficial owner thereof
for all purposes until such time as: (a) the transferor delivers to the Company
a fully executed assignment of option in the form attached as Exhibit A to the
option agreement; (b) the transferee delivers to the Company a fully executed
joinder to the option agreement in the form attached as Exhibit B to the option
agreement; and (c) that the transferor and transferee establish, to the
reasonable satisfaction of the Company, that such a transfer is permitted under
applicable provisions of the federal securities laws. For purposes of this Plan,
"Immediate Family" means a person's parents, siblings, spouse, children or
grandchildren or any of the foregoing persons. No option granted hereunder may
be pledged or hypothecated, nor shall any such option be subject to execution,
attachment or similar process.

     b. EXERCISE OF OPTION. Each option granted hereunder may be exercised in
whole or in part (to the maximum extent then exercisable) from time to time
during the option period, but this right of exercise shall be limited to whole
shares. Options shall be exercised by the optionee giving written notice to the
Vice President of Finance and Chief Financial Officer of the Company at its
principal business office, by certified mail, return receipt requested, of the
optionee's intention to exercise the same and the number of shares with respect
to which the option is being exercised (the "Notice of Exercise of Option")
accompanied by full payment of the purchase price in cash or in whole or in part
in Common Shares having a fair market value on the date the option is exercised
equal to that portion of the purchase price for which payment in cash is not
made. Such Notice of Exercise of Option shall be deemed delivered upon deposit
into the mails.

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     c. TERMINATION OF DIRECTORSHIP. Subject to the following provisions, if the
optionee ceases to be a Director of the Company, his or her option shall
terminate three (3) months after the effective date of termination of his or her
Directorship and neither he nor she nor any other person shall have any right
after such date to exercise all or any part of such option. If the termination
of the Directorship is due to death, then the option may be exercised within one
(1) year after the optionee's death by the optionee's estate or by the person
designated in the optionee's Last Will and Testament or to whom transferred by
the applicable laws of descent and distribution (the "Personal Representative").
Notwithstanding the foregoing, in no event shall any option be exercisable after
the expiration of the ten-year option period and no option shall be exercisable
to any greater extent than the optionee would have been entitled to exercise the
option at the time of termination or death.

     d. ACCELERATION OF EXERCISE OF OPTION IN CERTAIN EVENTS. Notwithstanding
anything to the contrary described in the Plan, in the event of a "change in
control," the eligible Director shall have the immediate right and option
(notwithstanding the provisions of paragraph 4 hereof) to exercise the option
with respect to all Common Shares covered by the option, which exercise, if
made, shall be irrevocable. The term "change in control" shall mean: (i) the
receipt by the Company of a Schedule 13D or other advice indicating that a
person, or any member of a "group," is the "beneficial owner" (as those terms
are defined in Rule 13d-3 under the Securities Exchange Act of 1934) of twenty
percent (20%) or more of the voting power of the Company; (ii) the first
purchase of shares pursuant to a tender offer or exchange (other than a tender
offer or exchange by the Company or its affiliates) for all or any amount of
Common Shares or any class or any securities convertible into such Common
Shares, the results of which would make the offeror and/or its affiliates the
beneficial owners of twenty percent (20%) or more of the voting power of the
Company; (iii) the date of the approval by shareholders of the Company of an
agreement providing for any consolidation or merger of the Company in which the
Company will not be the continuing or surviving corporation or pursuant to which
shares of capital stock of any class, or any securities convertible into such
capital stock, of the Company would be converted into cash, securities, or other
property, other than a merger or consolidation of the Company with an affiliate
of the Company or in which the holders of all of the shares of all classes of
the Company's capital stock immediately prior to the merger or consolidation
would own at least a majority of the voting power of the surviving corporation
(or the direct or indirect parent company of the surviving corporation)
immediately after the merger or consolidation; (iv) the date of the approval by
shareholders of the Company of any sale, lease, exchange, or other transfer (in
one transaction or a series of related transactions) of all or substantially all
the assets of the Company; or (v) the adoption of any plan or proposal for the
liquidation (but not a partial liquidation) or dissolution of the Company.

     e. OPTION AGREEMENTS. Options granted under the Plan shall be subject to
the further terms and provisions of an option agreement, a copy of which is
attached hereto as Exhibit A, the execution of which by each optionee shall be a
condition to the receipt of an option.

     6. INVESTMENT REPRESENTATION; APPROVALS AND LISTING. The options to be
granted hereunder shall be further conditioned upon receipt of the following
investment representation from the optionee:

     "I further agree that any Common Shares of DATATRAK International, Inc.
     (the "Company") which I may acquire by virtue of this option shall be
     acquired for investment purposes only and not with a view to distribution
     or resale; provided, however, that this restriction shall become
     inoperative in the event that the said Common Shares subject to this option
     shall be registered under the Securities Act of 1933, as amended, or in the
     event that the offer or sale of the Common Shares subject to this option
     may be lawfully made without registration of the said Common Shares under
     the Securities Act of 1933, as amended, as established to the satisfaction
     of the Company."

The Company shall not be required to issue any certificate or certificates for
Common Shares upon the exercise of an option granted under the Plan prior to (i)
the obtaining of any approval from any governmental agency which the Company
shall, in its sole discretion, determine to be necessary or advisable, (ii) the
admission of such Common Shares to listing on any national securities exchange
on which the Common Shares may be listed, (iii) the completion of any
registration or other qualification of the Common Shares under any state or
federal law or ruling or regulations of any governmental body which the Company
shall, in its sole discretion, determine to be necessary or advisable or the
determination by the Company, in its sole discretion, that any registration or
other qualification of the Common Shares is not necessary or advisable, and (iv)
the obtaining of an investment representation from the

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optionee in the form stated above or in such other form as the Company, in its
sole discretion, shall determine to be adequate.

     7. GENERAL PROVISIONS. For all purposes of this Plan, the fair market value
of a Common Share shall be determined as follows: so long as the Common Shares
of the Company are listed upon an established stock exchange or exchanges or
contained in the Nasdaq National Market System ("Nasdaq"), such fair market
value shall be determined to be the highest closing sale price of such Common
Shares on such stock exchange or exchanges or Nasdaq the trading day immediately
prior to the day the option is granted (or the date the Common Shares are
tendered as payment, in the case of determining fair market value for that
purpose) or if no sale of such Common Shares shall have been made on any stock
exchange or Nasdaq on that day, then on the closest preceding day on which there
was a sale of such Common Shares; and during any period of time as such Common
Shares are not listed upon an established stock exchange or traded on Nasdaq,
the fair market value per share shall either be (i) the mean between dealer
"Bid" and "Ask" prices of such Common Shares in the over-the-counter market on
the trading day immediately prior to the day the option is granted (or the day
the Common Shares are tendered as payment, in the case of determining fair
market value for that purpose), as reported by the National Association of
Securities Dealers, Inc., or (ii) the value determined by the Board of
Directors, excluding for that purpose, the votes of any eligible Directors.

     The liability of the Company under the Plan and any distribution of Common
Shares made hereunder is limited to the obligations set forth herein with
respect to such distribution and no term or provision of the Plan shall be
construed to impose any liability on the Company in favor of any person with
respect to any loss, cost or expense which the person may incur in connection
with or arising out of any transaction in connection with the Plan, including,
but not limited to, any liability to any federal, state, or local tax authority
and/or any securities regulatory authority.

     Nothing in the Plan or in any option agreement shall confer upon any
optionee any right to continue as a Director, or to be entitled to any
remuneration or benefits not set forth in the Plan or such option.

     Nothing contained in the Plan or in any option agreement shall be construed
as entitling any optionee to any of the rights of a shareholder as a result of
the grant of an option until such time as Common Shares are actually issued to
such optionee pursuant to the exercise of an option.

     The Plan may be assumed by the successors and assigns of the Company.

     The Plan shall not be amended more than once every six (6) months, other
than to comport with changes in the Internal Revenue Code, the Employee
Retirement Income Security Act, or the rules thereunder.

     The cash proceeds received by the Company from the issuance of Common
Shares pursuant to the Plan will be used for general corporate purposes or in
such other manner as the Board of Directors deems appropriate.

     The expense of administering the Plan shall be borne by the Company.

     The captions and section numbers appearing in the Plan are inserted only as
a matter of convenience. They do not define, limit, construe or describe the
scope or intent of the provisions of the Plan.

     8. TERMINATION OF THE PLAN. The Plan shall terminate ten (10) years from
the date of its adoption by the Board of Directors of the Company and thereafter
no options shall be granted hereunder. All options outstanding at the time of
termination of the Plan shall continue in full force and effect in accordance
with and subject to their terms and the terms and conditions of the Plan.

     9. TAXES. Appropriate provisions shall be made for all taxes required to be
withheld and/or paid in connection with the options or the exercise thereof, and
the transfer of Common Shares pursuant thereto, under the applicable laws or
other regulations of any governmental authority, whether federal, state, or
local and whether domestic or foreign. In its discretion, the Company may permit
the optionee to satisfy such withholding requirements by (a) the Company
withholding from issuance to the optionee such number of Common Shares

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otherwise issuable upon exercise of the option as the Company and the optionee
may agree, provided, however, that the optionee must have had on file with the
Company, for at least six (6) months prior thereto, an effective standing
election to satisfy said optionee's tax withholding obligations in such a
fashion, which election form by its terms shall not be revocable or amendable
for at least six (6) months, or (b) with the consent of the Board, in whole or
in part, in Common Shares having a fair market value on the date the option is
exercised equal to that portion of the withholding obligation for which payment
in cash is not made.

     10. CHANGES IN GOVERNING RULES AND REGULATIONS. All references herein to
the Internal Revenue Code of 1986, as amended, or sections thereof, or to rules
and regulations of the Department of Treasury or of the Securities and Exchange
Commission, shall mean and include the Code sections thereof and such rules and
regulations as are now in effect or as they may be subsequently amended,
modified, substituted or superseded.

     IN WITNESS WHEREOF, DATATRAK International, Inc., by its appropriate
officers duly authorized, has executed this instrument as of the 9th day of
December, 1999.

                                    DATATRAK INTERNATIONAL, INC.

                                    By:

                                    /s/ Jeffrey A. Green
                                    --------------------------------------------
                                    Jeffrey A. Green
                                    Its: President and Chief Executive Officer

                                    And:

                                    /s/ Terry C. Black
                                    --------------------------------------------
                                    Terry C. Black
                                    Its: Vice President of Finance, Chief
                                         Financial Officer, Treasurer, and
                                         Assistant Secretary

                                       5<PAGE>

                                                                   EXHIBIT 10.15

                                    AMENDMENT

                                     TO THE

                          DATATRAK INTERNATIONAL, INC.

                     1999 OUTSIDE DIRECTOR STOCK OPTION PLAN

     This Amendment (the "Amendment") to the DATATRAK International, Inc. 1999
Outside Director Stock Option Plan is made this 18th day of December, 2001 by
DATATRAK International, Inc. (the "Company").

                               W I T N E S S E T H

     WHEREAS, the Company's Board of Directors adopted the Company's 1999
Outside Director Stock Option Plan (the "Plan") on September 22, 1999; and

     WHEREAS, the Plan was approved at a meeting of the Company's shareholders
on May 3, 2000; and

     WHEREAS, the Company, as a condition to the consummation of a private
placement of the Company's common shares and pursuant to the terms of a Share
Purchase Agreement among the Company and the investors parties thereto, has
agreed to amend each of its stock option plans to place certain restrictions on
the granting of stock options; and

     WHEREAS, the Board of Directors has deemed it necessary and appropriate to
adopt such amendments to each of the Company's stock option plans to place
certain restrictions on the granting of stock options.

     NOW, THEREFORE, in consideration of the foregoing, the Plan is amended as
follows:

     CERTAIN RESTRICTIONS. The following language shall be added to the Plan as
a new section:

          "Notwithstanding anything in the foregoing to the contrary, the
     Company shall not, unless approved by the holders of a majority of the
     shares present and entitled to vote at a duly convened meeting of
     shareholders:

     (i)  grant any stock option, including stock appreciation right, with an
          exercise price that is less than 100% of the fair market value of the
          underlying stock on the date of grant; or

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     (ii) reduce the exercise price of any stock option, including stock
          appreciation right, outstanding or to be granted in the future; cancel
          and re-grant options at a lower exercise price (including entering
          into any "6 month and 1 day" cancellation and re-grant program),
          whether or not the canceled options are put back into the available
          pool for grant; replace out-of-the-money options with restricted stock
          in an exchange, buy-back or other program; or replace any options with
          new options having a lower exercise price or accelerated vesting
          schedule in an exchange, buy-back or other program.

     The prohibitions set forth in items (i) and (ii) above may not be further
     amended or repealed without the affirmative vote of the holders of a
     majority of the shares present and entitled to vote at a duly convened
     meeting of shareholders."

     IN WITNESS WHEREOF, DATATRAK International, Inc., by its appropriate
officers duly authorized, has executed this Amendment as of the 18th day of
December, 2001.

                                   DATATRAK INTERNATIONAL, INC.

                                   By:   /s/ Jeffrey A. Green
                                       -----------------------------------------
                                   Jeffrey A. Green, President and Chief
                                       Executive Officer

                                   By:   /s/ Terry C. Black
                                       -----------------------------------------
                                   Terry C. Black, Vice President of Finance,
                                        Chief Financial Officer, Treasurer and
                                        Assistant Secretary

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