We are about to have published our paper on ED-IMS in a leading international journal. This paper will reveal our next generation technology with 40% improved clinical efficiency and 30% reduction in cognitive load for clinical users. This technology enables staff to design their own systems and yet no programming is required to turn it into an operational CIS. At the interface level, staff can create designs exactly conformant to their local needs and change it at will as their environment changes. Yet at the server end, the iCIMS technology enables multiple clinical specialities to run off the one software installation, preventing the siloing of data and lowering the maintenance load on IT Services. Our systems are fully adaptable Best-of-Breed for the clinical users but underneath have enterprise wide software functionalities.