Innovative Clinical Information Management Systems (iCIMS) has created a new type of clinical information systems software. After years of research to learn and understand the work processes of clinical practice, these principles of iCIMS have emerged: 1. The clinical staff need to direct the design of the system exactly as it fits their workflow processes. 2. The system needs to be changeable at any time as a real-time process. 3. Data need to move seamlessly from staff role to staff role. 4. Analytics must be in-built and enable the ready production of reports for any variables stored in the system. We have developed our own unique technology aimed squarely at ensuring the clinical team directs the development of an application that satisfies their needs, much in the way a client directs an architect in the design of their home. The technology has been validated in a lengthy program of assessment in creating an emergency department system for Nepean Hospital, NSW. This new technology has been used to design hospital systems for breast cancer and gynaecological oncology in only a few months demonstrating its rapid design processes and significant cost savings. These systems in turn have spawned the development of a cervical cancer and ovarian cancer research systems with which they directly transfer data as soon as it is collected by clinician with the no need for messaging (as with HL7) or database access procedures (as with ODBC calls).Most recently we have completed the development of a paired MDT solution for peritonectomy and radiology at St George Hospital and Breast cancer information system with integrated MDT in the same hospital.