This document summarizes three approaches to integrating a clinical trial management system (CTMS) with an electronic data management system (EDMS): 1) The "Mock" approach auto-generates hyperlinks in the CTMS to expected document locations in the EDMS based on folder structure, but there is no true integration or communication between systems. 2) The "EDMS-Driven" approach auto-generates hyperlinks in the CTMS when documents are uploaded to the EDMS, allowing direct links and sharing of metadata between systems. 3) The "CTMS-Driven" approach allows users to upload documents through the CTMS, which then auto-creates corresponding records and hyperlinks in