Electronic systems that support clinicians in the task of medication management are now being developed and implemented in the hospital setting. Electronic Medications Management Systems provide support to all the stakeholders within the process of medications and support for the patient centric care model. In this paper we discuss the key elements an electronic medications management systems should possess and what type of these key elements it should possess from a clinical/health information manager perspective. Moreover, the paper considers how it could integrate Electronic Medications Management Systems within the current health information architecture with an acute care hospital.