Attachment records in the Cúram database no longer store the associated file content. Instead, the file along with any configured attachment metadata elements that currently exist for the attachment, are stored in the CMS. When a user subsequently selects to view the document, it is retrieved from the CMS. If the user selects to upload a new version of the file, the original document stored in the CMS is superseded by the new document. If the user updates any configured attachment metadata elements, they are also updated in the CMS. Reading this attachment will always return the latest version of the file on the CMS. In CMS repositories which support version control of documents, superseded versions of documents will still be available to view directly via the CMS application.