> But even though it isn't a perfect system -- 1) It is an improvement over the previous form of paper records, and 2) The industry is iteratively moving to res

> But even though it isn't a perfect system -- 1) It is an improvement over the previous form of paper records, and 2) The industry is iteratively moving to resolve these issues. NOTE: My comments are only applicable to the US medical industry. This statement highlights your lack of knowledge about the general EHR/EMR landscape and current implementations. As someone that works parallel to a hospital operation, I both know and interface with people that have to use them on a daily basis and this could not be further from the truth. EMRs have helped to collect and make more data accessible, this is true, but they are not necessarily an improvement over the previous form of paper records. In most cases, they are simply a different representation of the same data. Take EPIC for example wherein you can search for a patients name but then you are provided with the digital representation of an analogue patient folder and/or chart. I think that most of the people on HN would have their opinion of the medical software landscape changed if they were ever granted the opportunity to use most of the current implementations for only a couple of minutes... It is also not true that the "industry is iteratively moving to resolve these issues". I was most put aback about 2 years ago when I heard that while every hospital may have EPIC, Cern, etc installations, that none of them are universal. Every hospital will have a customised EHR/MER installation, and therefore custom templates for each doctor, or unit. This means that the installations are almost never updated, or allowed to have new features introduced. In most cases, a patch, or update will require a field tech being sent from the providing company to the hospital where he will work with the onsite customized installation to complete the work. All in all, it is true that there are people in the field trying to push medical technology forward. Take PatientBank, Sprig, Stitch, etc as evidence that this happening. But what is certainly not true is that the incumbents are pushing to make major changes. Additionally, the regulations with regard to medical software, as well as the legal incentives make it very, very difficult to develop a product, let alone to bring it to market.