EMRs have baked-in technical debt, inefficient workflows which resist attempts to "localise" them (I'm looking at you Epic) and a web of technical inter-depende

EMRs have baked-in technical debt, inefficient workflows which resist attempts to "localise" them (I'm looking at you Epic) and a web of technical inter-dependencies which result in issues strange, intermittent and unreplicatable. Excel solves existing problems quickly and is famously flexible. However - EMRs are rigid because they need to be safe and secure. You shouldn't have the Excel flexibility in (for instance) pharmacy and dosing, for instance. I expect that new flavours of EMRs will arrive in the next 10 years or so with more flexible workflows that incorporate the current safeguards but wrap that iron fist in a pleasingly soft glove.