Greg Twyford <[EMAIL PROTECTED]> wrote:
> You outline the reason why this domain will have great difficulty 
> progressing under the current market structure very well. The current 
> model works, up to a point at th level of the individual customer, but 
> once you pull back to a wider perspective it strats to look like a 
> shambles.
> 
> The prospect of a Division's members migrating to the three or four most 
> common packages would make any prospect of providing meaningful training 
> programs, Division-level IM&T projects, etc. very difficult indeed.
> 
> The de-facto standard that has been MD2 is inexorably fading away. With 
> its replacements also comes increased maintenance and training 
> overheads.

This is yet another powerful argument for an open-source *reference* 
implementation of a primary care clinical information system: shared or joint 
training and support for the core functionality which it provides and which 
would be common to any value-added variants that organisations may care to 
create based on it.

Tim C
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