Maybe accreditation could be useful after all.
Bit of a leap but could accreditation guidelines become a big stick to bash 
software vendors over the head with.
Mabye insist on a common format to export data from SQL as a standard part of 
every new clinical package ?
Verified for compliance by some third party like higher reason ?

Andrew.C

<snip>

I think the situation is totally unacceptable and is holding back real medical 
computing, as we are in a virtual lock-in. GP Accreditation would have a fit 
if we hinted that we could lose 50% of our patient record system so easily.

<snip>

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