I’m rooting for something like this in the long term: https://github.com/openemr/openemr

I desperately want it to gain some real traction.

Working in the enterprise world, including the enterprise healthcare world... it's not "right", but as long as it exists as a PHP webapp...

I don't see that happening. No matter how good a PHP webapp it is.

I really want it to succeed. But there is so much further to go. For example, on the subject of backing up your EMR data, there is this:

> Disaster can strike at anytime. Backing up will mean the difference between a mild inconvenience and a major imbroglio.

> Choose a method according to the operating system from this webpage.

> Windows users are advised not to rely on the built-in utility once their file size becomes too large. The reasons are discussed in this Forum thread.

That's it?? That's the extent of your backup discussion for a business critical application storing PHI? Oof.

Any CIO remotely considering OpenEMR, even one hugely cost-constrained, is going to run for the hills.

That said, lots of the problems with Epic is it is used so differently between hospitals/installs. It's less a EMR + scheduler + hospital management app than a toolkit used to construct those for big enough medical companies. That inevitably doesn't lead to nice software: see all enterprise software everywhere.