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Does John, who blogs over at Chillmark Research, have real-life examples of where Epic is not interfacing with others or is he just propagating stories without real information?

It is interesting that you chose not to select the insightful comment from the same link-back post: "Now comes a little secret that is not discussed much. Hospital CEOs and CIOs have little interest or enthusiasm for multivendor interoperability, either within their hospitals or hospital systems or across the outside hospital systems that they compete with. Customized interfaces between heterogeneous systems are a pain in the rear-end for the CIOs."

It is my experience, dealing directly with Epic, with multiple organizations, that they respond in a timely manner regarding interfaces to other systems. I see the following as the top three issues: 1. It is the lack of standards, mostly in the area of semantics (the content of the interface unless an organization choses to post the interfaced data as a set of non-codified text)
2. Lack of qualified resources in small practices, in the healthcare organization integration teams and in vendors (including aligning timing of resource availability between all parties... at least 4 groups)
3. Syntax issues with the flexibility of HL7 and each healthcare organization's and their vendors' chosen implementation

Thank you for the opportunity to share my experience.

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