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« Do EMRs Increase the Cost of Care? | Main | Health 2.0 and 3.0. Waiting for 4.0 »


Jody Bevan

Just a couple of comments on the article.
US EMR companies have tried to come into the Canadian Market. They soon left because their software was not designed for this market. Other USA EMR companies have looked at the Canadian Market. They didn't walk away, but ran away from getting into this market. The reason is the over regulation, the different 'kingdoms' as they called it with each province and territory. The multiple certifications, and poorly coordinated process. They also noted that certain regions have the governments forcing a limited EMR list to select from. These items all discourage competition and their ability to penetrate the market. For the relatively small market of Canada, it is just not worth the cost and time to come into the Canadian market.

A point about using the term SQL. Though SQL is a common form of query, and the associated terms you use that are associated with the same, there are other languages out there. There is a big move in industry to NOSQL as the preferred way to perform searches for data.

Shawn Vincent


True, some US companies have attempted to enter the Canadian market in the past and participate in the various EMR funding programs. The certification requirements are indeed daunting, and keep the market constrained.

There are two situations where this may change: (1) the funding programs may not go on forever, in which case the certification programs will no longer keep the US players out, and (2) some US players may enter the market as non-funded offerings. This is happening already to some degree.

Is Jonoke using NoSQL? I'd love to see it being used in production in an EMR. I agree that it's probably the way to go.

-Shawn Vincent.

VP R&D, MD Practice Software LP.

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