Thanks Daniel yes it helps to have a good understanding of what we are up against I have passed this to our technical people. We have to take a informed quick decision as to whether we are going ahead with OpenEMR and re-design the user interfaces or move to MRS OpenEMR has every functionality we need and a new version coming in a few weeks will have many others. The Community forum is excellent and the CEO is fantastic The issue is with our short consultation times and doctors demanding that their workflows are not altered we have an issue