Alan Brookstone writes:
"It has always been my position that as much as possible, physicians who work collectively or geographically with one another should select a single EMR system for their group/region if there is to be any hope of future widespread inter-operability between systems."
You can find his piece on CanadianEMR at:
http://emruser.typepad.com/canadianemr/2005/02/silos_of_inform.html