Re: Another reason (if one were needed)
I will say in the medical systems I've seen recently, that standards are becoming more common. One system I recently migrated to creates pdf files of most records as a copy outside the database and imaging is stored in a TIFF format. The previous version was a ball full of suck, it used an ancient ASA database that the images were stored in the database bloating it to huge sizes. The practice didn't migrate the records over from the old system because the costs were staggering, when you break it down to per record costs it was cheaper to have people manually move each record over. That's just gouging by the software firms. That's why we end up in situations like the article.