As the article states the use of the common standard of HL7 is going to be the solution, so some standards really work well and HL7 has been around for quite a while now and is coming in to focus. Some existing hospitals with Eclipsys might be in a 
better position to help subsidize physicians and clinics once the tools are set in place. Down the road the plans are to further integrate beyond the HL7 standards. This announcement and sale was originally posted here. BD
Our health-system clients have been asking us for an integrated solution with practice management and clinical to ‘gift’ or to recommend to small practices,” says Jay Deady, Eclipsys executive vice president for client solutions. Although Eclipsys claims 2,000 physician users of its Sunrise Ambulatory Care electronic medical record (EMR) software, Deady says the main sales channel is through integrated health systems with high-acuity service lines.
Before the end of the year, Deady hopes to have Health Level Seven messaging links between Eclipsys and Medinotes EMRs. By early spring, interoperability will expand to include additional, unspecified data elements, in preparation for a “deep interoperable stage” the company hopes to reach by early 2010. Deady says he expects the products to exceed the 2009 interoperability standards set by the Certification Commission for Healthcare Information Technology (CCHIT).
http://www.digitalhcp.com/2008/09/30/medinotes-eclipsys.html
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