The biggest issue with its opening in Word, Open Office, or WordPad or even Notepad, is it would have to be saved to the chart. That would be the step that would need to be fixed.
Yes! This is what I have been trying to say. We all have access to those programs; the issue is how the the letter writer integrates with them. I want to open the letter writer, be able to compose a nicely formatted letter on my own letterhead, attach and send the associated note, and have it saved to the patient's chart without jumping through hoops.
