Formatting is definitely an issue. With the letters, if they could just save it as a text file instead of .html we could at least correct errors noticed on the print-out without starting all over again. I guess RTF would be fine. No need to pay a huge fee to license .doc formatting.
Some formatting in the on-screen progress notes would help too. One of our problems with the Instant Medial History interface is that the lack of formatting can make it difficult to notice certain issues in the output. Its very clear on the printed output, but not so clear on the imported version.
Oh, we've started experimenting with IMH again now that the new website is up. I'll let you know how it goes.