Everyone,
While I do understand where you are coming from, do consider the following:
1. If the database has been tampered with by an outside force, then the network of the practice in question is not HIPAA compliant and has little, if any, security safeguards in place. The practice has bigger problems.
2. If a doctor of the practice fiddled with the database, then that is what's known as fraud. Not to mention that, if being sued, we are probably talking about one patient or a small number of patients. Most doctors will use the Amazing Charts user interface to make changes rather than execute SQL commands in a database since few doctors would know how to do that.
3. The procedure I gave to mount the AC database in another SQL Server instance to allow editing through the back end is more than easy enough to do for someone with the skills to find what data they are looking for and execute the correct command to change it using SQL Server Enterprise Manager.
4. It's easy to see Amazing Charts' point now, whatever it may be, until you really do need your data out. I hope that day never comes as I truly do like Amazing Charts and so do my clients, but we have plenty of precedence with other EMR's to say the possibility, ever how unlikely now, is indeed real.
JamesNT