Another fan of EE, really not going to go wrong there. I've been having fun playing with server 2012 and virtualization, but just to throw out another opinion on ideal system, I think I would still say a good router and web based emr. Wireless, wired, network, domain, i7, atom, who really cares with the emr being web based. Over the last 12 years, other than a 3 day total utility outage from a severe storm, we have had ZERO internet down time... WAY better than any system I have yet to install. Just sorta waiting to see if AC starts to lean more towards web or not and biding my time. With all the changes coming in the medical field in general, it's really the only option that makes any sense to me. (of course this is the medical field we are talking about, where our main form of communication was invented in 1964, ie the fax machine). For the most part, whatever knocks out your internet usually takes out other utilities like power, water, etc, so you'll be out of commission anyway. I doubt they will "cancel" the internet short of nuclear war or the Zombie Apocalypse, and in that case, seeing patients will be the least of your problems!