>>> I am Importing ALL of my paper charts, and throwing the paper into the dumpster. If AC falters, I'm done for good.

As you know, I have my own MS Access EMR that I've put together over 17 years of practice, which is not unlike AC.

What I've done with my records is to have my "CCR"-like general and medical patient data updated as time goes by. My EMR will have some SOAP notes and reports too, but all my old records go into PDF folders via scanning into PaperPort and I also use Word as a folder for certain graphics, s.a. EKG's, pictures, and other reports. I then use MS Access to search for these patient folders in a specified location inside Windows Explorer.

This way I keep my backend tables small, light, and can minimize corruption and loss of data.