Indy,
Thank you for the response and links.
I am just trying to better understand the concept of "interface" in juxtaposition of my self-interest of running my practice.
From your perspective I'd suggest that you stick with Updox for now, knowing that the hospital is not going to be helpful, unless foremost, you have privileges, or second that you order many labs from them.
As a group you may be valuable enough to the hospital that getting additional quantitative data might be worthwhile.
One way to look at it is what do they have [lab data, notes] that would be worth some effort?