As a technical consultant to the implementation of anesthesia data integration solutions, I can vouch for the above comment that iMDSoft is a toy product. For nontechnical users, all they see is the front end, which is advertised as very customizatble. True. However, from a technical perspective, it is a data disaster. This is because it is written in Visual Basic (as this suggests, this is a primitive language whose origin is over 30 years old, and prevents modern coding and maintenance methods; it also suggests the less than sophisticated level of programming expertise of the company). Each anesthesia data record is fragmented into over 200 files, making it IMPOSSIBLE to extract any data or integrate the data with any other information system. The data is also in no standard (HL7 or XML) form, again, making it impossible to integrate to our hospital systems. Our interactions with the engineers at iMDSoft has been thus far less than satisfactory, with information requests for specifications and technical details denied or given evasive answers. With this lack of trust, it bodes poorly for any kind of long term relationship with the company. The company itsself is heavy on management and marketing, and very sparse on techical substance in our dealings. An implementation requires a serious investment and full time support staff to get it off the ground. The implementation at their model installation (on their website) took a FULL YEAR to install and get working, and reqired a CRNA to work half time during this time on 'customization'. Actually, this is something that the company needed to provide out of the box, rather than having the customer continue to pay for features and addons by supplying their own personnnel to do this work. In summary, do your due diligence, get under the hood to the specifications and data file formats, and do not rely on the marketing brochures and websites. You MUST get under the hood and understand how these software works, or you are asking for a data disaster.