In this article on CanadianEMR the comments of Dr. Mike Bainbridge (Head of Clinical Application Design for the National Programme for IT in the NHS, England) during a visit to Vancouver are recorded including this note wrt to electronic prescribing:

The comments also include notes that nomenclautures and classification systems serve very different functions and describes (briefly) the difference between SNOMED and ICD.
canadianemr/2004/04/the_following_c.html

In this thread in CanadianEMR, Dr Brookstone indicates:

and asks about security concerns of  having direct access to the Internet through the EMR.
canadianemr/2004/04/hish_speed_inte.html

Alan Brookstone has noted that it is not unusual to have a high turnover of staff in the early stages of implementing an EMR system.  Although there is only one reply to his posting in CanadianEMR, this is one of the few references ‘in the literature’ to this problem so here is the link: http://emruser.typepad.com/canadianemr/2004/03/the_impact_of_e.html

In this discussion (4 posts) in Canadian EMR the question of backing up an EMR system is discussed … options from tape to RAID systems are discussed by doctors that have actually implemented systems.
The discussion can be found at http://emruser.typepad.com/canadianemr/2004/03/how_do_you_back.html

In this discussion in the CanadianEMR (including 5 comments),  Alan Brookstone notes that many physicians who are reaching the end of their careers (i.e. in the
last 5 years of practice) consider that it is not worth their effort or
the cost to move to an EMR based practice. Many see their age as a
potential barrier.  Dr. Brookstone himself feels quite differently however:

You can find the discussion at:
http://emruser.typepad.com/canadianemr/2004/03/is_age_a_factor.html

The British Columbia Medical Association has published an IT policy paper.
Entitled:

Getting IT Right

Patient Centred
Information Technology

A Discussion Paper by BC's Physicians
January 2004

The document is the BCMA Vision for Health Information Technology including:

 
The document also includes an “environmental scant” of practices in other jurisdictions including:

• Alberta
• Ontario
• United Kingdom (National Health Service)
• United States (Health Maintenance Organizations)
• Netherlands
• Denmark
• Australia 
• New Zealand 

You can find the paper at: http://www.bcma.org/public/news_publications/publications/policy_papers/ITPaper/GettingITRight.htm
 

This discussion on CanadianEMR raises the question becomes who will (should) pay for the  cost of EMR given  that
it generates a huge value to society?  canadianemr/2004/01/thoughts_on_emr.html#comments
It includes a link to the Wang et al study of EMR Cost vs Benefit paper originally published in the  as well as 16 comments from physicians offering comments and insights ranging from “iterative and incremental” vs “big bang” approaches to implementation to the impact of (at least in Canada) physicians not having the option of
increasing their top line (i.e., revenues) when they implement an EMR on slowing down the adoption of the technology.

An article by Dr. Alan Brookstone (Republished from Canadian Healthcare Technology – September 2003) forms the foundation for this discussion in CanadianEMR (includes 6 replies): http://emruser.typepad.com/canadianemr/2003/12/the_status_of_p.html
A sub-theme of the discussion was the possible use of online appointment scheduling for patients to book their own appointments.

The BC Medical Association has taken the position that it supports the creation of electronically-based patient
record systems that focus on improving quality of care
for patients.  At the same time they express concern that:

The policy backgrounder can be found at
Electronic Medical Records and the Core Data Set