I have been using NextGEN for three weeks now. It is the most horrible, cumbersome, excuse for an EMR that one could imagine. NOTHING is intuitive. Basic ICD codes are missing. The faults are too long and too numerous to list. It is taking me three hours per patient. There is no way to list PMHx and PSHX. All you can do is list chronic problems and acute problems. Surgical history is slopped in with medical history. The sales people are slick as hell and the product is a cancer. DO NOT BUY THIS SOFTWARE.