Anyone with even a passing familiarity with EHR systems will know that nobody wants to build their own. I once worked for a large hospital system that abandoned a decades old institutionally built and maintained system for Epic. The choice was celebrated by almost everyone who worked there.

The value is in the “system” itself. The tooling, plugins, knowledge that your staff has the familiarity and skills so as to not require retraining, the interoperability of data with other systems and vendors.

The idea that AI is going to enable a variety of bespoke competitors is truly laughable!