Be advised that first net is a suboptimal EMR. We have had it for over a year and because it is server based, it frequently has sudden disconnects and freezes. They sell the intro/base package but it requires numerous man-hours to handle the never ending problems and to fix these problems they to no surprise require an "upgrade". This of course is not calculated into the initial purchase price. There is no perfect EMR but our department especially the doctors despise this software. Northwestern University ED uses this now but is going to transition to Epic in the next couple years because of persistent problems despite three fulltime IT staff dealing with the never ending cerner first net problems. Like I said, there is no perfect EMR but if you go down the cerner path just BEWARE! Your dept, your hospital, your sanity will pay a dear dear price.