Douglas Goldstein and co-author Peter Groen have an article entitled: Understanding Open Solutions and Terminology in Healthcare in Virtual Medical World that compares and contrasts all things that call themselves Open: ‘Having heard so many people recently using the terms “open systems”, “open computing”, and “open source” interchangeably, believing they all mean the same thing, the authors felt it was time to once again get back to basics and write a short article defining some of these terms and pointing out the critical differences between them…’ Another article in the same issue on the future of healthcare predicts that by the year 2020: ‘…The EHRs in use will be interoperable, standards based and many will be Open Solutions that are supported by an international network of companies and community of users and developers, e.g. WorldVistA EHR, OSCAR, OpenEMR…’