Not just absurd text-entry limits, but UI designs affecting data-use habits.
"Nobody, for example, leafs through a chart anymore, strolling back in time to see what has happened to the patient over many years. In the computer, all visits look the same from the outside, so it is impossible to tell which were thorough visits with extensive evaluation and which were only brief visits for medication refills. In practice, most doctors end up opening only the last two or three visits; everything before that is effectively consigned to the electronic dust heap."
The system encourages fragmented documentation, with different aspects of a patient’s condition secreted in unconnected fields
I'm pretty sure that problem was solved in the 60s, with the concept of hypertext. Decades of progress resulting in the Internet have somehow escaped these guys.
"Nobody, for example, leafs through a chart anymore, strolling back in time to see what has happened to the patient over many years. In the computer, all visits look the same from the outside, so it is impossible to tell which were thorough visits with extensive evaluation and which were only brief visits for medication refills. In practice, most doctors end up opening only the last two or three visits; everything before that is effectively consigned to the electronic dust heap."
That's a fucking terrible design.