With their greatest successes in development of electronic medical records over the past 20 years, it was clear that something was lacking as most systems were mostly focused on Practice Management (accounting). Physicians were still dictating patient encounters; which was time consuming and redundant. Each visit required repeating much of the same verbiage. Stagl designed a system whereby the physician could very quickly create customized patient encounter reports without dictation. Naturally, after a patient visit, the system would capture the charge and subsequently bill the insurance company and the patient was scheduled for their next visit with the doctor. Hence, one cohesive system did it all.