Allscripts, McKesson, Meditech and Siemens are losing market share in hospitals with more than 200 beds, as the better integrated product lines of Epic and Cerner lead the pack, according to vendor research firm KLAS Enterprises.

A study of market share across 1,470 U.S. hospitals and 151 in Canada shows larger hospitals favoring higher levels of integration and clinical functionality, with Epic the leader, followed by Cerner.

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