I remember one system whose idea of a backup was to make a copy of the MySQL database directory to another location on the same machine. Another system would transmit everything I wrote to the backend via HTTP with zero encryption. Lawyers tell me to record everything that happens yet all systems I've used don't let me add any information after the consult is finished, exposing me to legal liability.

I wish I had the time to make my own software... At this point I'd be most happy with just a text area where I can write anything I want. I'd love IDE-style features such as autocompletion for medications and tests. An inference engine for simple calculations would also be great. For example, if I write the patient's height and weight, the software should notice that it has enough information to derive the BMI and just do it.