Hi docclayton,
See our earlier threads on this question. My answer is no, there are no good alternatives out there if you want an integrated system and don't want to use x-link. X-link was cheap compared to some of the ridiculous quotes I got. Totalmd is a relatively inexpensive option but no one on here seems to have any experience with them. Practicemate is free but they don't have an HL-7 connection yet. They say they will perhaps within the next year. You are in the same position I'm in. Quite frustrating. I am going to wait and see if AC comes up with an integrated option soon, or, if not, hopefully Practicemate will develop theirs. Let me know if you come up with any great ideas.
_________________________
Bill Leeson, M.D.
Solo Family Medicine
Santa Fe, NM