Well, "pretty ok" is not a great bar coming from the mindstorms system. But even if you exclude that entire category, the Technic series overall is not the same as it used to be.
These type of software is regulated, and hospitals and clinics can't easily move to a competitor if they are not happy with their current system.
Journal systems "is a thing" with lots of hairy issues such as integrations between different hospitals and primary care givers, privacy issues etc.
These are not really solved yet, (even on a regional basis) and on top of this comes the probably most important thing, UX for the actual users such as doctors and nurses.