Hospital EMR Systems Global Market Report 2024

Description

Hospital EMR Systems Global Market Report 2024 from The Business Research Company provides strategists, marketers and senior management with the critical information they need to assess the market.

This report focuses on hospital emr systems market which is experiencing strong growth. The report gives a guide to the trends which will be shaping the market over the next ten years and beyond.

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Where is the largest and fastest growing market for hospital emr systems? How does the market relate to the overall economy, demography and other similar markets? What forces will shape the market going forward? The hospital emr systems market global report from the Business Research Company answers all these questions and many more.

The report covers market characteristics, size and growth, segmentation, regional and country breakdowns, competitive landscape, market shares, trends and strategies for this market. It traces the market's historic and forecast market growth by geography.

Scope

Markets Covered:

1) By Component: Services; Software; Hardware
2) By Type: General EMR Solutions; Specialty EMR Solutions
3) By Delivery Mode: On-premise; Cloud-based
4) By Hospital Size: Small and Medium-sized Hospitals; Large Hospital4
Companies Mentioned: Cerner Corporation; Epic Systems Corporation; Allscripts Healthcare Solutions Inc.; Medical Information Technology Inc.; Computer Programs and Systems Inc.
Countries: Australia; Brazil; China; France; Germany; India; Indonesia; Japan; Russia; South Korea; UK; USA; Canada; Italy; Spain
Regions: Asia-Pacific; Western Europe; Eastern Europe; North America; South America; Middle East; Africa
Time series: Five years historic and ten years forecast.
Data: Ratios of market size and growth to related markets, GDP proportions, expenditure per capita,
Data segmentations: country and regional historic and forecast data, market share of competitors, market segments.
Sourcing and Referencing: Data and analysis throughout the report is sourced using end notes.
Delivery format: PDF, Word and Excel Data Dashboard.

Executive Summary

A Hospital Electronic Medical Records (EMR) system refers to a digital system for maintaining electronic records of health-related information for individuals who have undergone treatment in a hospital. The primary goal of a hospital EMR system is to systematically collect and store health information in digital format for patients and populations.

Hospital EMR systems come in two main types such as general EMR solutions and specialty EMR solutions. General EMR solutions are designed for collecting, storing, and managing medical records in general-purpose hospitals, helping track general illnesses in these healthcare settings. The system can cater to hospitals of different sizes, including small and medium-sized hospitals as well as large hospitals. It is available in various delivery modes, such as on-premise and cloud-based solutions. The components of hospital EMR systems include services, software, and hardware.

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The hospital EMR systems market size has grown rapidly in recent years. It will grow from $17.31 billion in 2023 to $19.08 billion in 2024 at a compound annual growth rate (CAGR) of 10.2%. The growth observed in the historical period can be attributed to factors such as the digital transformation in healthcare, government initiatives and regulations, the need for data accuracy and accessibility, a focus on patient-centric care, efforts to improve healthcare quality, and the shift toward paperless healthcare environments.

The hospital EMR systems market size is expected to see strong growth in the next few years. It will grow to $25.62 billion in 2028 at a compound annual growth rate (CAGR) of 7.6%. The projected growth in the forecast period can be attributed to the increasing demands of population health management, addressing global health challenges, a heightened focus on precision medicine, the implementation of cybersecurity measures, customization for specialized care, and the integration and support of telehealth services. Key trends expected in this period include the adoption of cloud-based Electronic Medical Records (EMR) systems, a focus on interoperability and data exchange, integration with Health Information Exchange (HIE) networks, the facilitation of mobile access and patient engagement, a dedicated emphasis on population health management strategies, the implementation of robust cybersecurity measures, and collaborative efforts with health tech startups.

The hospital EMR systems market is poised for growth, driven by the increasing global adoption of Electronic Medical Record (EMR) solutions. An EMR system is a computer-based database tailored to a specific medical professional or institution, digitally storing patient data, personal information, and medical history. Hospitals are actively embracing EMR systems, contributing to the market's expansion. Notably, a report from Healthcare IT News in April 2022 highlighted a significant uptick, with 342 institutions making EMR purchase decisions, reflecting a 44% increase. This surge in EMR adoption underscores its pivotal role in modern healthcare practices and propels the hospital EMR systems market forward.

The hospital EMR systems market is anticipated to witness growth due to the escalating healthcare costs worldwide. Healthcare costs encompass expenses related to medical services, treatments, and products for maintaining or improving health. EMR systems emerge as a solution to enhance healthcare efficiency, reduce costs, and improve overall quality. For example, the UK's Office for National Statistics reported a notable increase in healthcare spending, reaching $367.25 billion (£280.7 billion) in 2021, with a focus on preventative care and pharmaceuticals. The imperative need to address rising healthcare costs is a key driver propelling the hospital EMR systems market forward.

A key trend in the hospital EMR systems market is the emphasis on product innovation by major industry players. These companies continually introduce cutting-edge technologies to reinforce their market positions. An illustrative example is MyHealthcare, an India-based healthcare technology company that launched the 'MyHealthcare Enterprise Application (MHEA).' This application, driven by AI technology, provides a comprehensive single-screen hospital platform for managing electronic medical records across various settings. The integration of innovative technologies reflects the industry's commitment to advancing EMR systems, influencing the hospital EMR systems market's trajectory.

Major companies operating in the hospital EMR systems market are prioritizing user-friendly platforms to deliver reliable services. A user-friendly platform in hospital EMR systems ensures an intuitive interface and efficient workflows, facilitating seamless navigation for healthcare professionals. Syra Health Corp, a US-based healthcare company, exemplifies this focus with the launch of CarePlus in October 2023. CarePlus is a scalable, secure, and user-friendly platform designed for small- to medium-sized healthcare facilities. Its unique features, including interoperability and cost-effectiveness, contribute to streamlining clinical operations. The commitment to user-friendly platforms underscores the importance of accessibility and efficiency, shaping the dynamics of the hospital EMR systems market.

In April 2022, Netsmart Technologies, a prominent health information technology company based in the United States, successfully acquired TheraOffice for an undisclosed sum. This strategic acquisition marks Netsmart's expansion into the physical therapy and rehabilitation space. TheraOffice, the acquired entity, is a U.S.-based provider of health Electronic Medical Record (EMR) services specifically tailored for physical therapy and rehabilitation providers.

Major companies operating in the hospital emr systems market report are Cerner Corporation, Epic Systems Corporation, Allscripts Healthcare Solutions Inc., Medical Information Technology Inc., Computer Programs and Systems Inc., GE Healthcare Technologies Inc., Athenahealth Inc., MEDHOST Inc., eClinicalWorks India Private Limited, NextGen Healthcare Information Systems LLC, Intersystems Corporation, Medical Transcription Billing Corporation, Cantata Health Solutions, Advanced Data Systems Corporation, CureMD.com Inc., McKesson Corp., Healthland Inc., Siemens Medical Solutions USA, Healthcare Management Systems, Altera Digital Health, Azalea Health Innovations Inc., Greenway Health LLC, Practice Fusion Inc., AdvancedMD Inc., A Harris Healthcare Company, Aprima Medical Software Inc., ChartLogic Inc., DrChrono Corp., eMDs Inc., Kareo Inc., Modernizing Medicine Inc., PrognoCIS Inc., Pulse Systems Inc., Sevocity EHR, SRS Healthcare and Research center Limited

North America was the largest region in the hospital EMR systems market in 2023. The regions covered in the hospital emr systems market report are Asia-Pacific, Western Europe, Eastern Europe, North America, South America, Middle East, Africa.

The countries covered in the hospital emr systems market report are Australia, Brazil, China, France, Germany, India, Indonesia, Japan, Russia, South Korea, UK, USA, Canada, Italy, Spain.

The hospital EMR systems market includes revenues earned by entities by providing data module input system services, prescription management system, backup system services, maintenance of medical record, monitoring data. The market value includes the value of related goods sold by the service provider or included within the service offering. Only goods and services traded between entities or sold to end consumers are included.

The market value is defined as the revenues that enterprises gain from the sale of goods and/or services within the specified market and geography through sales, grants, or donations in terms of the currency (in USD, unless otherwise specified).

The revenues for a specified geography are consumption values that are revenues generated by organizations in the specified geography within the market, irrespective of where they are produced. It does not include revenues from resales along the supply chain, either further along the supply chain or as part of other products.

Product Code: r12776

1. Executive Summary

2. Hospital EMR Systems Market Characteristics

3. Hospital EMR Systems Market Trends And Strategies

4. Hospital EMR Systems Market - Macro Economic Scenario

4.1. Impact Of High Inflation On The Market
4.2. Ukraine-Russia War Impact On The Market
4.3. COVID-19 Impact On The Market

5. Global Hospital EMR Systems Market Size and Growth

5.1. Global Hospital EMR Systems Market Drivers and Restraints
- 5.1.1. Drivers Of The Market
- 5.1.2. Restraints Of The Market
5.2. Global Hospital EMR Systems Historic Market Size and Growth, 2018 - 2023, Value ($ Billion)
5.3. Global Hospital EMR Systems Forecast Market Size and Growth, 2023 - 2028, 2033F, Value ($ Billion)

6. Hospital EMR Systems Market Segmentation

6.1. Global Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
General EMR Solutions
Specialty EMR Solutions
6.2. Global Hospital EMR Systems Market, Segmentation By Component, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
Services
Software
Hardware
6.3. Global Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
On-premise
Cloud-based
6.4. Global Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
Small and Medium-sized Hospitals
Large Hospital4

7. Hospital EMR Systems Market Regional And Country Analysis

7.1. Global Hospital EMR Systems Market, Split By Region, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
7.2. Global Hospital EMR Systems Market, Split By Country, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

8. Asia-Pacific Hospital EMR Systems Market

8.1. Asia-Pacific Hospital EMR Systems Market Overview
Region Information, Impact Of COVID-19, Market Information, Background Information, Government Initiatives, Regulations, Regulatory Bodies, Major Associations, Taxes Levied, Corporate Tax Structure, Investments, Major Companies
8.2. Asia-Pacific Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
8.3. Asia-Pacific Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
8.4. Asia-Pacific Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

9. China Hospital EMR Systems Market

9.1. China Hospital EMR Systems Market Overview
9.2. China Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion
9.3. China Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion
9.4. China Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F,$ Billion

10. India Hospital EMR Systems Market

10.1. India Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
10.2. India Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
10.3. India Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

11. Japan Hospital EMR Systems Market

11.1. Japan Hospital EMR Systems Market Overview
11.2. Japan Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
11.3. Japan Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
11.4. Japan Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

12. Australia Hospital EMR Systems Market

12.1. Australia Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
12.2. Australia Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
12.3. Australia Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

13. Indonesia Hospital EMR Systems Market

13.1. Indonesia Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
13.2. Indonesia Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
13.3. Indonesia Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

14. South Korea Hospital EMR Systems Market

14.1. South Korea Hospital EMR Systems Market Overview
14.2. South Korea Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
14.3. South Korea Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
14.4. South Korea Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

15. Western Europe Hospital EMR Systems Market

15.1. Western Europe Hospital EMR Systems Market Overview
15.2. Western Europe Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
15.3. Western Europe Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
15.4. Western Europe Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

16. UK Hospital EMR Systems Market

16.1. UK Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
16.2. UK Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
16.3. UK Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

17. Germany Hospital EMR Systems Market

17.1. Germany Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
17.2. Germany Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
17.3. Germany Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

18. France Hospital EMR Systems Market

18.1. France Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
18.2. France Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
18.3. France Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

19. Italy Hospital EMR Systems Market

19.1. Italy Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
19.2. Italy Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
19.3. Italy Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

20. Spain Hospital EMR Systems Market

20.1. Spain Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
20.2. Spain Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
20.3. Spain Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

21. Eastern Europe Hospital EMR Systems Market

21.1. Eastern Europe Hospital EMR Systems Market Overview
21.2. Eastern Europe Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
21.3. Eastern Europe Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
21.4. Eastern Europe Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

22. Russia Hospital EMR Systems Market

22.1. Russia Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
22.2. Russia Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
22.3. Russia Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

23. North America Hospital EMR Systems Market

23.1. North America Hospital EMR Systems Market Overview
23.2. North America Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
23.3. North America Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
23.4. North America Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

24. USA Hospital EMR Systems Market

24.1. USA Hospital EMR Systems Market Overview
24.2. USA Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
24.3. USA Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
24.4. USA Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

25. Canada Hospital EMR Systems Market

25.1. Canada Hospital EMR Systems Market Overview
25.2. Canada Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
25.3. Canada Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
25.4. Canada Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

26. South America Hospital EMR Systems Market

26.1. South America Hospital EMR Systems Market Overview
26.2. South America Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
26.3. South America Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
26.4. South America Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

27. Brazil Hospital EMR Systems Market

27.1. Brazil Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
27.2. Brazil Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
27.3. Brazil Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

28. Middle East Hospital EMR Systems Market

28.1. Middle East Hospital EMR Systems Market Overview
28.2. Middle East Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
28.3. Middle East Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
28.4. Middle East Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

29. Africa Hospital EMR Systems Market

29.1. Africa Hospital EMR Systems Market Overview
29.2. Africa Hospital EMR Systems Market, Segmentation By Type, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
29.3. Africa Hospital EMR Systems Market, Segmentation By Delivery Mode, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion
29.4. Africa Hospital EMR Systems Market, Segmentation By Hospital Size, Historic and Forecast, 2018-2023, 2023-2028F, 2033F, $ Billion

30. Hospital EMR Systems Market Competitive Landscape And Company Profiles

30.1. Hospital EMR Systems Market Competitive Landscape
30.2. Hospital EMR Systems Market Company Profiles
- 30.2.1. Cerner Corporation
  - 30.2.1.1. Overview
  - 30.2.1.2. Products and Services
  - 30.2.1.3. Strategy
  - 30.2.1.4. Financial Performance
- 30.2.2. Epic Systems Corporation
  - 30.2.2.1. Overview
  - 30.2.2.2. Products and Services
  - 30.2.2.3. Strategy
  - 30.2.2.4. Financial Performance
- 30.2.3. Allscripts Healthcare Solutions Inc.
  - 30.2.3.1. Overview
  - 30.2.3.2. Products and Services
  - 30.2.3.3. Strategy
  - 30.2.3.4. Financial Performance
- 30.2.4. Medical Information Technology Inc.
  - 30.2.4.1. Overview
  - 30.2.4.2. Products and Services
  - 30.2.4.3. Strategy
  - 30.2.4.4. Financial Performance
- 30.2.5. Computer Programs and Systems Inc.
  - 30.2.5.1. Overview
  - 30.2.5.2. Products and Services
  - 30.2.5.3. Strategy
  - 30.2.5.4. Financial Performance

31. Global Hospital EMR Systems Market Competitive Benchmarking

32. Global Hospital EMR Systems Market Competitive Dashboard

33. Key Mergers And Acquisitions In The Hospital EMR Systems Market

34. Hospital EMR Systems Market Future Outlook and Potential Analysis

34.1 Hospital EMR Systems Market In 2028 - Countries Offering Most New Opportunities
34.2 Hospital EMR Systems Market In 2028 - Segments Offering Most New Opportunities
34.3 Hospital EMR Systems Market In 2028 - Growth Strategies
- 34.3.1 Market Trend Based Strategies
- 34.3.2 Competitor Strategies

35. Appendix

35.1. Abbreviations
35.2. Currencies
35.3. Historic And Forecast Inflation Rates
35.4. Research Inquiries
35.5. The Business Research Company
35.6. Copyright And Disclaimer