Contract

Exhibit 10.3

9 October 2009		Misys plc
		Xxx Xxxxxxx Xxxxxx
		Xxxxxxxxxx
Xxxxx Xxxxxxxxxx Xxx		Xxxxxx
		X0 0XX
General Counsel
Allscripts-Misys Healthcare Solutions Inc		T x00 00 0000 0000
000 Xxxxxxxxxxx Xxxx Xxxxx		F x00 00 0000 0000
Xxxxx 0000
Xxxxxxx, XX 00000		xxx.xxxxx.xxx
United States of America
		experience, solutions, results

Dear Xxxxx

Shared Services Agreement dated March 1, 2009 and effective October 10, 2008, between Misys plc (“Misys”) and Allscripts-Misys Healthcare Solutions Inc (“Allscripts”) (the “Agreement”)

Further to our discussions and in the light of the fact that negotiations between Misys and Allscripts for the renewal of the Agreement on revised terms are continuing and making good progress, we hereby agree to extend the Agreement in full force and effect for a period of 30 days from October 10, 2009.

It is the intention of the parties that the revised terms of the Agreement shall be backdated so as to give effect to such revised provisions from October 10, 2009.

I should be grateful if you would countersign this letter to confirm your agreement on behalf of Allscripts.

Kind regards

Xxx Xxxxxx

EVP, General Counsel & Company Secretary

For Misys plc

      Xxxxx X Xxxxxxxxxx

      Senior Vice President & General Counsel

      For Allscripts-Misys Healthcare Solutions Inc

Misys Plc is a member of the Misys group of companies

Registered in England, No. 01360027. Registered Office: Xxx Xxxxxxx Xxxxxx, Xxxxxxxxxx, Xxxxxx X0 0XX