CLARIFICATION AMENDMENT TO EMPLOYMENT AGREEMENT

Exhibit 10.19

CLARIFICATION AMENDMENT TO EMPLOYMENT AGREEMENT

This CLARIFICATION AMENDMENT, dated as of April 17, 2003 (the “Amendment”), to the EMPLOYMENT AGREEMENT, dated as of [Jan 31, 2003] (as the same may be further amended, supplemented or otherwise modified from time to time, the “Agreement”) between Allscripts, Inc., a Delaware corporation, and Laurie McGraw (the “Executive”).

W I T N E S S E T H :

WHEREAS, pursuant to the transactions consummated under the Agreement and Plan of Merger, dated as of July 13, 2000, as amended, by and among Allscripts Holding, Inc., Allscripts, Inc., Bursar Acquisition, Inc., Bursar Acquisition No. 2, Inc., IDX Systems Corporation and Channelhealth Incorporated (the “Reorganization”), Allscripts, Inc. became a wholly owned subsidiary of Allscripts Healthcare Solutions, Inc., a Delaware corporation (“Parent”);

WHEREAS, upon the consummation of the Reorganization, Parent became a public company and the Executive became an officer of Parent; and

WHEREAS, the parties hereto wish to amend the Agreement to clarify that the Executive is employed by Parent, rather than Allscripts, Inc.;

NOW, THEREFORE, in consideration of the promises and of the mutual agreements herein contained, the parties hereto agree as follows:

The Agreement shall continue in full force and effect and is incorporated herein by this reference except to the extent that it is modified by this Amendment. The parties shall modify and amend the Agreement as provided herein. To the extent that any provision of this Amendment is inconsistent with the Agreement, the terms of this Amendment shall control.

IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed as of the day and year first above written.

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