EXHIBIT 15 November 9, 2004 Board of Directors and Stockholders VitalWorks Inc. Ridgefield, Connecticut We have made a review, in accordance with the standards of the Public Company Accounting Oversight Board (United States), of the unaudited interim financial information of VitalWorks Inc. for the periods ended September 30, 2004 and 2003, as indicated in our report dated October 26, 2004; because we did not perform an audit, we expressed no opinion on that information. We are aware that our report referred to above, which is included in your Quarterly Report on Form 10-Q for the quarter ended September 30, 2004, is incorporated by reference in the Registration Statements of VitalWorks Inc. on Forms S-3, numbers 333-45480, 333-40704, 333-37890, 333-34490, 333-88589, 333-87795, 333-73097 and 333-71109 and Forms S-8, numbers 333-96665, 333-84468, 333-72890, 333-56556, 333-40730, 333-40488, 333-39792 and 333-74773. We also are aware that the aforementioned report, pursuant to Rule 436(c) under the Securities Act of 1933, is not considered a part of the Registration Statement prepared or certified by an accountant or a report prepared or certified by an accountant within the meaning of Sections 7 and 11 of that Act. /s/ BDO Seidman, LLP New York, New York