We have been looking into the sporadic reports of slow down in V5. This clearly impacts some folks significantly, while most practices are not affected. We believe that this issue may be directly related to the number of messages in Amazing Charts. For example, some of the worst affected practices have literally thousands of messages in their Amazing Charts message inbox.
Amazing Charts was not designed for this, and with the new Order messages in V5, the program regularly checks messages. If each message takes some fraction of a second to be read into memory, reading in thousands of messages more frequently may explain the delay. In addition, this might also help explain the SQL Server detaching issue some folks have reported, as we believe that the long delay to read the messages into memory may cause a time-out in SQL Server.
We are currently working to add a filter to the message mailbox so that a user who choses to have thousands of messages (not recommended) can pull just those from the last day/week/month/quarter/year, etc.
In our testing, this seems to dramatically help speed up the time from startup to login and screen refreshes. We hope to have a beta version with this new feature within a week, if not sooner.
In the meantime, ensuring you delete messages that are not needed is highly recommended, as is saving messages to the patient's chart if they are patient-related. Saving a message to a patient chart (1) makes it part of their medical record (fyi - the message is not part of a patients medical record if it hasn't been saved to their chart), and (2) removes the message from the message inbox and will thus no longer add to the delay in reading the messages.
Jon
Last edited by Jonathan Bertman; 04/07/2010 10:48 AM.
