"Complicated" has many degrees...like changing a light bulb; while on the surface it would seem to be a simple task but if that light bulb is located atop a 700 foot cell tower it's a bit more complex than it would seem initially. And in all the years I've been monitoring requests this is only the second time I've personally heard of the need to do this. If this is truly a serious impediment for you I think the best option would be for you to move back to hosting AC locally where you'll have more flexibility to alter documents received from other parties. I'm sorry we couldn't be of more help here.
Yes, I already got the message from Paul @AC, if you don't like it leave. You like to throw that out a lot. I am considering it.
"In all the years..." Editing pdf implies the ability to add, delete, highlight, annotate, etc. If you can do one, you should be able to do them all. Just because you have not heard about it, does not mean customers don't do it. I expect many of locally hosted users do this in fact. I often delete pages (fax covers) and add (pictures to op notes), combine pdf (labs, EKG, referrals, make packages for insurance prior auth, etc)
@Sandeep. Thanks for the offer. I am already working on it. I will contact you if I decide to move forward. The issues is getting the hospital to grant my home server permission to be accessed from within the hospital environment. The hospital will not allow me to move the physical server into the new office. I would have to "virtualize" my server in their environment and then won't allow me or my IT person access to it independently. I would have to "write a ticket" just like with AC cloud. They are even less responsive than AC. They are really pushing me to go to Athena, which they say has much better support than AC. My IT person had already set up a server that could be accessed from anywhere else via remote desktop with ability for multiple users, exactly the same as AC offers (except I can use the pdf reader / editor of my choice and I can use ctr-ALT-del if frozen). My plan was to allow me and IT access to my server, and leave the office staff access only to the program like AC does. So in the end, the issue may not be going back to hosting AC locally, but of leaving AC altogether and going to a different EMR.
So, cconrad@ac, I understand the concept of degrees of complication, but thanks for the explanation. I mean this. It saddens me that my days of using AC may be getting close to being over. I really like AC, and learning a new EMR would not be fun.
By the way, as I write this, AC is again frozen and support is unavailable.
