I like Amazing Charts and it's a good application. For solo docs who don't need full blown apps, I think this is a good start. I would love to see improvements in this application. Here are my suggestions and issues:

1. PROBLEM: Default UI screen sizes are too small.
FIX: The windows should be enlarged. Almost all desktops and modern laptop have screen real estate that is 1024 x 768 or bigger already. Why artificially limit the size of the screens to be so small? It is very hard to read and use on a laptop machine.

2. PROBLEM: Windows are centered by default and are moved back into the center when you open multiple windows. It causes the wnidows and overlap each other when you have more than 1 window open.
FIX: Remember the last window positions set by the user.

3. PROBLEM: Templates windows is too small to see the text
FIX: increase the template windows size so you can see the complete template text. See #1.

4. PROBLEM: Lab ordering system needs improvement
FIX: Instead of pasting text into the Plan, it should have separate field so you can print out lab orders again if necessary.

5. PROBLEM: Messages do not automatically update. For example, if your MA keeps the window on "messages". She may never know you sent her a message unless she keeps clicking on "Check e-mail".
FIX: Messages should be checked on interval such as every 1 or 2 minutes (or configurable) which will check for new messages instead of requiring a click on the “check mail” button. Add a Timer Control to check and update the e-mail using a fixed or configured time.

6. FEATURE SUGGESTION: Lab tracking system
FIX: Improved with #4 so a date can be use to check when labs should have returned.

7. BUG: Summery sheet & Past Encounters: If you Maximize the screen (for screens > 1024 by 768), switching to the summary screen causes the window to be compressed to a quarter of the size making it unreadable. Sequence: Start application, log in, open a patient's chart, click on maximize the window button, click on "Past encounter tab" or "Summary Sheet", then click on restore window button. The contents inside the window shrinks to 1/3 to 1/4 size relative to the actual screen size (shrinkage dependent on your current screen size).
FIX: BUG in the detecting window size and auto scale to the window code.

8. FEATURE SUGGESTION: Summery sheet - Tracked Data
SUGGESTION: Instead of listing individual fields separately, should be a scrolling list or combo box.
FURTHER IMPROVEMENT: Allows graphing of tracked data (e.g. A1C) or highlights when values are "out of bounds" (e.g. A1C > 7).

9. FEATURE SUGGESTION: Missing Past Surgical History
FIX: Add a separate surgical field to separate it from the Past medical field.

10. FEATURE SUGGESTION: Past Medical History
SUGGESTION: separate chronic dz from the acute dz states. Eliminate the "Problem list" box above Plan. Make the PMH a combo box instead of a text field and add a "Add to Assessment" button to transfer the past diagnosis to the current assessment field.

11. FEATURE SUGGESTION: Rx tracking
SUGGESTION: An "Rx expiration date field" which will remove the drug after so many days. E.g. An Rx for Amoxicillin for 7 days should inactivate itself after 7 days (or default 1 month if no refills) so it does not continually sit in the very small windows for medication lists. See # 1

12. FEATURE SUGGESTION: ICD9 codes with multiple descriptions
SUGGESTION: Instead of having only 1 ICD9 code and 1 Description, change the database to have Multiple ICD9 Descriptions or "USER DEFINED" ICD9 descriptions.

13. FEATURE SUGGESTION: Templates with fields that can be populated from the data base.
SUGGESTION: Allow macro fields like $lastname$ and $BP$ to be used in a template. "$salutation$ $lastName$ comes in today for a recheck of his blood pressure. $sexPronoun$ BP in the office today is $BP$.".

13. FEATURE SUGGESTION: Chronic disease (CD) review.
SUGGESTION: Once suggestion #10 & #13 is implemented, you could use a template to review the chronic diseases. Example, a template could be the following:
"Pt's chronic diseases are reviewed today:
$CD1$ is reviewed and dz state is stable. Medications reviewed. Stable, no changes in medication or management.
$CD2$ is reviewed and condition has worsened. Medications reviewed and adjustments are as follows:"

Last edited by scslmd; 03/23/2007 6:22 PM.