Home Forums Discussions Problems usability issues with version 6.0.9

Hello,

Has anyone seen a usability issue with the 6.0.9 Amazing Charts and Windows 7 Tablet. Pull a patient up and under "History of Present Illness" I can not seem to do an "enter/return" to get down to the next line. When I try this on the "Main Computer" it seems to work, but the main computer is a different operating system (Server 2003 SBS). Is there an issue with Windows 7 or can others do "enters/returns" in this field.

Also does anyone notice a slowness in the "write scripts" window when you select a script it seems to be doing some kind of interaction check that is really slow.

Please let me know,

Thanks.

I am only running 6.09 on a test machine (Intel Core 2 Duo, 4GB RAM), but I agree that opening the prescription writer window is dogggg-slowwww on my Win 7 "Main Computer". Even if all the MU interaction checking is off.

The Windows XP tablet running 6.09 and connecting to the database wirelessly is too slow to be useable.

Hopefully AC is doing some major optimization on this beta.

Here is the error when I go to print a prescription on a windows 7 tablet with AC 6.0.9

This message for details on invoking
just-in-time (JIT) debugging instead of this dialog box.

************** Exception Text **************
System.TypeInitializationException: The type initializer for '.' threw an exception. ---> System.Exception: A network-related or instance-specific error occurred while establishing a connection to SQL Server. The server was not found or was not accessible. Verify that the instance name is correct and that SQL Server is configured to allow remote connections. (provider: SQL Network Interfaces, error: 25 - Connection string is not valid)
at AmazingCharts.DataLayer.SQLDataAccess.Connect()
at AmazingCharts.DataLayer.SQLDataAccess.ExecuteSqlReader(String sql)
at AmazingCharts.DataContainers.DataReaders.GetPractice()
at AmazingCharts.MainBusinessObjects.Context.GetPractice()
at AmazingCharts.MainBusinessObjects.Context.get_Practice()
at (Object )
at ...cctor()
--- End of inner exception stack trace ---
at AmazingCharts.Reports.ReportsBase.InitializeNudgeValues()
at AmazingCharts.Reports.Prescription.Init(Int32 patientID, String providerCode, RxCollection pendingMeds, String reportName, Boolean showDEA, Boolean showLIC, Boolean hideSignature, String DAW, Boolean showNPI, String prescribingProviderCode)
at (Object , Int32 , String , RxCollection , String , Boolean , Boolean , Boolean , String , Boolean , String )
at AmazingCharts.RxServices.PrintService.PrintPrescriptions(RxCollection prescriptions, String printPage, Boolean showDEA, Boolean showLic, Boolean printWithoutPreview, String prescribingProviderCode)
at AmazingCharts.InteropFormLibrary.frmSendToPharmacy.(Boolean PrintSingle, Rx Med)
at AmazingCharts.InteropFormLibrary.frmSendToPharmacy.(Object , EventArgs )
at System.Windows.Forms.Control.OnClick(EventArgs e)
at System.Windows.Forms.Button.OnClick(EventArgs e)
at System.Windows.Forms.Button.OnMouseUp(MouseEventArgs mevent)
at System.Windows.Forms.Control.WmMouseUp(Message& m, MouseButtons button, Int32 clicks)
at System.Windows.Forms.Control.WndProc(Message& m)
at System.Windows.Forms.ButtonBase.WndProc(Message& m)
at System.Windows.Forms.Button.WndProc(Message& m)
at System.Windows.Forms.Control.ControlNativeWindow.OnMessage(Message& m)
at System.Windows.Forms.Control.ControlNativeWindow.WndProc(Message& m)
at System.Windows.Forms.NativeWindow.Callback(IntPtr hWnd, Int32 msg, IntPtr wparam, IntPtr lparam)


************** Loaded Assemblies **************
mscorlib
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----------------------------------------
AmazingCharts.MainBusinessObjects
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----------------------------------------
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----------------------------------------
System
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
Microsoft.InteropFormTools
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
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----------------------------------------
AmazingCharts.Interfaces
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Win32 Version: 6.0.9.13
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Interfaces.DLL
----------------------------------------
jgpkk86z
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CodeBase: file:///C:/Windows/assembly/GAC_MSIL/System/2.0.0.0__b77a5c561934e089/System.dll
----------------------------------------
AmazingCharts.Forms
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----------------------------------------
AmazingCharts.Events
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CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Events.DLL
----------------------------------------
AmazingCharts.Presentation
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Win32 Version: 6.0.9.85
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Presentation.DLL
----------------------------------------
AmazingCharts.Model
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Win32 Version: 6.0.9.30
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Model.DLL
----------------------------------------
AmazingCharts.Factories
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Win32 Version: 6.0.9.1
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Factories.DLL
----------------------------------------
AmazingCharts.DataEntities
Assembly Version: 6.0.9.17
Win32 Version: 6.0.9.17
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.DataEntities.DLL
----------------------------------------
AmazingCharts.Services
Assembly Version: 6.0.9.11
Win32 Version: 6.0.9.11
CodeBase: file:///C:/Program%20Files%20(x86)/Amazing%20Charts%206/AmazingCharts.Services.DLL
----------------------------------------
Accessibility
Assembly Version: 2.0.0.0
Win32 Version: 2.0.50727.4927 (NetFXspW7.050727-4900)
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----------------------------------------
n_zqiyec
Assembly Version: 6.0.9.92
Win32 Version: 2.0.50727.4957 (win7RTMGDR.050727-4900)
CodeBase: file:///C:/Windows/assembly/GAC_MSIL/System/2.0.0.0__b77a5c561934e089/System.dll
----------------------------------------

************** JIT Debugging **************
To enable just-in-time (JIT) debugging, the .config file for this
application or computer (machine.config) must have the
jitDebugging value set in the system.windows.forms section.
The application must also be compiled with debugging
enabled.

For example:

<configuration>
<system.windows.forms jitDebugging="true" />
</configuration>

When JIT debugging is enabled, any unhandled exception
will be sent to the JIT debugger registered on the computer
rather than be handled by this dialog box.

That's strange. How can a print operation wipe our your connection to your database?

Or does the crystal report in question have something wrong in the connection string.

Can you print preview?

JamesNT

Same report here .

I have no idea. All I know is that I hope its fixed in the next version. So far, I have tried uninstalling AC and erasing all directories related. AC, AC Prerequisites, & SAP Crystal Reports. Also ran CCleaner to scan registry, removed many entries for AC and Crystal Reports as the apps are not there any longer. Reinstalled the Client and I now have use of the field that it wouldn't let me do the enter/return. I still do not have the ability to print RXs and receive the same error as above. Any Ideas?

The prescription writing has become toooo slooooowwwww for it be useful with the latest version upgrade V6. I never had this issue with earlier version.

Imagine this scene, at script writing time usually at end of the office visit, patient is sitting across me & I am waiting very patiently and in frustration, waiting for the script writer to appear slowly on the screen in the first place & then on every step the computer hangs on, till it completes the process.

I request the Tech Support at AC to do something about this NOW, otherwise writing the prescription on the good old script pad becomes desirable.

With regards

Raj,
What computers are you using? Several people have noted significant slowing with older, Pentium 4 machines.

Using AC 6.0.9 on Win 7 -- reasonably recent machine for server.
I use X200tablet and Motion Computing tablet with Win Vista Business (this will soon be changed to Win7, the Vista sucks)in the exam rooms. We use wireless, despite advice to the contrary.

Many of the staff are using XP machines, my nurses use Lenovo T41 boxes with XP.

We don't have serious speed issues, although it seems like Surescrips is really slow at times -- I attribute that to overload of their network, not to any in-house problem. Sometimes the Eprescribe database just goes off line for a while, then comes back.

I posted my experience with 6.0.9 a few weeks ago in another thread a few weeks ago. The upgrade from 5.1.7 to 6.0.9 went awful. My exam rooms are running XP on old Pentium machines. The Rx writer was unusable due to _extreme_ slowness. The Star TSP800 prescription printer was unusable. I had to roll back to 5.1.7. Now things are running fast and working fine.

My plan is to upgrade my equipment to new Win 7 Pro boxes with 4GB RAM, and wait for Amazing charts to get the bugs worked out. I will wait for a stable working version, which really must be out by late August, at the latest (in order to satisfy 90 days of meaningful use in 2011).

Hi Jon,

I use a Dell Optiplex GX270 with XP Pro Service Pack 2 on

- Intel Pentium(R)4, Double core
- 3GB RAM
- 160GB Hard Drive
- 2.80 Ghz Processor Speed

- If I have to change the CPU, I will.


Regards

RAJ,
Early reports on slowing with eRx and V6 are sort of all over the map. Some blamed Win7, some XP, and some the particular version of AC.
My experience is this: eprescribe works fine with Win7 and XP on newer machines. Our one computer with a Pentium 4 CPU is functional, but eRx is painfully slow.
I am not saying that is your issue, but if you have the option to test with another machine (even a newer laptop), then I would try that.

RAJ,

Not sure if this would work but upgrade to Service Pack 3.

See if there are any programs hogging the RAM, and if possible either delete them or turn them off.

My older Dells with Pentium 4 chips (not dual core) did not do well with the upgrade. Also, go to the Dell site and make sure all your computer's drivers are up to date.

Hope that helps.

Rick

You have to wonder what SQL Server 2005 Standard on a server with, say 48GBs of RAM and maybe high end WIN7 PRO with less RAM using something like

http://www.tigerdirect.com/applications/SearchTools/item-details.asp?EdpNo=6797313&CatId=8

There are faster SSD PCIe cards. This one is nice since it is bootable no matter the motherboard. With Windows 7 you would probably have a BIOS to desktop bootup in less than 12 to 15 seconds.

So one way to get around the software would be SQL which could utilize 40GBs of RAM, which could save quite a few data pages of ePrescribing without deleting older data pages. So, since AC will look at SQL first to see if the page is cached first, it will have a better chance (just guessing 40 to 1 -- probably not that linear) of getting the data without going to the user database on the hard drive. But, if one did have to, then the data would be pulled from the database, but at much faster access speeds.

All of my clients were at around 90 IOPs. I have now upgraded five of the eight to SSD SATA 3 and theoretically should get 60,000 IOPs, just a tad more. An OCZ or Crucial PCIe card could get up to 330,000 IOPs.

Of course, some of the performance would still be with the client no matter how good the servers.

Just to give an idea (I don't know how this turned into my bragging ) but I can now open Word from the hard drive in under 0.5 seconds. I have no idea what Add-ins are in it since I can't see them. But, still the reboot times of 20 seconds from Windows to CTRL - ALT - DELETE is crazy.

Electronic prescribing has been down for us all morning, using 5.029, so I presume that some of the slowness of eRx may be due to Surescripts issues, at least some of the time.

I NEED COMPUTER SPECS BEFORE I BUY A NEW DESKTOP, PLEASE ADVICE....

With my above Computer Specs, the Eprescribe is SLOW, VERY SLOW ... Basically Nonfunctional. Yes thanks rdoc I realize I already have updated to XP service pack III.
Other Software I use on my machine, which could slow Eprescribe are -
-Windows Essentials
-Dragon NS
-Mcafee compliments from AOL paid account

- The funny part is the Med Asst's Desktop is Pentium 4 Single Core & the Epres. has not slowed down, Go Figure...
I suspect maybe I have a overload of the different software, but since they are all essential & in daily use -- I may just have to buy a more powerful/newer & faster processor Desktop.

Any suggestions of what has worked for you all may help.

A Pentium Quad core or i5/i7 Processor???? Please help.... OR any other suggestions before I purchase a new one will help. Bert's post above about the SQL etc... was not plain English for me, I could not understand it.

Thanks & Regards

Raj,
This will take you about 15 minutes and I think it is worth your time:
1.Uninstall McAfee completely.
2.Download AVG free (this works for me; if you want to use something else later, you can easily switch).
3. Restart and see how eRx works.

Thanks Jon, I will try that.

Don't worry about my post. It's just a dream. Better SQL, better AC.

I doubt it is your computer. It seems fine to me. I am not sure what a faster processor is going to do with AC's slow down issues with ePrescribe. If you want a processor, the Intel i5 or i7 2600s are fine. Blazing fast. But, again.

Are you using AOL for Internet? And, no, it is no favor for them to give you McAfee.

WHAT NIC CARD ARE YOU USING? Intel? Broadcom? Could make a huge difference.

Have you tried turning off drug interactions? If my memory serves, e-prescribing was very slow in 5.029 until I did this.

Thanks Jon, taking off Mcaffe worked well. Eprescribe is working & it is getting the job done. Still not as fast as V 5.


THANKS EVERYBODY, I APPRECIATE YOUR HELP & THANK GOD FOR THIS USER BOARD.

Regards

Speaking of AV programs and compatibility working speeds with AC and any, all of her features, including this PIA E Rx issue because of the Slowness of the Greedy Huge "Stakeholder" making all the Money in the Middle (Money in the Middle, Money in the Middle... Sounds like a children's playground game doesn't it?) getting the Gov't to require us to do this CCHIT when our old E-faxing worked as well if not much better....

I am an Ourlayer who believes very much in my choice of Kaspersky Internet Security, now upgrading to full blown PURE for all machines as licenses are renewed..... Anybody eles out there using "No One Shall Pass" super keeps you safe and secure Kaspersky????

I love my KIS and would be heartbroken to have to give it up. It is like having a cop and Dialisis machine inside my computers, I swear. Never have our computers been this un-molested by all the BS going on out there in the electric playground...

Paul

Honestly I think its totally insane that anyone would run amazing charts on desktop class hardware. First, even if it can run out it why put your whole business in the hands of desktop class hardware. Desktop Class hardware fails, daily. Server grade hardware is built for reliability and fault tolerance. When configured properly, hard drives are in RAID (RAID1 or RAID5) or combinations of the two. Even if you back up AC every night your at risk. If you don't have AC, you can still treat patients but can you give them the same level of service. Do you have access to their charts, allergies, previous RX'es, etc... Without AC for 1 day would be a disaster. Every place I have ever installed and configured AC, the main computer has been some form of a HP Proliant Server (ML150, ML350, DL360, DL160, etc) Hard Drives were configured in RAID1, separate hard drive for backups, and AC online backup service.

Okay, some might say I'm paranoid, but when it comes to being with AC for one day everyone of my customers would call it a disaster.

stylnchris,

Hi. Welcome to AC. You haven't been around long, so you haven't been exposed to the infamous P2P to client/server (domain) that occur almost weekly for years. Trust me, I am with you on this.

I think for those who say it works fine on P2P in a workgroup on workstations speak from the fact that it "works." Some, back up one .enc backup to a flash drive, take it home and call it good.

I agree with you completely, not to mention performance, speed and the fact that people seem to forget they have other programs running such as SQL and Billing software.

Stylnchris,
I understand where you are coming from and appreciate Bert's Comments too. I think you will find Amazing Charts users a little bit more frugal bunch than others. Plus many of us are solo practices. I do not have the brains of Bert and do not want to learn all the nuances of client-server networks. It's not that I don't think they are better. I run a small shop. I can't employ a IT expert. I have used Amazing Charts without fail for 10 years using peer to peer networking on desktop grade hardware. I have NEVER had a failure which was not recoverable. I backup stuff like 5 different places and keep about 2 months worth of backups. I also gave some propofol to Wendell at the last user meeting and saved a copy of my *.enc file on the USB drive around his neck (and I stayed at a Holiday Inn Express last night)

The only failure I had was amazing charts 6.0.9 half baked beta release where I had to revert to 5.1.7. Sure I have had hardware failures over the years. But never one that sent me over the edge. I can do without amazing charts for the day, and I have. I have notes printed out in a paper chart.

Again, I am not trying to argue that my situation is better. If you have a server-client, with RAID 5, more power to you . You have a better system. But many users don't need it in order to experience the benefits of amazing charts.

Ken,

While I understand what you are saying, I think you miss the point of what he is saying. Sure, a peer-to-peer is good enough to run AC. And, desktop grade hardware will run it as well. And, you do better backups than most. But, what you are saying is a little like, "I have always used tires with less tread and done fine."

One thing that users I think misunderstand is that there is a big difference between Client/Server and Client/Server with a domain and Active Directory. The latter requires a good deal of knowledge in networking, especially DNS, and the management of users, etc. Granted in the end it makes everything easier. But, you can have Client/Server without the headaches of "running" a network or hiring an IT. You take your workgroup computer out and you insert a server quality computer. Then you run a workgroup. This gives you the benefit of having better hardware with RAID, etc. without the hassle. Then, if down the road, you wish to switch over to a domain, you simply attach the computers to the server in a domain fashion.

Ken,
My two cents worth is this. In going to an EHR, we have entered a brave new world where our entire livelihood and professional life now hangs by the slimmest of electronic threads. Being frugal is nice, and I have purchased several pieces of medical equipment on e-Bay for example. But I don't think that the electronic environment is a place to scrimp. I find the thought of data loss or even being unable to practice for a week because of some IT disaster so horrible that I put its care and feeding way at the front of the line. You can eat spaghetti for a month, take public transportation, turn the air conditioner up to 85, whatever; we all did that in school and as residents. But scrimping on IT support, backups, backups to backups, power supplies, etc. for me is right in there with taking off in a light aircraft with the engine running a little rough. The consequences are just too awful.

Bert.
Moving from peer 2 peer to client server would be a great breakout session for you to lead at next confererence.

Good post David. I will say although I am not an expert I am not a newbie. I do have an engineering degree. My thinking is that as long as I have plenty and I mean plenty of data backups the win boxes are like toasters. I just will replace them when they tank.
Believe me if I was part of a multiple doc group I would have an it guy or gal !

Thanks Ken. Of course, there will always be someone in the session who thinks they know more than I. And, they probably do.

I hope you don't take these things personally. This topic comes up all the time. I set up an SBS 2003, three times, learned from it and set up 2008. It's not as quick and easy as it seems.

Bert,
Oh no. I don't take this personally at all and I am most appreciative of your advice. Really. I used to be much more of a "sensitive guy" before all the insurances companies wore me down (smile). The bottom line is that we're all out here to do the best for our patients, whether we are doing peer to peer networking or client-server...

And although this topic has been "beat like a dead horse" , we have a lot of newbies here and I would hate for someone to not adopt amazing charts because they are afraid of SBS 2008, RAID5, bare metal backups, etc. That is why I felt compelled to chime in.

Good point.

Ken, I agree completely with your point of not wanting folks scared off by unnecessary complexity. My issue is more with trying to be your own IT, and was not based on engineering expertise, but on economics. My systems always pick the most inconvenient times to fail (like some time just before the start of business on Monday morning.) You and I earn a whole lot more per hour being doctors than being IT people, or by hanging on the phone waiting for a guardian angel to respond. Our patients also rely on us to be there when we said, not in the back room playing with smoking computers. Over the years I have experienced this scenario more than once, and it is a really awful, sickening trapped feeling that I would hope others would spare themselves if at all possible. For me, it is just really cheap insurance to have a responsive IT service on tap, and I let them worry about the best network architecture.

David, agreed. I need to be better about delegating! Speaking of Monday morning. A few weeks ago I came to work on a Monday, after after I was here for like 15 minutes my receptionist gives me this "Oh by the way, none of us can get Amazing Charts to work this morning." (and I'm thinking - you waited 15 minutes to tell me this?) Fortunately a reboot of the main computer fixed the problem.

That's much better than getting hit with three computer issues the moment you walk in the door.

I usually just lurk and learn from your intelligent discussions. However I feel I need to be my own IT person for the same reason that my wife makes me do yard work and replace the rotten deck, and me telling patients to walk the dog instead of hiring someone to do it. When I am over my head in IT, I ask for help, just as I had help spreading a ton of gravel. I also train my MA/nurse/successor in all matters IT, including networking, "connect", UpDox, VOIP, and CompanyWeb. "Staying in the game" allows me to know what's going on, do easy fixes like rebooting and adding computers, and helping other docs in IT decisions. Sure I may spend some hours trying to figure out network issues that ultimately traced to a router that worked fine except in one special area, but I feel that's worth it.

My happiness was short lived, after a day of faster eprescribe after uninstalling the Mcfee antivirus, the eprescribe is back to being ssslllllooooowwww again.

I am changing my desktop computer to a newer Inter Quad, I will keep you guys posted how it works out.

Regards

I too, must echo JackChoi, I am the IT person and the yard person and need to repair a stair tread soon.

I farm out that which I can neither understand or have the time to fix. I personally correct the other 99.5% of the problems.

I have both peer to peer and server environments (2 offices) and have found peer to peer sufficient for my purposes. Multiple backups lets me sleep at noc.

Most of my computers are corporate refurbs. I guess this would equal home class since they have several years of use decreasing their MTBF status. I agree, when they tank I pull one out and replace it.

Sure, it's better to run a corporate level computer system with IT support. The problem is that most solo practitioners don't have that kind of money.

And with 10 years of experience, I feel comfortable that my current system works, although I must admit it has morphed into different forms continuously. The systems I run now are infinately more complex than that I ran 5-6 years ago.

Agree with Wendell and Jack. Toaster-grade computers work fine most of the time, and are quickly replaced when they don't. Being your own IT for 99% of the time gives one a distinct advantage in knowing when your IT consultant is FOS. Not everyone who claims IT expertise actually has it. At least, not out here on the fringe of the country.

Backups to other computers, SD chips and the like are quick and easy -- and so far, when called upon,have performed properly. It doesn't take any longer to change boxes than to find an IT person.

AC seems to assume a measure of do-it-yourself involvement. For those that really crave complete dependence on the IT industry there are multiple options -- but my experience with several hospital systems and several office systems convinces me that AC is certainly no worse, and in many ways far better and more responsive than PracticePartner or ChartLink or Epic or others whose names I have forgotten.

All in all, it is very hard to compete with a well-organized and well-managed paper charting system, but only those of us who grew up before the invention of the Xerox process and the microprocessor can appreciate the nuance and depth of a well-constructed paper chart.

Often, when fuming over a sudden system crash or maddening slowdown in the Eprescribe (while the patient takes that opportunity to bring up several issues which I had up to then suppressed, I will point out to the patient that the only truly time-tested form of documentation is the clay tablet. It is easier to read cuneiform than it is to read computer tapes from the 1960's.

Thank you, gentlemen. This is how I see it as well; and I think it is important for prospective users to hear this viewpoint.