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NEWS

Jan. 23, 2008
NoteworthyEHR 6.0 Receives 2007 CCHIT Certification

Dec. 28, 2007
Childrens Clinic of Jackson, Miss., Selects NoteworthyEHR

Dec. 3, 2007
Huntsville Pediatrics Quickly Increases Productivity After Only 2 Hours of Training

Oct. 15, 2007
Noteworthy Names Paul Ruflin New President and Chief Operating Officer

June 7, 2007
NoteworthyEHR Integrates DrFirstTM Rcopia e-Prescribing

More Releases>>

Technology


Architecture Overview
NoteworthyEHR uses a multi-component server application architecture which can be deployed across one or more physical servers. This design enables NoteworthyEHR to be deployed in the way that best suits the scale of a particular customer.
  • Client: This portion of the application resides on each end-user device (desktop, notebook or tablet device). The client application communicates with the application server.

  • Application server: The application server is the heart of NoteworthyEHR. It controls dataflow and implements most of the business rules required to run the application. This component is extendable across multiple servers to provide scalability.

  • Interface engine: NoteworthyEHR communicates with third-party systems (billing, demographics, scheduling, etc.) via the award-winning Orion Rhapsody Interface Engine. Considered the finest in the industry, Rhapsody interfaces NoteworthyEHR with any system that communicates using HL7. Rhapsody allows NoteworthyEHR to process incoming and outgoing messages through a variety of communication protocols including network and local file reading, FTP, MLLP, and SQL-compliant database connections.

  • Reporting component: The ability to improve your practice through data mining is one of the major advantages of implementing an EHR. Our reporting facilities not only allow your practice to run reports and examine the data, they do so without significantly impacting end-user responsiveness. NoteworthyEHR is delivered with a number of useful reports available to all users within the EHR. Noteworthy's Professional Services team is also able to produce customized reports within the EHR to suit a practice's unique needs. Noteworthy also documents its database schema so that third parties can write reports using industry standard reporting tools such as Crystal Reports, Cognos, and other packages.

  • Database component: The database engine accepts and stores data from the application and interface tiers. We implement all of our services to be SQL-compliant, which allows you to choose your database engine. We currently directly support Microsoft SQL Server, Oracle and IBM DB2 database engines.
  • Recommended System Guidelines
    Our system requirements are easily met with reasonably current technology, and our engineers will work closely with your staff to determine scaling and sizing of server technology. In order to ensure your staff receives the best application experience possible, we consider several factors including your patient volume, required daily reporting functions, selected NoteworthyEHR features and general workflow.

    Client PCs

  • CPU: 1+ GHz
  • RAM: 1024+ MB
  • O.S.: Windows 2000 Professional or Windows XP Professional
  • 100+ Mb Fast Ethernet NIC
  • Other: Monitor capable of at least 1024x768 (recommended resolution). Access to a network or attached printer. If you choose to use the patient photo feature, a TWAIN compliant digital video-conferencing camera or webcam is required.

    Note: running other applications on the same computer as NoteworthyEHR client will have an impact on the system requirements.

  • Minimum Server Hardware

  • CPU: Dual+ P3/P4 1.8+ GHz
  • RAM: 2+ GB
  • O.S.: Windows 2000 Server or Windows 2003 Server
  • Network: Redundant 100+ Mb Fast Ethernet NICs
  • Storage: Hardware RAID disk subsystem or equivalent high-throughput SAN
  • Other: Appropriate physical location with 24x7 environmental controls and physical security. Redundant internal server hardware. SQL-compliant database software.

    Note: the number and size of servers required will depend upon the practice's size and usage patterns.
  • Deployment Methodologies
    All businesses need a way to deploy applications to their many end-user devices. We directly support two models of application provision: Client/Server and Terminal Services/Citrix-based hosting. Our engineers can help you choose the right solution for you.

    Client/Server: NoteworthyEHR was designed as a client/server-based application in order to increase performance and functionality for the end-user. As the client application processes data locally, the server handles the many other requests generated by other users. In this type of environment each client PC must have the NoteworthyEHR client installed. Noteworthy packages the client installer using Macrovision's InstallAnywhere technology. The installer is built for simplicity and is easily run by end users with basic documentation.

    Terminal Services or Citrix-based ASP solution: Some practices choose to deploy our application through the use of Microsoft's Terminal Services or Citrix technology. Microsoft's Terminal Services server and Citrix's Presentation Server allows administrators to serve a "desktop" or application to any client PC without the application being installed on that PC. In this case, additional dedicated servers provide the processing power to run NoteworthyEHR for each Terminal Services or Citrix connected client. Although the primary advantage of this technique is to centralize the administration of client PCs and installed software, administering Terminal Services or Citrix internally or with a hosting-company requires a specific skill set, as well as added server costs.

    Microsoft's Terminal Services behaves in the same way as Citrix and has similar advantages and requirements. Terminal Services does not have all of the features of Citrix, however it is more cost effective. If you are considering this deployment strategy, you should review both Terminal Services and Citrix.

    Interfacing
    No system stands alone! Our flexible architecture allows us to interface with any practice management solution. Utilizing industry standard protocols such as HL7, we have already implemented clients using a variety of solutions, including:

  • NextGenPM
  • Centricity (GE)
  • NetPractice (MARS Medical Systems)
  • ExpertPM (Experior)
  • Promed (Vitalworks)
  • MDr PracticeManager (DST Health Solutions)
  • AdvantX (Source Medical)
  • Intergy (Sage Software)
  • Groupcast™ (IDX)
  • PCC
  • MicroMD (Henry Schein Medical Systems)
  • NoteworthyEHR can take care of your lab needs, including our ability to interface with Quest Diagnostics and Labcorp, among others.

    For Those New To IT
    We've selected industry-class components to build our application. We also implement the system to make it easy for you to administer. We'll talk about the skills you'll need to effectively perform your network and system administration duties in each tier of NoteworthyEHR.

  • Clients: At this level you need to be able to deploy software to your enterprise. You will need to be able to run an InstallAnywhere installer for simple manual installation. If you are deploying across a network then you should be familiar with Windows networking and either batch scripting or Windows Shell scripting. You should also be familiar with printer setup, file level permissions and security, as well as general end-user Windows administration.

  • Servers: Server and network administration skills are key for maintaining any enterprise application. Depending on the OS your practice has chosen, you or your IT staff should be familiar with Windows 2000 or 2003 Server administration, including networking troubleshooting, DHCP/DNS administration, service control, backup scheduling and implementation, disk and raid array maintenance. If you choose to implement on a Linux/Unix system you will need general Linux skills, network administration, DNS maintenance, service control, disk and RAID array management as well as backup scheduling and implementation.

  • Application: Specific administration includes monitoring disk space usage and planning for additional space, as well as monitoring and purging rolling logs when necessary.

  • Interface: Noteworthy's Professional Services team will work with your practice management software vendor and laboratory services to configure and install interfaces between their system and NoteworthyEHR. Noteworthy's interface engine provides a simple web-based interface for your IT staff to monitor the interfaces once they have been put into production.

  • Database: Your IT staff should have a solid understanding of the general administration duties necessary for your chosen database engine, particularly backup scheduling and maintenance, disk usage, performance monitoring and planned expansion of server capabilities and migration.

  • Reporting: The clinical data collected and stored by NoteworthyEHR can be used alone or in conjunction with a practice's existing databases to produce reports that help optimize business practices, improve patient care, and meet government reporting requirements. A reporting expert with experience using a standard reporting tool (such as Cognos, Crystal Reports, or other packages) will be able to produce these reports using documentation provided by Noteworthy.