Handwritten / INK notes as an option for a Visit Note in Synapse

Seehttp://www.dklevine.com/general/software/tc1000/jarnal-back.htm

Background image files can be loaded, either to serve as a decorative background, or for purposes of annotation.

What types of images are supported?jpg, png and gif files are always supported. Support for fax (tiff) and pdf files are optional. Many ways of providing support are possible.

The other interesting thing about Jarnal, is that it has a network save option.

So, say you were to download a file from the server, you could edit it, and then save it back again. It basically uploads itself back to a http form on the web server. Which is pretty cute.

Data files are in SVG format so a transparent data format vs proprietary one-note or journal format.

Another advantage is that if we setup a Cheyenne server on your server, it could bring up the Jarnal file specific to your patient as a Java applet.

My understanding is that you can annotate etc, and then save it back to the server. We avoid storing in the paperport directory.

I would envisage it would be in the same way all attachments are.

that was before I read about the java applet version.

So, now it might be

Click button to create empty Jarnal file - empty file is created in the cache-listener, and appears in the list of files associated with this patient.

Browser now browses to this empty file - which appears in the Jarnal java applet. Needs a web server such as Cheyenne to display it though.

You make annotations and do a network save which means posting back to Cheyenne.

The file in the cache-listener is updated by the Cheyenne server.

Note: I have to test all of this, and am presuming that Jarnal as an inking application is good enough for you to use.

I think the applet can do that .. you just load whatever background image that you want.

Just read thishttp://www.dklevine.com/general/software/tc1000/jarnal-problems.html<big style="font-weight: bold">Known Problems and Limitations:</big>

• <big>Pdf backgrounds do not work properly in applets.</big>

so it looks as though I'm back to saving files in the paperport directories unless I can find a way around this bug.

If you need Jarnal to load tiff images, you need the advanced java image library installed.

Seehttp://download.java.net/media/jai/builds/release/1_1_3/jai-1_1_3-lib-windows-i586-jre.exe

Note, that you will need to install the Java runtime engine to use this application.

Movie showing B84 installing Jarnal, and then using it in a patient consultation.

http://screencast.com/t/ByELIAsOq

To create your own template, using a png, jpg, or pdf

1. Open up Jarnal
2. File/New
3. File/Open Background
4. With the new background, make any changes to your settings eg. pen type etc
5. Save into the <synapse emr>/jarnal/templates/ directory with a descriptive name

This new file in the templates directory is now available as a template.

To those testing Jarnal, I have uploaded a newer version ( same url ) which allows you to use MS Journal instead.

Create a directory called <synapse emr>/journal

and also

<synapse emr>/journal/templates/

Save a blank Journal file in the templates directory, and any other prefilled Journal files with images.

Now Synapse will preferentially use MS Journal ... of course you will need a Tablet PC, or, MS Vista (business only?), both of which include MS Journal.

MS Journal is a lot faster inking than Jarnal, but can not load PDFs as background images.

The only problem I can see is that the blank Journal file is date stamped with the date of creation.

NB: <synapse emr> refers to the directory in which you have synapse.exe - it does not refer to the /synapse-emr/ directory which holds chat messages.

Anyone played with InkSeine? It's a product from MS research labs ...http://research.microsoft.com/en-us/um/redmond/projects/inkseine/Features.html

They describe it as Journal on steroids ...

Anyone using OneNote?

I can support this just as easily as Journal. Possibly better as OneNote has com support.

Not implemented yet ... just wondering if there's any interest.