I have purchased this product, and subsequently have stopped using. I am an Ortho Spine MD, and consider myself very computer literate. Implementation staff was very poor. We had to have a repeat implementation visit 3 months after the initial due to lack of proper training. Hardware issues were constant. We tried to use the Signature Add-on, with hardware of exact specs recommended by Allscripts. They were unable to ever get this to work properly. Therefore, I have a unit that is useless. Fax software never worked. This was the deal killer. After spending 9 months customizing my modules, my office staff could not receive faxes. Therefore, we would receive electronic faxes on one computer, had to print them out and scan into the EHR. No direct input from fax. The Remote solution is not provided by Allscripts, but eTransmedia. This remote source was frequently "down." 5-10 minutes a week doesn't seem a lot until your charts back up. Additionally, if you scan or print, then this data spools from your desktop to their server and then back to your scanner/printer. Initial installation did not take this into account. We had print times of single-page docs as long as 3-5 minutes. Scanning was all but impossible. They had apparently never considered this prior to my office installation. It took a couple months to resolve. My dissatisfaction hit a peak during depositions for work comp cases or similar. My records were boiler plate. Since I am not a transcriptionist, I am not going to spend my clinical time typing patient notes myself (still cheaper to pay a transcriptionist even though you can say with sweat equity you saved $800/month in transcription). I tried Dragon 10, but it was buggy with the Allscripts system. It wouldn't recognize edit commands after the note was dictated. FRUSTRATING! Upon my wholehearted attempt to make this system work, it didn't. The support and understanding from Allscripts was nil. eTransmedia told me it was Allscripts fault and vice versa. I was unable to get a refund, credit, or ANY acknowledgement of my problem. I would recommend close scrutiny of your agreement with this company. Incidentally, I have returned to my Allscripts Electronic Documentation (aka Impact MD) and ePrescribe without issues. In fact, the tech support is phenomenal with this product. Hard to believe it's the same company.