If you are looking for an affordable, easy to learn, Web- based EMR that has almost all the bells and whistles on your want list, I would highly recommend you look at this program. It is easy to teach. It is easy to use. Our state surveyors love the updated care plan with every nurse note. It has built in flexibility to allow for agency specific needs by the use of templates that you can embed into notes. It also allows us to upload the consents, advanced directives, pharmacy reviews and anything specific to a patient. This creates a true EMR.