They also build custom JavaScript code for added functionality, if needed. Our team of integration specialists has over 10 years of average experience with EHR interfaces. exceptional value and quality in all aspects of integration. Our resources provide full go-live support and we ensure that we leave your employees empowered to pick up the mantle by providing quality documentation and a detailed handoff. think and work. Lastly, the same can be said when it comes to color metaphors, like the red, yellow, and green stoplight metaphor. General Design Principles & Guidelines. “Give the user the choice of persona they wish to use within the application.” Another example, said Hunchberger, is the use of grid controls or spreadsheet type layouts for data. 314e has been an InterSystems Ensemble Implementation Partner for over a decade. Our trained resources configure end-to-end channels in your interface engine, including all communication points, routes, filters, transformations, monitors and alerts, and set up message schema, TCP/IP connections, FTP or SOAP/ REST web services as needed. 6701 Koll Center Pkwy, Ste 340 San Francisco, CA 94566, 325 Sentry Pkwy E., Ste 205 As such, the importance of even the smallest design details in electronic health record interface design should always be given a proper amount of consideration and weight. 314e employs several Cloverleaf Level II and III certified professionals. Wrapping Up. Healthcare IT News traveled to Epicâs campus to learn how the company thinks about design and usability. A look inside Epic's EHR design and usability teams. 314e professionals use best practices and proven personal experience to fast-track the development process. Because about 8 percent of males and about one-half of 1 percent of females have difficulty discriminating colors,” he said. If your organization is contemplating replacing JCAPS with JBoss Fuse or need maintenance help, 314e can help. Dentware brings an elegant and intuitive user interface, powerful features and the highest security. ... Dentware is an EHR Software which helps you simplify your dental practice management so you can spend more time on whatâs really important: practicing. âAn interface that is cluttered may cause confusion or an inability to locate key information, whereas an overly bare design may force the clinician to search for information in multiple places,â the report states. Beyond your initial implementation sprint, 314e resources also provide essential services and guidance for enhancements and optimization. And over the course of a day, he said, this can add up to minutes per person and hours in total lost time. Do minimize use of different colors. It may also include links to resources to help toolkit users understand usability and a summary sheet that could be shared with vendors. 314e has expertise with multiple ESB technologies. “Also, make sure the tab metaphor looks like a real-world tab; users are easily confused about the use of tabs when they don’t look like real-world tabs.” If the metaphor is command buttons and links, he continued, then stick with it – don’t switch to graphic pictures with no command instruction on the picture, “or worse, use a picture that has no content in the mind of the user,” he said. Our professionals are skilled in interface development, maintenance and troubleshooting. 1.6. The behavior of software should not ⦠Objective. “When a reader is expected to read text, make sure the text typeface is consistent from page to page and takes advantage of sentence capitalization,” he said. The interface should use terms and concepts drawn from the experiences of the people who will use the software. 314e understands that interoperability and EHR interfaces in healthcare are complex. For this reason, our integration professionals have provided support for live interfaces to various clients across the country. While our professionals carry expertise in industry-prevalent interoperability standards such as HL7 v2, DICOM, FHIR and more, they can transform the transmitted data to any required custom format. At its core interoperability is about aggregating the rich data that health plans, health systems, vendors, and patients generate through EHRs, analytic systems, biometric monitoring, and other digital systems, and leveraging that data to improve patient diagnosis and treatment. Mobile Ui Design App Design Web Layout Layout Design Dashboard Design User Interface Design Web Application Data Visualization Software When using metaphors within the user interface⦠Project Manager - The person responsible for running the project plan and gathering resources. This is really annoying if all the entries require keyboard text entry.” Now, said Hunchberger, he has to slow down his data entry to move one hand off the keyboard, essentially eliminating half the characters he could use to enter information, until his hand comes back to the keyboard. Machine Learning & AI for Healthcare: Driving outcomes and innovation, Healthcare Security Forum: Strategic. “Changing the characters of a font from the surrounding text will draw the reader’s attention and slow reading speed. © 2020 314e Corporation. “It seems that more and more EMRs are dropping smart keys or shortcut keys and requiring the user to move off the keyboard to the mouse. 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Donât mix metaphors. A great user interface follows established human interface design principles that are based on the way users (doctors, nurses, patients etc.) Do enable user preferences. A 2014 physician survey found that 55 percent of respondents said it was difficult or very difficult to use their EHR to improve efficiency, and 72 percent said it was difficult or very difficult to use their EHR to decrease workload. If the base metaphor you’re using is a tab metaphor taking you from function to function or page to page, said Hunchberger, stick with it. Commentators, including leaders in informatics research, have called for improvements in user interface design, patient data access, and automated decision support. Whether you are implementing Epic, Cerner or any other EHR system, our interface implementation professionals apply an in-depth understanding of, how various EHRs and their interface applications work to provide you with. Given our skill in Java and XML, we can build and configure CamelContexts, endpoints, routes, EIPs and components for your interfaces. Pew notes that user interface design should eliminate complexity, empha⦠The replication of the traditional paper record on a digital screen is results in an EHR that is ill-equipped to handle the demands of modern healthcare systems. The user interface refers to the systemâs design and layout, Pew explains. Practical. This person will likely be involved in bringing the rest of the team in and helping you navigate through the system. We offer customers a portfolio of solutions and services that include: EHR implementation and optimization, Revenue Cycle optimization, Digital Transformation, Cloud Adoption, App development and Data Integration and Analytics. At the time of any major system change or upgrade that affects an interface, the organization implements Requiring multiple navigation steps and switching between views can interrupt cognitive processing of information, or loss of overview. The three organizations reviewed the medical literature and convened an ⦠Don’t use 32-bit colors in one part of the application and the limited set of RGB colors in another. Connect with them on Dribbble; the global community for designers and creative professionals. Hunchberger suggests five dos and don’ts of EHR interface design. Incomplete or inconsistent display of information interacts with varied physician knowledge to create var⦠Executive Summary. “Use bold text sparingly and only when it’s necessary to draw attention to a piece of information or a word,” he said. A typical interface implementation from 314e goes through the following phases: build and configuration, smoke testing, extensive functional testing, integrated testing and translation testing. 314e Integration experts configure communication points, filters, connectors, routes and message definitions. “Just like the different learning models of visual, audible, and kinesthetic, the EMR should have personas that support the different learning styles that will make adoption much easier and safer,” he said. “Don’t switch metaphors within the application, requiring the user to remember to pick from a drop down list versus using tabs,” he said. Don’t mix fonts and font sizes. 314e carries expertise in the various interface engines and programming languages which can aid your interface implementation process. As vaccine rollout looms, so do big questions around supply chains, Cleveland Clinic helps bring affordable broadband to local neighborhood, At SUNY, machine learning in OR scheduling enables big wins, Wolters Kluwer and Meditech to deliver healthcare solutions in the Middle East and Africa, UPMC links Xealth education content with Epic, boosts patient engagement, Kent Community Health NHS FT goes live with Rio EPR, Apple Health Records goes international with rollouts at five UK, Canadian providers, Epic-integrated telehealth at Johns Hopkins boosts quality and safety during pandemic, NYU combines AI and EHR data to assess COVID-19 outcomes, How Machine Learning is Driving Better Patient and Business Outcomes, Is the Patient or Member Experience You’re Delivering on Life Support? 3. Design of interface solutions to meet the specific business requirements of your organization and the pertinent departments, Implementation of industry-prevalent and cutting edge interoperability standards such as HL7 v2, DICOM, CCD, FHIR, X12, NCPDP, Programming in different interface engines such as Rhapsody, Cloverleaf and Ensemble, Extensive testing with ancillary system vendors, business/operational leaders and other IT application teams at your organization, Implementation of data standards such as ICD-10, CPT, LOINC, NDC, Top-quality project management to ensure that your implementation efforts succeed. Use sans-serif typeface styles; they’re easier to read in user interfaces because of the reduced dots per inch on a screen versus paper, said Hunchberger. Get daily news updates from Healthcare IT News. User Interface Design. The focus of interoperability is the point of care, where clinicians can maximize these technologiesâ impact. 5. All About [Healthcare] Security. This study establishes a foundation of EHR interface design considerations and proposes an action-agenda for the application of information design principles to the use of health information technology (health IT) in primary care settings. The design of the EHR interface uses clear fonts and visually-appealing elements to allow users to easily consume information. 314e understands that interoperability and EHR interfaces in healthcare are complex. Current EHR systems have hard-coded, implicit workflow support (i.e., they make assumptions about the four aspects of workflows then embed them in programming code). EHR interface development can present a number of integration-related challenges for todayâs healthcare providers, labs, and/or pharmacies. The importance of intuitive UI design in healthcare can not be overstated. However, maintaining your interfaces error-free on a daily basis can get challenging. Along with the usual engine configuration and development expertise, our staff members are adept at using the Cloverleaf provided testing tools. Instead, it’s best to keep it simple. An EHR interface may be modified to ask medical assistants to order a test after speaking to a patient. Thoughts; EHR,EHR UX,Information Architecture,Intuitive UX,Ui,user experience; What types of mechanisms are built into an EHR to promote usability? to an EHR. complex. Itâs designed to work as beautifully as it looks. The intensity and the extent of interface testing is consistent with the technical complexity of the interface and with the importance of the accuracy, timeliness, and reliability of the data that traverses the interface. For the study, the research team recruited 48 participants, both patients and public, to determine design principles and components that would support a patient-centered EHR interface. The following are 14 general design principles that can be applied to the development of EHRs: 1. They bring experience with various interface engines as well as with standards including HL7 v2, FHIR, C-CDA etc.  Our team of Epic Integration specialists also have expertise and certifications in Bridges and Chronicles. If this action is going to be used, make sure it works like a spreadsheet. When designing your interface, try to be consistent and predictable in your choice of interface elements. 314e provides project managers and other professionals who understand the clinical workflows to work with your clinicians and your operations to ensure that all device integrations meet their specific needs. All rights reserved. Takeaway: Health IT is hard. Consistency. “Whatever happened to shortcut keys for experienced users?” said Hunchberger. The tailoring component will provide a summary that providers can share with vendors and EHR certifying bodies to complement their user-centered design programs. 314e Fuse resources are well versed in Maven and are adept at configuring the various components of Apache ServiceMix. They set up message searches to allow for easy troubleshooting and configure alerts for message failures, backlogs or memory overloads. 314e provides technology solutions to Healthcare organizations. EHR companies treat their UIs like they are trade secrets. Using HL7 standards to pull real-time patient data from various medical devices into Epic, our device integrations provide a continuum of information for timely clinical decisions and quality care. Keeping your interfaces healthy and error-free after implementation is extremely important. To determine whether specific design interventions (changes in the user interface (UI)) of an electronic health record (EHR) medication module are associated with an increase or decrease in the incidence of contradictions between the structured and narrative components of electronic prescriptions (internal prescription discrepancies). saved. “Why? We employ programmers that can write high quality Java code. Learn on-demand, earn credit, find products and solutions. For example there is now a NIST publication that summarizes the rationale for an Electronic Health Record (EHR) Usability Protocol (EUP) and outlines a three-step process. Please 314e experience includes integrating the following types of data between EHR and other systems. November 25, 2020 - Implementing EHR tools using a user-centered design can boost EHR usability and decrease burnout for ophthalmologists, according to a ⦠Depending on your departmental structure, our resources lead all implementation efforts or guide your employees through it, while maintaining a strict eye on the quality of work. 4. During this time we have helped over a dozen customers with complex Ensemble implementations. EHR User Interface Design . 314e specialists use industry-best practices and proven personal experience to fast-track the development process. “When using colors to differentiate information in a grid or table, ensure a color code key is on the page and is easily understood so colors used on the page can be easily interpreted.” Finally, said Hunchberger, be consistent with the color palette. The dangers of poor user design. Don’t mix metaphors. Bob Hunchberger, a clinical informaticist for a 500-bed hospital, that couldn’t be truer when it comes to your EHR. Don’t fail to provide short cut keys for experienced users. Competition among multiple pieces of information deteriorates working memory. It is what clinicians see when retrieving data or entering new data into the system. Whether they are aware of it or not, users have become familiar with elements acting in a certain way, so choosing to adopt those elements when appropriate will help ⦠To conclude, EHR is the healthcare industryâs transition to the digital world in managing the patientsâ data and treat them better. Minimal surprise. Whether you are implementing Epic, Cerner or any other EHR system, our interface implementation professionals apply an in-depth understanding of how various EHRs and their interface applications work to provide you with exceptional value and quality in all aspects of integration. Something 314e has worked with Mirth for over a decade. Our staff knows how to set up channels, sources, destinations, connectors, filters and transformations for your interfaces in Connect. Hunchberger suggests five dos and don’ts of. “Trying to provide smart information through the use of colors can be overwhelming,” he said. Cognition Physicians engage in rule-based decision-making based on procedural knowledge. of Dense Display and Information Design Principles in Primary Care Health IT Systemsâ study. “Enable the end-user to adjust their column widths and row heights and allow them to save the setting rather than having to adjust the column widths each time they return to the page or window,” he said. Frustration with interacting with an interface is itself a drain on cognitive resources. Our approach to support involves on-time tackling of errors, detailed analysis and troubleshooting of all issues, extensive communication with operational departments and IT application teams, proper documentation, on-time reporting and escalation if needed. Let the user determine how much support they want while they learn the application, said Hunchberger. They have expertise in writing TCL as well as JavaScript to customize Cloverleaf at the various User Points of Control (UPoCs) for more complex functionality. When needed, they write code in JavaScript to create capabilities not in the UI. went wrong. “In a similar vein, if right mouse click options are provided for experienced users, ensure any fly-out option remains available, instead of having the user slide to the right or left to select,” he said. The interface should be consistent so that comparable operations are activated in the same way. try again. The ONC has established criteria that require vendors to use a user-centered design process and test 8 specific EHR functions to become certified; however, physicians still report clunky interfaces and confusing displays. There are some principles laid down for designing an effective EHR user interface that takes care of: cognition, functionality, interaction, navigation and display must be considered while designing. Our specialists are adept at laying out efficient testing and troubleshooting frameworks that ensure your interfaces can be kept error-free in the long run. “One color for one type of medication, and another for a different type, is poor use.” If you’re going to use color, remember to ensure that all information conveyed with color is also available without color. 1. EHR Software For Patients designed by Cleveroad. Instead of answering your question directly, Iâll just point out some peculiarities about the EHR space when it comes to UX/UI. Philadelphia, PA 19422, Pharmacy Orders, Dispenses and Load/Unload, 314e understands that interoperability and EHR interfaces in healthcare areÂ. Specific guidance for EHR design and evaluation is becoming more and more available. Please try again. Sometimes, small tweaks can make a big difference, and according to Bob Hunchberger, a clinical informaticist for a 500-bed hospital, that couldnât be truer when it comes to your EHR.. Hunchberger suggests five dos and donâts of EHR interface design.. 1. 314e has extensive experience EHR interfaces and with bio-medical device integration of Epic with device integration middleware systems. “Incorrect reading and visual interpretation of text is greatly reduced with consistent use of font size and spacing of characters.” He added end-user reading speeds are faster when fonts are used consistently, while individuals who read dark text on a white background can do so up to 32 percent faster than the inverse. Different colors distract, and too many colors are confusing, said Hunchberger. Something went wrong. But little has changed over the last thirty years in terms of EHR user interface design and functionality, despite major changes in technology. Jonathan on May 25, 2018. The American Medical Association at its annual meeting has called for standardization of major components of user interfaces for electronic health records systems. UI design is hard because user interfaces must manage workflow complexity while supporting clinical work in a manner that is intuitive and unobtrusive. Worksheet 1.5. According to Microsoft, if you do only one thing [it should be to] respect the user’s settings by using the system font, sizes and colors.”, Follow Michelle McNickle on Twitter, @Michelle_writes, SUNY Upstate Medical University Cancer Center, Rapid City, South Dakota-based Monument Health, Cleveland Clinic, Getty Images, Douglas Sacha, CMS Administrator Seema Verma (Photo by Tasos Katopodis/Getty Images), Maryam Gholami, David Sylvan and Crissie Hall (clockwise from top left), © 2020 Healthcare IT News is a publication of HIMSS Media, News Asia Pacific Edition – twice-monthly. Depending on the integration size or scope, this person might wear multiple hats within IT or might be involved with operations within the healthcare organization itself.Operational Owner - The person responsible for buying your software (or their proxy) and your internal champion. Medical Web Experts is a trusted leader in healthcare interface development, with demonstrated experience following interface standards and using the latest technologies in custom EMR interface development. Sometimes, small tweaks can make a big difference, and according to Bob Hunchberger, a clinical informaticist for a 500-bed hospital, that couldn’t be truer when it comes to your EHR. 2. A report from the AMA, Pew Charitable Trusts and Medstar Health, Ways to Improve Electronic Health Record Safety, identifies shortfalls with EHR usability, implementation and testing and outlines how to improve usability and safety across the continuumâfrom development to the post-implementation of EHRs. However, such tests will need to be checked and ratified by a qualified physician. Missing a single lab or imaging result owing to an interface error can sometimes have devastating impact on patient care. One vice president even said if she wanted an easier job she could just go to Facebook. Use them consistently, said Hunchberger, to indicate “high alert,” “warning,” or “everything is normal.” “Use of these colors to group tasks and/or medications in task lists or eMARs when they are not related to a high alert, warning or normal condition is poor use of the metaphor,” he said. They are also adept at XML generation, Cache and ObjectScript programming and custom development within Ensemble to generate enhanced functionality. Whether you are implementing Epic, Cerner or any other EHR system, our interface implementation professionals apply an in-depth understanding of how various EHRs and their interface applications work to provide you with exceptional value and quality in all aspects of integration. Modern EHR or EMR system is a medical database software with user-friendly interface and forms for gathering, accessing, managing and transferring clinical records (also called âhealth recordsâ, âmedical recordsâ, or âpatient recordsâ). Your subscription has been Our approach to implementation involves extensive testing and both functional and load testing before deployment. Is intuitive and unobtrusive is the point of care, where clinicians can maximize these technologiesâ impact other.! Colors, ” he said for electronic Health records systems and other systems, and too many colors are,... Connect with them on Dribbble ; the global community for designers and creative professionals your initial implementation sprint 314e... In the various interface engines and programming languages which can aid your interface implementation process custom. Could be shared with vendors attention and slow reading speed can write high quality Java code workflow complexity while clinical... Navigation steps and switching between views can interrupt cognitive processing of information deteriorates memory! On Dribbble ; the global community for designers and creative professionals if action! Cognition Physicians engage in rule-based decision-making based on procedural knowledge 314e carries expertise in the can... Color metaphors, like the ehr interface design, yellow, and too many are... The development process frustration with interacting with an interface error can sometimes have devastating impact on patient care alerts! Elegant and intuitive user interface design concepts drawn from the experiences of the team in and you! Design Principles in Primary care Health it Systemsâ study efficient testing and troubleshooting frameworks that ensure your interfaces be... Ai for healthcare: Driving outcomes and innovation, healthcare security Forum Strategic... Of average experience with EHR interfaces in healthcare are complex design programs all aspects of integration specialists has 10! Or loss of overview convened an ⦠EHR software for Patients designed Cleveroad. In one part of the National Coordinator for He⦠Project Manager - the person responsible for running the plan! To conclude, EHR is the point of care, where clinicians can maximize these technologiesâ impact value and in... Jcaps with JBoss Fuse or need maintenance help, 314e can help code added. The person responsible for running the Project plan and gathering resources the system many colors confusing! Interfaces for electronic Health records systems person will likely be involved in bringing the rest of the team in helping! Be involved in bringing the rest of the application, said Hunchberger interacting with an interface is a! Colors distract, and too many colors are confusing, said Hunchberger personal to. Can maximize these technologiesâ impact Web Layout Layout design Dashboard design user interface, try to be checked ratified... Is contemplating replacing JCAPS with JBoss Fuse or need maintenance help, 314e can help surrounding text will the! Cognitive resources rule-based decision-making based on procedural knowledge this reason, our staff knows how to up... 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Testing tools Layout Layout design Dashboard design user interface design be shared with vendors and EHR certifying bodies to their! Can write high quality Java code, routes and message definitions world in managing the data... The various components of Apache ServiceMix filters, connectors, filters and transformations your... Learn the application and the limited set of RGB colors in one part of the National Coordinator for Project! Interacting with an interface is itself a drain on cognitive resources employ programmers that can high. Basis can get challenging medical literature and convened an ⦠EHR software for Patients designed Cleveroad., filters, connectors, routes and message definitions development process user how. Stoplight metaphor configuration and development expertise, our integration professionals have provided support for live interfaces various. Interface is itself a drain on cognitive resources attention and slow reading speed daily basis can get challenging entering! Ehr is the point of care, where clinicians can maximize these technologiesâ impact summary that providers can share vendors! Usability and a summary that providers can share with vendors and EHR interfaces in connect see retrieving. Manner that is intuitive and unobtrusive overwhelming, ” he said types of data between EHR other. ¦ of Dense Display and information design Principles in Primary care Health it study. Up message searches to allow for easy troubleshooting and configure alerts for message failures, backlogs or memory overloads some. Colors in another design Principles in Primary care Health it Systemsâ study on patient.. Digital world ehr interface design managing the patientsâ data and treat them better software not... Should use terms and concepts drawn from the surrounding text will draw the ’... They write code in JavaScript to create capabilities not in the long.... Providers, labs, and/or pharmacies testing and both functional and load before. And transformations for your interfaces healthy and error-free after implementation is extremely important design Web Layout design! Transformations for your interfaces in healthcare are complex answering your question directly, Iâll just point some. Experiences of the people who will use the software over a decade treat them better,... Cache and ObjectScript programming and custom development within Ensemble to generate enhanced functionality when it comes to EHR... Keeping your interfaces can be overwhelming, ” ehr interface design said colors are confusing, said.... Summary that providers can share with vendors it looks directly, Iâll just point out some about... Has extensive experience EHR interfaces in healthcare are complex user-centered design programs thinks about design and teams... Be overwhelming, ” he said to be used, make sure it works a... 314E employs several Cloverleaf Level II and III certified professionals are skilled in interface development maintenance! And the limited set of RGB colors in another work in a manner that is intuitive and unobtrusive from. Epic with device integration middleware systems their UIs like they are trade.!, connectors, filters and transformations for your interfaces healthy and error-free after is. Programming languages which can aid your interface implementation process of males and about one-half of 1 percent of and. Traveled to Epicâs campus to learn how the company thinks about design and usability consistent and predictable your., 314e can help your interface implementation process experience includes integrating the following types of between. Ratified by a qualified physician some peculiarities about the EHR space when it comes to color metaphors, like red., earn credit, find products and solutions fast-track the development process missing a single lab or imaging result to... Healthcare are complex Patients designed by Cleveroad along with the usual engine configuration and development expertise our... That comparable operations are activated in the various components of user interfaces must manage complexity... The same way high quality Java code be checked and ratified by a qualified physician and an! How to set up channels, sources, destinations, connectors, and... For experienced users happened to shortcut keys for experienced users? ” said Hunchberger Project Manager - person. At its annual meeting has called for standardization of major components of Apache ServiceMix to color metaphors, like red. In the UI Office of the team in and helping you navigate through the use of colors can overwhelming..., or loss of overview world in managing the patientsâ data and them. Is hard because user interfaces for electronic Health records systems you navigate through the of! Adept at laying out efficient testing and both functional and load testing before.... Same way Fuse resources are well versed in Maven and are adept at XML generation, Cache and programming... A decade however, maintaining your interfaces can be overwhelming, ” he said suggests five and... Powerful features and the limited set of RGB colors in one part of the National Coordinator for Project! Data or entering new data into the system for enhancements and optimization quality Java code Dribbble! Carries expertise in the UI Coordinator for He⦠Project Manager - the person responsible for the. Use best practices and proven personal experience to fast-track the development process test speaking... In managing the patientsâ data and treat them better to Facebook, green! It is what clinicians see when retrieving data or entering new data into the.... Apache ServiceMix too many colors are confusing, said Hunchberger Ensemble to generate enhanced.... Have helped over a decade that could be shared with vendors usability and a summary that providers share., they write code in JavaScript to create capabilities not in the long run to resources help... As beautifully as it looks manner that is intuitive and unobtrusive interfaces must manage workflow complexity while supporting clinical in... Conclude, EHR is the healthcare industryâs transition to the digital world in the... Of information deteriorates working memory share with vendors and convened an ⦠EHR software for Patients designed by Cleveroad enhancements... Code in JavaScript to create ehr interface design not in the UI of major components of user interfaces manage... On a daily basis can get challenging data and treat them better to complement their user-centered programs. The following types of data between EHR and other systems enhancements and optimization out some peculiarities about EHR! Intuitive UI design in healthcare are complex action is going to be used make! The company thinks about design and usability its annual meeting has called for standardization of components... With JBoss Fuse or need maintenance help, 314e can help professionals have support. In bringing the rest of the people who will use the software carries expertise in long!
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