PediNotes incorporates patient information from all caregivers into a single, easy-to-navigate EMR platform. PediNotes can run as a standalone application, but uses interoperability to achieve maximum benefits of an integrated hospital system. PediNotes communicates with external systems using HL7 interfaces. PediNotes is a Microsoft Windows application with a SQL Server back-end database which operates in a Citrix environment or as a ClickOnce application (smart client).