This is yet another composite application that can complement your Sharepoint 2007 system solution.
First time when I heard about this concept I was fairly skeptical and I didn't fully understand just how powerful this solution actually is. I was still working for my previous company and at the time the need came about for an Ambulance System for a certain provincial Department of Health. As the basic need for this was an Enterprise Content Management system (Workflow, Notifications, Forms, Reporting together with Integration to certain systems) and Sharepoint 2003 was still in its Beta stages and no sign of anything like Sharepoint 2007 from Microsoft, logical choice for me was to use Opentext Livelink as the ECM solution (it always seemed as the best choice between that, Meridio and FYI).
Suggestion came to use Anoto from one of our partners that were also service providers for Anoto. After having a chance to use experience its power I was completely taken by the concept realizing that it's one of the most revolutionary ideas in Business Process Management and it's an instant win for any ECM solution.
Let me tell you first more about the solution:
The client required a system that will allow an Ambulance Medic (excuse my StarCraft lingo) to capture the details of the casualty at the scene of the accident, be able to remotely send it to the system that can than store the required information, decide which hospital and doctor to use, subject to patient condition, location of the accident, bed and doctor/surgeon availability which will then notify the relevant personnel at that hospital about all the relevant details (condition, allergies, etc) in order prep them for the incoming patient.
To tell you more about Anoto (also as explained by Anoto), Anoto functionality is regarded as the standard for digital pen and paper. It comprises three main parts, the paper, the pen and the service infrastructure.
Various types of paper are printed with a unique background pattern that forms part of a huge "map". Computer analysis of the pattern allows the position of a digital pen on the pattern to be pinpointed with great accuracy.

All handwritten information is recorded by the pen and stored as an exact digital copy before being sent to the receiving device. Additional information such as the time, date and unique identity of the pen is also stored.
The pen itself is a revolution and it includes state-of-the-art image processing technology. It is equipped with a traditional ink cartridge, a digital camera, a processor/memory and a Bluetooth transceiver. The pen can store up to 40 pages of written information and send any selected page via a USB connection or Bluetooth/GPRS phone over an operator's network. Several vendors offer digital pens enabling Anoto functionality, including Logitech, Nokia, Sony Ericsson, and Hitachi Maxell.

Anoto also utilizes OCR/ICR technology to read the written information on the form and put it into the structured XML format and send it to the receiving system along with the digital copy of the form (image). In my case the XML bit allowed the integration between Anoto and Livelink's forms/workflow functionality.

Best thing about this solutions is the fact that it almost eliminates any need for Change Management and making you figure out how all the potential users will adapt to the technology, because at the end of the day, you're using just simply pen and paper, something that we allll know how to use!!
With this functionality my System Architecture could take shape and be used to its full potential.
Microsoft saw the opportunity to use this technology long time ago but then it was all about making it work with its new .NET and Windows XP (see Microsoft and Anoto Announce Strategic Alliance To Offer Pen-Based Communications Using the Microsoft .NET Platform).
From the article you can see that Anoto already made the whole technology available for the .NET platform.
Although the system was documented and the proof of concept of this awesome solution was completed, sadly the prices of Nokia digital pens and subscription to use Anoto software was well above certain Department's bracket so the system never got to be used.