Actually, by orders here I'm talking about putting orders on imported documents. So in the above example, for Amazing Charts v4.x, I would pull up an imported document that I need to sign off on and type "PET scan, see me in 1 week" in the instructions field that I would then send to my staff.

Unfortunately, that box where you write your instructions isn't saved to the chart anywhere (i.e., it's not saved in the note and it's not saved on the imported document itself). Rather, your orders go to the nurse's inbox as a message. The only way the orders you wrote get save to the chart is (1) If the nurse elects to save them to chart by hitting that icon on the message screen or (2) If the nurse replies and then I select to save the item to the chart. Essentially, the nurse could just delete your message thus losing the orders forever.

Make sense?