The sign off screen with the imported item can be minimized, highlight the patient's name in your in box and use the drop down to view visit history, send an RX or generate a message to the staff about needing to do something, not quite as friendly as the "sign off and send " option that was in version 4 but,really, still pretty darn nice. I wish the message box that pops up when you mark a pending result as having been completed could be disabled if you didn't want to use it as a rule and then specifically opened if it did need to be used.