I completely agreed - we almost abandonned A.C. because of a serious lack of lab tracking ability....what we ended up doing is ordering labs from the email screen by right clicking....then we send the automatically generated email to a fake "nurse" account called "OUTSIDE TESTS"...or for consults "CONSULTS" etc. Each day one of the nurses reviewed this account (since it's not a provider, it doesn't violate the license thing). Then, when results are received, the nurse replies to the provider and it is saved to the chart with the values in the email.
Not perfect, but works for us. Would LOVE an integrated system.
...and don't get me started about the immunizations! (i'll save it for another message.