BCMD, wow, thanks for all the effort and links. This has really got me thinking. I am still trying to clarify the Magic Buttons for myself. I am very excited about doing things that will help me and others to practice better medicine, and to do a better job, easier. I am interested in seeing where excell could come into this, it is so powerful and relatively easy to use. (preferred Lotus, but ah well.) I am confused about how or where it is to be stored. I need to learn more about how links work, that is really the next big step for me. The (mis)use of the alerts and directives is a great workaround for now, and the tip about printing the summary and allowing the patient to review it while waiting is priceless. We will start doing that right away.