It may not be as simple as "do they just not take the comments? ". Most GP clinical systems will accept things like free text comments & free text clinical details over the messaging links and store them in the database. Depending on the system they use, actually getting to see them may be a different issue. On at least one popular system the doctor has to suspect there may be something other than the numbers and then go looking for the additional information. Not likely to happen every time and much less likely if they only occasionally find helpful information. Then of course there is your paper copy (Yes we still send them for the above reason!). If the practice is trying to be paperless, that was either shredded on receipt or is sitting in a shoe box in the practice basement as a "backup" in case they lose the database. Chances are that nobody will have read it and they have also done the same with your helpful guidelines/handbook which went out with the reports. Maybe the standard Microsoft presentation routines (see http://www.e-health-insider.com/comment_and_analysis/index.cfm?ID=197) will lead to more thoughtful human-computer interfaces in the future. Then again ....... Regards Richard Stott Clinical Governance lead, Pathology Doncaster & Bassetlaw Hospitals NHS Foundation Trust. ------ACB discussion List Information-------- This is an open discussion list for the academic and clinical community working in clinical biochemistry. Please note, archived messages are public and can be viewed via the internet. Views expressed are those of the individual and they are responsible for all message content. ACB Web Site http://www.acb.org.uk List Archives http://www.jiscmail.ac.uk/lists/ACB-CLIN-CHEM-GEN.html List Instructions (How to leave etc.) http://www.jiscmail.ac.uk/