when nextgen first came everyone was excited saying that it was user friendly. I have to admit when I first saw it I thought it was great. I work for Family Practice doctor and it worked for us immediately. But after a while I started to notice there were things that it can not do unless you really go out of your way for that convience. Getting labs back is still a huge issue. It does not show pending labs. So if we order 5 test only 4 show because the 5th one isnt done, but it doesnt show that the 5th one is pending so more labs are falling through the cracks...