Individual Report


Name/MR# : DOB : Sex :
Diagnoses : Influenza Vacc :
Risk Factors : Pneumoccal Vacc :
Initial DC I-DC % Chg FU I-FU % Chg Goal
Meets or exceeds goal
Short of goal and moving in the wrong direction
Value meeting defined target or goal.
  Report Used for:
  Individual Patient Progress Report
Patient Progress Report For Physician

1  Higher or lower targets may be warranted based on patient's clinical history and risk status


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