| Screening and prevention |
| Mammography |
| Colorectal cancer screening |
| Colorectal surveillance for high-risk patients |
| Influenza immunization (elders, chronic disease) |
| Pneumococcal immunization (elders, chronic disease) |
| Lead level screening, children |
| HPV vaccine, adolescents |
| Tdap vaccine, adolescents |
| Meningococcal vaccine |
| Papanicolaou test (interval corresponding to risk level) |
| Document smoking status |
| Smoking cessation counseling (if smoking on problem list) |
| Discuss prostate cancer screening |
| Disease management |
| Diabetes |
| Eye examination |
| Foot examination |
| Microalbuminuria testing |
| A1C testing |
| A1C out of goal range, consider management change |
| Moderate-dose statin |
| Fasting lipid profile |
| LDL out of goal range, consider management change |
| ACE/ARB (if microalbuminuria or renal disease) |
| Coronary heart disease |
| Aspirin |
| β-Blocker |
| Statin |
| Fasting lipid profile |
| LDL out of goal range, consider management change |
| Hypertension (BP out of goal range, consider management change) |
| Heart failure |
| Measure ejection fraction |
| ACE/ARB (if EF <40%) |
| β-Blocker (if EF <40%) |
| Asthma |
| Inhaled steroid (persistent asthma only) |
| Asthma action plan |
ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blocker; BP, blood pressure; EF, ejection fraction; HPV, human papillomavirus; LDL, low-density lipoprotein.