The pillars of community-oriented primary care are community health workers and virtual care providers, anchored by ambulatory service facilities and staff. These pillars are coordinated by customized electronic medical record systems.

A core component of ambulatory care consultation visits has been the first part of physical examinations: determination of vital signs. Vital signs are indicators of the body's critical functions. The Global Burdens of Disease (GBD) studies of the commonest causes of DALYs (disability-years of life-lost) provide compelling data suggesting potential benefits from expanding current limited clinical practice to comprehensively assess routinely the functional status of multiple organ systems. This communication proposes such an expanded 24 test vital signs and 9 organ functional assessments panel grounded in the GBD populations data, and feasibility with test performance by trained paraprofessionals.