Provider prompts usually consist of electronic prompts in Electronic Health Records (EHRs) or notes/flags in paper charts. Most EHR provider prompts are automatic pop-up alerts that notify the viewer that the patient is due/overdue for an immunization. Other EHR provider prompts may show up as​ a \"to-do\" task, even if the patient is not scheduled that day for an appointment. Many EHRs have provider prompts pre-installed that can be customized in the office. Notes/flags in paper charts must be added manually, after review of the chart for due vaccines. Some Immunization registries have similar functionality that can be integrated into a practice workflow. This is the AAP sample PDSA cycle on provider prompts