Apparatus, systems, and methods of health reporting are disclosed that enhance decision support and provide alerts when health deterioration or the need for intervention has been detected. Embodiments utilize combined pictorial representations (including physical, mental, and social health determinants) as an avatar or pictogram, comparing health status to a general or target population, and using different methods to represent and reinforce health status. The apparatus, systems, and methods further enable individuals to access their own medical records in a way that can be understood by them and therefore is more widely accessible. The invention enhances health reporting, improving utility, usability and desirability of health reporting tools.