@Brenda Brown thankyou so much for that Brenda. No one has been able to answer this for me, and even in the training i never found anything on this specific section. Im still unsure how to read + or - , the context of it. Its easy with the numbers red or orange, the meaning of in or out of range to diminished function or inflammation or stable with green. But i dont know the ranges with this particular section and where to find it and how its useful information without anything to compare it to.