A health care screening system obtains patient health history and analyzes data to determine recommended preoperative medical testing. The patient's medical condition are obtained through patient responses to a questionnaire. The surgical procedure is provided by a physician. A first evaluation table of surgical procedures and corresponding preoperative medical tests is generated. A second evaluation table of patient medical condition and corresponding preoperative medical tests is generated. A third evaluation table of surgical procedures and corresponding patient medical condition is generated. The recommended preoperative medical testing and/or algorithms as indicated from the evaluation tables is scheduled. The recommended preoperative medical testing is maintained in a database, which is updated with changes to preoperative medical testing guidelines and is configurable for each medical institution. Preoperative reports are generated for medical staff and the patient based on the evaluation tables.