|
Diagnosis date of abnormal pap
|
|
|
Prior Abnormal Pap
|
|
|
Prior abnormal paps
• • •
|
|
|
Pap smear results
|
HPV HR
|
|
LMP
|
Pregnant
|
|
Pelvic Diagram
|
|
|
Colpo Satisfactory
|
|
|
Colposcopy findings
• • •
|
Colpo Findings comments
|
|
Lesion site
• • •
|
Lesion site comment
|
|
Biopsy site
• • •
|
Biopsy Details
• • •
|
|
# of EMBx passes made
• • •
|
|
|
Assessment
• • •
|
|
|
Assessment comment
|
|
|
Plan
• • •
|
|
|
Plan comments
|
|
