Changes in Cytology Gyn Exam – Pap Order Coinciding with Medical Center Downtown (MCD) and Affiliated Clinics Transitioning to Epic, Saturday, May 4, 2024
The Cytology Gyn Exam Pap order in Epic (CYTOLOGY GYN EXAM - PAP TEST [LAB8240]) is being updated to simplify high-risk Human Papillomavirus (HPV) reflex options (No HPV, HPV if ASCUS, and HPV regardless of diagnosis) and merge workflows used by Medical Center Downtown (MCD) and affiliated clinics. The changes also include streamlining the order entry questions and result report. There will be no changes to Medical Center University HPV diagnostic methods. The following changes in laboratory testing will occur simultaneously with the transition to Epic for MCD and affiliated clinics to Epic on Saturday, May 4th. There are screenshot and explanations of the changes below.
Questions should be directed to Laila Dahmoush, MBChB (laila-dahmoush@uiowa.edu) or Debbie Jacobsmeier (debbie-jacobsmeier@uiowa.edu; 319-356-2517), UI Health Care, Medical Center University, Department of Pathology
Question updates
Current order
Updated & streamlined order
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Hormonal Status: Answer Premenopausal and the Date of LMP question will appear.
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Contraception or Hormonal Therapy has updated choices
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New
If patient has relevant clinical history NOT in patient medical record
question
- Consolidates old history questions (abnormal bleeding, gyn surgery, prior abnormal, and history of cancer)
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If check
Abnormal bleeding, Dysplasia, and/or History of cancer, Additional details question appears.
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If check Other, Pertinent other history appears.
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Simpler High Risk HPV testing options
Final report updates
New Clinical Information field replaces 4 result fields: Last Menstrual Period, Hormonal Status, History of Cancer and Previous abnormal. This will pull in answers from order questions.
