• Practice location |
• Provider name |
• Subject medical record number (MRN) |
• Subject name |
Pap test information: |
• Date of Pap test |
• Result of Pap test |
• HPV status (positive or negative, if tested) |
• Result of LAST abnormal Pap test (if any) |
• Date of LAST abnormal Pap test (if any) |
Follow-up information: |
• Date subject contacted of an abnormal result |
• Method used to contact subject (eg. letter, phone call) |
• Date of GYN follow-up appointment |
• Status of GYN follow-up appointment (eg. future, arrived) |
• Number of cancelled GYN appointments |
• Practice location of GYN follow-up appointment |