You can document the Colposcopy procedure findings and impression details.
You can document the procedure findings in the available fields or using the cervix image in the Findings section.
- Open the Colposcopy – Procedure template.
- In the Colposcopy panel, to document the procedure findings using the available fields, do the following:
- Select the applicable options for Limit of lesion(s), Entire squamocolumnar junctions, and Colposcopy.
- Select the options in Time (Location) and Description.
Note: Description opens a list. If a biopsy is done, you can select the biopsy option along with the clinical findings.
- Select Add.
The data appears in the grid.
- To document the procedure findings using the cervix image, do the following:
- Select the site number on the Cervix image.
- Select the appropriate items from the Lesion Description list, and then select Close.
- Select Add.
The data appears in the grid.
Note: To open the image module and draw directly on the images, you can select the Cervix, Vagina, or Vulva links.
Note: To update or remove any record from the grid, you can select the data in the grid, and select Update or Clear.
- Select Impression, and then select an option from the list.
- Optional: Enter Comments.
You can also use the My Phrases link to enter any applicable phrases.