accessionIdThe record number assigned by the Women's Health package. [FileMan 790.1,.01]
accessioningFacilityThe health care facility where this procedure was performed. [FileMan 790.1,.1]The ward, clinic, or location where the procedure was performed. [FileMan 790.1,.11]
areMarginsClearIndicates whether the tissue sample showed no pathology at the margins of the tissue sample. Yes=clear, no pathology; No=not clear, pathology present. [FileMan 790.4,.27]
clinicalImpressionDocuments the impression of the clinician performing the exam. [FileMan 790.1,.29]
datePerformedThe date upon which the procedure was performed. [FileMan 790.1,.12]
dateRequiredThe date by which the results of the procedure is expected to be received from the performer. Practically, this is the date after which this procedure status will be set to Delinquent if it has not been Closed. [FileMan 790.1,.13]
dateResultsReceivedThe date that the results were received/uploaded from the lab. [FileMan 790.4,.32]
eccDysplasiaPresentIndicates whether ectocervical dysplasia was present, if an insufficient tissue sample was provided, or the sample was not examined for dysplasia. Possible values include: Yes (ectocervical dysplasia present); No (ectocervical dysplasia no present); Insufficient tissue; Not done. [FileMan 790.4,.25]
ectocervicalBiopsyThe diagnosis or impression resulting from the cytology examination (Bethesda Classification). [FileMan 790.1,.26]
enterer"The person initially creating this record." [FileMan 790.1,.18]
isExamSatisfactoryIndicates whether the procedure or gynecologic exam was satisfactorily performed without any impediments. [FileMan 790.4,.20]
isHpvPositiveDocuments the presence or absence of the Human Papilloma Virus (HPV) in the cytology reports. [FileMan 790.1,.08]
isLesionOutsideCanalIndicates whether any lesion seen during the procedure was outside the canal. [FileMan 790.4,.22]
isMultifocalIndicates whether any lesion seen during the procedure was multifocal (as opposed to unifocal). [FileMan 790.4,.23] Yes=multifocal; No=unifocal.
lesionQuadrantLocationThe location of the affected quadrants. Possible values are: Upper left quadrant; Lower left quadrant; Upper right quadrant; Lower right quadrant [FileMan 790.4,.245]
mamographyLateralityIf a unilateral mammogram was performed, this property indicates whether the left or right breast was imaged. Possible values are: Right; Left. [FileMan 790.1,.09]
nbrOfLesionQuadrantsThe number of quadrants occupied by the lesion. [FileMan 790.4,.24]
noteAdditional comments, particularly concerning the clinical history of the Patient. [FileMan 790.4,3.01]
papOrColposcopyDiagnosisThe Final Diagnosis for this PAP/Colposcopy case. [FileMan 790.1,.29]
performerThe clinician who ordered and/or performed this procedure. [FileMan 790.1,.07]. Note that this definition involves two roles (orderer and performer), which FHIM divides into two properties.
performingFacilityThe health care facility where this procedure was performed. [FileMan 790.1,.1]The ward, clinic, or location where the procedure was performed. [FileMan 790.1,.11]
procedurePointer to the procedure performed on the patient. [FileMan 790.1,.04]
resultOrDiagnosisThe primary result or diagnosis of the patient's procedure. [FileMan 790.1,.05]The secondary result or diagnosis of the patient's procedure. [FileMan 790.1,.06]
stageAtFinalDiagnosisIf the final diagnosis is Invasive Carcinoma, this field is used to document the clinical stage for invasive carcinoma of the cervix. Possible values include: Stage I; Stage II; Stage III; Stage IV; S-Local; S-Regional; S-Distant; Unknown. [FileMan 790.4,.31]
statusCategorizes the state of this procedure. Possible values include: Open; Closed. [FileMan 790.4,.14]
stdEvaluationDocuments the findings after testing for sexually transmitted diseases. [FileMan 790.1,.28]
wasTZoneAdequatelySeenIndicates whether the T-Zone in the colposcopy/biopsy procedure was adequately visualized. [FileMan 790.4,.21]