Order Entry Info
LAB ID: {{ Entry.created_date |date:"Ymd" }}-{{ Entry.entry_id }}
Patient ID: {{ Entry.patient.patient_id}}
Create Date: {{ Entry.created_date |date:"m/d/Y" }}
Client: {{ Entry.patient.patient_client.get_full_name }}
Physicians Name: {{ Entry.physician_name }}
Collection Date: {{ Entry.collection_date |date:"m/d/Y" }}
Age: {% if Entry.patient.age %}{{ Entry.patient.age }}{% else %}{{ Entry.patient.how_old }}{% endif %}
DOB:{{ Entry.patient.dob |date:"m/d/Y" }}
Gender: {{ Entry.patient.show_gender_name }}
{% if Entry.initial_info == 0 %}Waiting for Confirmation {% else %} Confirmed {% endif %}Accession Number: {% for access in Entry.accession_number.all %} {% if case.exam_id == access.exam_in.exam_id %}{{ access.accession_number }} {% endif %}{% endfor %}
BarCode Number: {% for access in Entry.accession_number.all %} {% if case.exam_id == access.exam_in.exam_id %}{{ access.barcode }} {% endif %}{% endfor %}
CPT Code: {{ case.cpt_name }}
Specimen Source: {% if Entry.GYN_Cervix == 1 %} Cervix {% endif %} {% if Entry.GYN_Vaginal == 1 %} Vaginal {% endif %} {% if Entry.GYN_Endocervix == 1 %} Endocervix {% endif %} {% if Entry.GYN_None == 1 %} None given {% endif %}
Menstrual Status: {% if Entry.GYN_mestrual == 'Regular' %} Regular{% endif %} {% if Entry.GYN_mestrual == 'Irregular' %} Irregular{% endif %} {% if Entry.GYN_mestrual == 'Post-menopausal' %} Post-menopausal{% endif %} {% if Entry.GYN_mestrual == 'Pregnant' %} Pregnant{% endif %} {% if Entry.GYN_mestrual == 'Post-partum' %} Post-partum{% endif %}
Date of last menstrual period: {{ Entry.GYN_last_menstrual_period }}
{% endif %} {% if Entry.GYN_previous_biopsy %}Date of previous biopsy: {{ Entry.GYN_previous_biopsy }}
{% endif %} {% if Entry.GYN_pap_smear %}Date of previous pap smear: {{ Entry.GYN_pap_smear }}
{% endif %} {% if Entry.GYN_abnormal_report %}Prior abnormal report: {{ Entry.GYN_abnormal_report }}
{% endif %}Present complaint or physical findings:
{% if Entry.GYN_routine == 1 %} Routine {% endif %} {% if Entry.GYN_vaginitis == 1 %} Vaginitis {% endif %} {% if Entry.GYN_cervicitis == 1 %} Cervicitis {% endif %} {% if Entry.GYN_condyloma == 1 %} HPV {% endif %} {% if Entry.GYN_herpes == 1 %} Possible Herpes {% endif %} {% if Entry.GYN_clinically_suspicious == 1 %} Clinically suspicious {% endif %} {% if Entry.GYN_abnormal_bleeding == 1 %} Abnormal Bleeding {% endif %} {% if Entry.GYN_cervical_lesion == 1 %} Cervical Lesion {% endif %} {% if Entry.GYN_menopausal_syndrome == 1 %} Menopausal Syndrome {% endif %} {% if Entry.GYN_bleeds_on_contact == 1 %} Bleeds on Contact {% endif %} {% if Entry.GYN_infection == 1 %} Infection {% endif %} {% if Entry.GYN_iud == 1 %} IUD {% endif %} {% if Entry.GYN_discharge == 1 %} Discharge {% endif %} {% if Entry.GYN_hysterectomy == 1 %} Hysterectomy {% endif %} {% if Entry.GYN_hysterectomy == 1 %} {% if Entry.GYN_discharge_info == 'Partial' %} Partial {% endif %} {% if Entry.GYN_discharge_info == 'Total' %} Total {% endif %} {% endif %}
{% if Entry.GYN_hysterectomy_description %}Others: {{ Entry.GYN_hysterectomy_description }}{% endif %}
Specimen Source: {% if Entry.Non_GYN_specimen_source %} {% for source in no_gyn_specimen_sources %} {% if source.id == Entry.Non_GYN_specimen_source %} {{ source.name }} {% endif %}{% endfor %}{% endif %}
{% if Entry.Non_GYN_clinical_info %}Clinical information: {{ Entry.Non_GYN_clinical_info }}
{% endif %} {% if Entry.Non_GYN_gross_description %}Gross description: {{ Entry.Non_GYN_gross_description }}
{% endif %}Specimen Source: {% if Entry.MP_speciment_source == 'Vaginal' %} Vaginal swab {% endif %} {% if Entry.MP_speciment_source == 'Urethral' %} Urethral swab {% endif %} {% if Entry.MP_speciment_source == 'Urine' %} Urine {% endif %} {% if Entry.MP_speciment_source == 'Liquid-based' %} Liquid-based {% endif %} {% if Entry.MP_speciment_source == 'PAP' %} PAP {% endif %}
Clinical information: {{ Entry.SP_clinical_info }}
{% endif %} {% if Entry.test_in_entry.all %} {% for exam in Entry.test_in_entry.all %} {% if case.exam_casetype.case_type_name == exam.exam_casetype.case_type_name %} {% for i in exam.get_cut_range %}Specimen Source Part #: {{ forloop.counter }}: {% if forloop.counter == 1 %}{{ Entry.SP_specimen_source_1 }}{% elif forloop.counter == 2 %}{{ Entry.SP_specimen_source_2 }}{% elif forloop.counter == 3 %}{{ Entry.SP_specimen_source_3 }}{% elif forloop.counter == 4 %}{{ Entry.SP_specimen_source_4 }}{% elif forloop.counter == 5 %}{{ Entry.SP_specimen_source_5 }}{% elif forloop.counter == 6 %}{{ Entry.SP_specimen_source_6 }}{% elif forloop.counter == 7 %}{{ Entry.SP_specimen_source_7 }}{% elif forloop.counter == 8 %}{{ Entry.SP_specimen_source_8 }}{% elif forloop.counter == 9 %}{{ Entry.SP_specimen_source_9 }}{% elif forloop.counter == 10 %}{{ Entry.SP_specimen_source_10 }}{% elif forloop.counter == 11 %}{{ Entry.SP_specimen_source_11 }}{% elif forloop.counter == 12 %}{{ Entry.SP_specimen_source_12 }}{% endif %}
Gross description Part #: {{ forloop.counter }}: {% if forloop.counter == 1 %}{{ Entry.SP_gross_description_1 }}{% elif forloop.counter == 2 %}{{ Entry.SP_gross_description_2 }}{% elif forloop.counter == 3 %}{{ Entry.SP_gross_description_3 }}{% elif forloop.counter == 4 %}{{ Entry.SP_gross_description_4 }}{% elif forloop.counter == 5 %}{{ Entry.SP_gross_description_5 }}{% elif forloop.counter == 6 %}{{ Entry.SP_gross_description_6 }}{% elif forloop.counter == 7 %}{{ Entry.SP_gross_description_7 }}{% elif forloop.counter == 8 %}{{ Entry.SP_gross_description_8 }}{% elif forloop.counter == 9 %}{{ Entry.SP_gross_description_9 }}{% elif forloop.counter == 10 %}{{ Entry.SP_gross_description_10 }}{% elif forloop.counter == 11 %}{{ Entry.SP_gross_description_11 }}{% elif forloop.counter == 12 %}{{ Entry.SP_gross_description_12 }}{% endif %}
{% endfor %} {% endif %} {% endfor %} {% endif %}