Skip to main content

GYN History - STD module

  1. Last updated
  2. Save as PDF

In the STD module, the GYN History form is where you document a female patient's gynecological history.

On the main menu navigate to History > GYN History.

Review history

If there has been no change in the patient's gynecological history, for the Any change item at the top of the form, select No.

LMP history

  1. In the LMP Date box, enter the date. Optionally click the previous and next arrows or click the calendar icon  to select a date.
  2. For the following items, select Yes if the statement applies to the patient.
  • LMP less than 30 days
  • LMP greater than 30 days
  • LMP date unknown
  • LMP date not applicable
  1. For the LMP Character item, select the check box for each characteristic that applies to the patient.

Pregnancy history

  1. For the Currently pregnant item, select Yes if the statement applies to the patient.
  2. For each of the following items, enter the number in the box.
  • Gravida
  • Para
  • Abortions, spontaneous
  • Abortions, induced
  1. For the Pregnancy referrals needed item, select Yes if the patient needs referrals.
  2. For the Currently Lactating item, select Yes if the statement applies to the patient. 

Birth control history

  1. Below the Birth Control History panel, click Add Entry. 
  2. In the Start Date box, enter the start date for the patient's birth control history. Optionally click the previous and next arrows or the calendar icon  to select a date. 
  3. In the End Date box, enter the end date for the patient's birth control history. Optionally click the previous and next arrows or the calendar icon  to select a date. 
  4. For the Birth Control Method, select all forms of birth control that the patient has used.

Note: To clear the entry and start over, click Reset. To discard the entry, click Cancel.

  1. Click Save Entry.

Contraceptive history and unintended pregnancy

For the following items, select Yes if the statement applies to the patient.

  • Change in contraceptive history
  • At risk for unwanted pregnancy

Pap history

  1. Below the Pap History panel, click Add Entry. 
  2. In the PAP Date Last Performed box, enter the date for the patient's last PAP test. Optionally click the previous and next arrows or the calendar icon  to select a date. 
  3. In the Result box, click the arrow and select the appropriate choice. If Other is selected, enter details in the box provided.
  4. In the Notes box, enter additional information regarding the patient's Pap history.

Note: To clear the entry and start over, click Reset. To discard the entry, click Cancel.

  1. Click Save Entry.

Routine PAP

For the Routine PAP recommended item, select Yes if the statement applies to the patient.