Gynecologic Pap Test−Age-based Guideline for Cervical Cancer (Aptima®) Plus Chlamydia/Gonococcus/Trichomonas

Test Number 193075

CPT Call client services.

Synonyms

Age-based Guideline for Cervical Cancer Plus Chlamyda/Gonococcus/Trichomonas
Cervical Cancer Screening Plus Chlamydia/Gonococcus/Trichomonas

Test Details

Methodology

Image-guided liquid-based Pap test; nucleic acid amplification (NAA). LabCorp protocol is based on the ACOG guidelines.^1,2 Aptima® is a registered trademark of Gen-Probe Inc.

Result Turnaround Time

3 - 7 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Use

Diagnose primary or metastatic neoplasm; detect Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis. High-risk HPV test is used for types 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68, without differentiation of the individual type. When the age guideline includes possible genotyping, the residual specimen will be tested individually for high-risk HPV genotypes 16 and 18,45 if the Pap evaluation is within normal limits and the initial HPV test is positive. This information, together with the physician's assessment of cytology history, other risk factors, and professional guidelines, may be used to guide patient management. The results of this test are not intended to prevent women from proceeding to colposcopy.

Special Instructions

Include date of birth, Social Security number (or other identification number), previous malignancy, drug therapy, radiation therapy, last menstrual period (LMP), postmenopausal patient (PMP), surgery (including surgical biopsies), exogenous hormones, abnormal vaginal bleeding, abnormal Pap results, IUD, and all other pertinent clinical information on the cytology test request form.

Note: In accordance with criteria established by CLIA, Pap tests will be referred for pathologist review if laboratory personnel suspect:

• Reactive or reparative cellular changes

• Atypical squamous or glandular cells of undetermined significance

• Cells in the premalignant or malignant category

In these cases, LabCorp will charge for the associated service. (Slides that are routinely reviewed by a pathologist for quality control purposes are not included.)

Limitations

Failure to obtain adequate ectocervical, endocervical, or vaginal cell population is suboptimal for evaluation. Excessive use of lubricating jelly on the vaginal speculum will interfere with cytologic examination and may lead to unsatisfactory Pap results. The use of the liquid-based cytology specimen for multiple tests may limit the volume available for Pap reprocessing or HPV testing. A negative result does not exclude the possibility of an HPV infection, since very low levels of infection or sampling error may produce a false-negative result. This test detects only the 14 most common high-risk HPV types. Reflex testing for genotypes 16 and 18,45 may be indicated based on patient age and other test results. Testing for Chlamydia trachomatis, Neisseria gonorrhoeae and Trichomonas vaginalis requires that special procedures be used in the processing of the cytology specimen; therefore, testing for these organisms cannot be added on after the specimen has been submitted.

Footnotes

1. American College of Obstetrics and Gynecologists. Screening for Cervical Cancer. ACOG Practice Bulletin N° 131, November 2012. Obstet Gynecol. 2012 Nov; 120(5):1222-1238.

2. American College of Obstetrics and Gynecologists. Primary and Preventive Care: Periodic Assessments. ACOG Committee Opinion N° 483, April 2011. Obstet Gynecol. 2011 Apr; 117(4):1008-1015.

References

Centers for Disease Control and Prevention. Recommendations for the Laboratory-Based Detection of Chlamydia trachomatis and Neisseria gonorrhoeae - 2014. MMWR Recomm Rep. 2014; 63(2):1-19.

Specimen Requirements

Specimen

Cervical cells collected by one of the methods described below.

Volume

ThinPrep® vial

Minimum Volume

A minimum volume cannot be determined for the ThinPrep® vial because it varies depending on the cellularity of the specimen.

Container

ThinPrep® vial

Collection Instructions

ThinPrep® Vial − Broom or Brush/Spatula

Broom-like collection technique: Obtain a sample from the cervix using a broom-like device by inserting the brush portion into the cervical os and then rotating the brush five times. Rinse the collection device in the PreservCyt® solution by pushing the brush into the bottom of the vial 10 times, forcing the bristles to bend apart to release the cervical material. As a final step, twirl the brush between the thumb and forefinger vigorously to release additional cellular material. Discard the collection device. Tighten the cap on the ThinPrep® vial so that the torque line on the cap passes the torque line on the vial.

Brush/spatula technique: Insert the brush into the endocervical canal until only the bottommost fibers are exposed. Slowly rotate the brush ¼ to ½ turn in one direction. Do not over-rotate the brush. Then, rotate the brush in the PreservCyt® solution 10 times while pushing against the wall of the ThinPrep® vial. Swirl the brush vigorously to release additional material. Discard the brush. Obtain an adequate sample from the ectocervix using a plastic spatula. Swirl vigorously in the ThinPrep® vial 10 times and discard the spatula. Tighten the cap on the ThinPrep® container so that the torque line on the cap passes the torque line on the vial.

Storage Instructions

Maintain liquid-based cytology specimen at room temperature. Pap processing must be performed within 21 days of collection. Specimens in ThinPrep® vials must be processed for testing within three months of collection for HPV. Liquid-based cytology specimens must be tested within seven days for Chlamydia/Gonococcus/Trichomonas.

Patient Preparation

Patient should avoid douches 48 to 72 hours prior to examination. Specimen should not be collected during or shortly after menstrual period.

Causes for Rejection

Improper collection; inadequate specimen; improper labeling; specimen leaked in transit; quantity not sufficient for analysis; name discrepancies; specimen submitted on male patient; specimen submitted in vial that expired according to manufacturer's label; frozen specimen; SurePath™ vial. For Pap: liquid-based cytology specimen more than 21 days old. For HPV: specimen more than three months old in ThinPrep® vial. For Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis: liquid-based cytology specimen more than seven days old.

LOINC® Map

Order Code	Order Code Name	Order Loinc	Result Code	Result Code Name	Result LOINC
193075	IGP,Aptima HPV Age Gdln,CtNgTv	47527-7	191185	Age Gdln ACOG Testing	N/A
Order Code	193075
Order Code Name	IGP,Aptima HPV Age Gdln,CtNgTv
Order Loinc	47527-7
Result Code	191185
Result Code Name	Age Gdln ACOG Testing
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191121	Test ordered:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191121
Result Name	Test ordered:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191108	DIAGNOSIS:	47528-5
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191108
Result Name	DIAGNOSIS:
UofM
Result LOINC	47528-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191166	Interpretation	19764-0
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191166
Result Name	Interpretation
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191170	Category:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191170
Result Name	Category:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191173	Recommendation:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191173
Result Name	Recommendation:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191169	Infection:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191169
Result Name	Infection:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191172	Adequacy:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191172
Result Name	Adequacy:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191111	Recommendation:	19773-1
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191111
Result Name	Recommendation:
UofM
Result LOINC	19773-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191109	Specimen adequacy:	19764-0
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191109
Result Name	Specimen adequacy:
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191154	Source:	19763-2
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191154
Result Name	Source:
UofM
Result LOINC	19763-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191160	Clinician provided ICD9:	52797-8
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191160
Result Name	Clinician provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191174	Clinician provided ICD10:	52797-8
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191174
Result Name	Clinician provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191107	Clinical history:	22636-5
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191107
Result Name	Clinical history:
UofM
Result LOINC	22636-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191124	Amended report:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191124
Result Name	Amended report:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191110	Additional comment:	22638-1
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191110
Result Name	Additional comment:
UofM
Result LOINC	22638-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191125	Addendum:	22639-9
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191125
Result Name	Addendum:
UofM
Result LOINC	22639-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191123	Maturation index:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191123
Result Name	Maturation index:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191112	Performed by:	19767-3
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191112
Result Name	Performed by:
UofM
Result LOINC	19767-3

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191128	QC reviewed by:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191128
Result Name	QC reviewed by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191145	Diagnosis provided by:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191145
Result Name	Diagnosis provided by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191113	Electronically signed by:	19769-9
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191113
Result Name	Electronically signed by:
UofM
Result LOINC	19769-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191139	Special procedure:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191139
Result Name	Special procedure:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191129	Cytology history:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191129
Result Name	Cytology history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191179	Previous history:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191179
Result Name	Previous history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191144	QA comment:	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191144
Result Name	QA comment:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	019018	.	11546-9
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	019018
Result Name	.
UofM
Result LOINC	11546-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191157	Pathologist provided ICD9:	52797-8
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191157
Result Name	Pathologist provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191175	Pathologist provided ICD10:	52797-8
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191175
Result Name	Pathologist provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	190120	.	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	190120
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	190109	Note:	8251-1
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	190109
Result Name	Note:
UofM
Result LOINC	8251-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	000000	Test Methodology:	47527-7
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	000000
Result Name	Test Methodology:
UofM
Result LOINC	47527-7

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	186134	Chlamydia, Nuc. Acid Amp	50387-0
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	186134
Result Name	Chlamydia, Nuc. Acid Amp
UofM
Result LOINC	50387-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	186135	Gonococcus, Nuc. Acid Amp	50388-8
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	186135
Result Name	Gonococcus, Nuc. Acid Amp
UofM
Result LOINC	50388-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	188092	Trich vag by NAA	46154-1
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	188092
Result Name	Trich vag by NAA
UofM
Result LOINC	46154-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	019054	PDF	11502-2
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	019054
Result Name	PDF
UofM
Result LOINC	11502-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	191167	Photomicrograph	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	191167
Result Name	Photomicrograph
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	019030	.	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	019030
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	196502	Pap IG, Ct-Ng TV	019031	Patient Counseling Report	N/A
Reflex 1
Order Code	196502
Order Name	Pap IG, Ct-Ng TV
Result Code	019031
Result Name	Patient Counseling Report
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191121	Test ordered:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191121
Result Name	Test ordered:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191108	DIAGNOSIS:	47528-5
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191108
Result Name	DIAGNOSIS:
UofM
Result LOINC	47528-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191166	Interpretation	19764-0
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191166
Result Name	Interpretation
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191170	Category:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191170
Result Name	Category:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191173	Recommendation:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191173
Result Name	Recommendation:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191169	Infection:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191169
Result Name	Infection:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191172	Adequacy:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191172
Result Name	Adequacy:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191111	Recommendation:	19773-1
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191111
Result Name	Recommendation:
UofM
Result LOINC	19773-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191109	Specimen adequacy:	19764-0
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191109
Result Name	Specimen adequacy:
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191154	Source:	19763-2
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191154
Result Name	Source:
UofM
Result LOINC	19763-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191160	Clinician provided ICD9:	52797-8
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191160
Result Name	Clinician provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191174	Clinician provided ICD10:	52797-8
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191174
Result Name	Clinician provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191107	Clinical history:	22636-5
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191107
Result Name	Clinical history:
UofM
Result LOINC	22636-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191124	Amended report:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191124
Result Name	Amended report:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191110	Additional comment:	22638-1
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191110
Result Name	Additional comment:
UofM
Result LOINC	22638-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191125	Addendum:	22639-9
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191125
Result Name	Addendum:
UofM
Result LOINC	22639-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191123	Maturation index:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191123
Result Name	Maturation index:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191112	Performed by:	19767-3
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191112
Result Name	Performed by:
UofM
Result LOINC	19767-3

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191128	QC reviewed by:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191128
Result Name	QC reviewed by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191145	Diagnosis provided by:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191145
Result Name	Diagnosis provided by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191113	Electronically signed by:	19769-9
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191113
Result Name	Electronically signed by:
UofM
Result LOINC	19769-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191139	Special procedure:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191139
Result Name	Special procedure:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191129	Cytology history:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191129
Result Name	Cytology history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191179	Previous history:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191179
Result Name	Previous history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191144	QA comment:	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191144
Result Name	QA comment:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	019018	.	11546-9
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	019018
Result Name	.
UofM
Result LOINC	11546-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191157	Pathologist provided ICD9:	52797-8
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191157
Result Name	Pathologist provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191175	Pathologist provided ICD10:	52797-8
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191175
Result Name	Pathologist provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	190120	.	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	190120
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	190109	Note:	8251-1
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	190109
Result Name	Note:
UofM
Result LOINC	8251-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	000000	Test Methodology:	47527-7
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	000000
Result Name	Test Methodology:
UofM
Result LOINC	47527-7

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	190119	.	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	190119
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	190119	.	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	190119
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	186134	Chlamydia, Nuc. Acid Amp	50387-0
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	186134
Result Name	Chlamydia, Nuc. Acid Amp
UofM
Result LOINC	50387-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	186135	Gonococcus, Nuc. Acid Amp	50388-8
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	186135
Result Name	Gonococcus, Nuc. Acid Amp
UofM
Result LOINC	50388-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	188092	Trich vag by NAA	46154-1
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	188092
Result Name	Trich vag by NAA
UofM
Result LOINC	46154-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	019054	PDF	11502-2
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	019054
Result Name	PDF
UofM
Result LOINC	11502-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	191167	Photomicrograph	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	191167
Result Name	Photomicrograph
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	019030	.	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	019030
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199325	IGP,CtNgTv,rfx Aptima HPV ASCU	019031	Patient Counseling Report	N/A
Reflex 1
Order Code	199325
Order Name	IGP,CtNgTv,rfx Aptima HPV ASCU
Result Code	019031
Result Name	Patient Counseling Report
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191121	Test ordered:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191121
Result Name	Test ordered:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191108	DIAGNOSIS:	47528-5
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191108
Result Name	DIAGNOSIS:
UofM
Result LOINC	47528-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191166	Interpretation	19764-0
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191166
Result Name	Interpretation
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191170	Category:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191170
Result Name	Category:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191173	Recommendation:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191173
Result Name	Recommendation:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191169	Infection:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191169
Result Name	Infection:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191172	Adequacy:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191172
Result Name	Adequacy:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191111	Recommendation:	19773-1
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191111
Result Name	Recommendation:
UofM
Result LOINC	19773-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191109	Specimen adequacy:	19764-0
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191109
Result Name	Specimen adequacy:
UofM
Result LOINC	19764-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191154	Source:	19763-2
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191154
Result Name	Source:
UofM
Result LOINC	19763-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191160	Clinician provided ICD9:	52797-8
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191160
Result Name	Clinician provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191174	Clinician provided ICD10:	52797-8
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191174
Result Name	Clinician provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191107	Clinical history:	22636-5
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191107
Result Name	Clinical history:
UofM
Result LOINC	22636-5

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191124	Amended report:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191124
Result Name	Amended report:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191110	Additional comment:	22638-1
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191110
Result Name	Additional comment:
UofM
Result LOINC	22638-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191125	Addendum:	22639-9
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191125
Result Name	Addendum:
UofM
Result LOINC	22639-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191123	Maturation index:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191123
Result Name	Maturation index:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191112	Performed by:	19767-3
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191112
Result Name	Performed by:
UofM
Result LOINC	19767-3

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191128	QC reviewed by:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191128
Result Name	QC reviewed by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191145	Diagnosis provided by:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191145
Result Name	Diagnosis provided by:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191113	Electronically signed by:	19769-9
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191113
Result Name	Electronically signed by:
UofM
Result LOINC	19769-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191139	Special procedure:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191139
Result Name	Special procedure:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191129	Cytology history:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191129
Result Name	Cytology history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191179	Previous history:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191179
Result Name	Previous history:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191144	QA comment:	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191144
Result Name	QA comment:
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	019018	.	11546-9
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	019018
Result Name	.
UofM
Result LOINC	11546-9

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191157	Pathologist provided ICD9:	52797-8
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191157
Result Name	Pathologist provided ICD9:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191175	Pathologist provided ICD10:	52797-8
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191175
Result Name	Pathologist provided ICD10:
UofM
Result LOINC	52797-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190120	.	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190120
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190109	Note:	8251-1
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190109
Result Name	Note:
UofM
Result LOINC	8251-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	000000	Test Methodology:	47527-7
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	000000
Result Name	Test Methodology:
UofM
Result LOINC	47527-7

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	507801	HPV Aptima	59420-0
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	507801
Result Name	HPV Aptima
UofM
Result LOINC	59420-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190135	HPV Genotype Reflex	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190135
Result Name	HPV Genotype Reflex
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190135	HPV Genotype Reflex	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190135
Result Name	HPV Genotype Reflex
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190135	HPV Genotype Reflex	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190135
Result Name	HPV Genotype Reflex
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	190135	HPV Genotype Reflex	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	190135
Result Name	HPV Genotype Reflex
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	186134	Chlamydia, Nuc. Acid Amp	50387-0
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	186134
Result Name	Chlamydia, Nuc. Acid Amp
UofM
Result LOINC	50387-0

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	186135	Gonococcus, Nuc. Acid Amp	50388-8
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	186135
Result Name	Gonococcus, Nuc. Acid Amp
UofM
Result LOINC	50388-8

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	188092	Trich vag by NAA	46154-1
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	188092
Result Name	Trich vag by NAA
UofM
Result LOINC	46154-1

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	019054	PDF	11502-2
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	019054
Result Name	PDF
UofM
Result LOINC	11502-2

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	191167	Photomicrograph	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	191167
Result Name	Photomicrograph
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	019030	.	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	019030
Result Name	.
UofM
Result LOINC	N/A

Reflex Table for Age Gdln ACOG Testing
	Order Code	Order Name	Result Code	Result Name	Result LOINC
Reflex 1	199315	IGP,CtNgTv,Apt HPV,rfx16/18,45	019031	Patient Counseling Report	N/A
Reflex 1
Order Code	199315
Order Name	IGP,CtNgTv,Apt HPV,rfx16/18,45
Result Code	019031
Result Name	Patient Counseling Report
UofM
Result LOINC	N/A

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