HPV Primary Screening User Guide - Version 1.0 - April
Contents
1. Result Code Infection Action Repeat Months Code Code 0 9 R 12 months Must not be the 3 consecutive test excluding inadequate tests otherwise should be suspended 0 Q R 12months Must not be the 3 consecutive test excluding inadequate tests otherwise should be suspended 0 9 Maximum 15 months As per District Settings 0 Q S Maximum 15 months As per District Settings 1 Inadequate New Result Infection Action Repeat Months Code Code Code 1 9 R 3 months 1 Q R 3 months 1 9 S Maximum 12 months As per District Settings 1 Q S Maximum 12 months As per District Settings Page 20 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 2 Negative Result Code Infection Action Repeat Months Code Code 2 9 R 12 months Must not be the 3 consecutive test excluding inadequate tests otherwise should be suspended 2 Q R 12 months Must not be the 3 consecutive test excluding inadequate tests otherwise should be suspended 2 9 S Maximum 15 months As per District Settings 2 Q S Maximum 15 months As per District Settings Result codes 3 4 5 6 7 8 amp 9 Result codes 3 to 9 must have an infection code of 9 HPV positive or Q no HPV test undertaken and will always be suspended from recall Repeat months will be as the DD scr2. 4 10 149 122 90 4 2 2 Page 9 Validation Amend validation to check a numeric value in the range 1 6 is correctly entered against each new result action code If a value other than 1 2 3 4 5 or 6 is entered the appropriate REJECT error message is displayed Available error messages are 1 Value is greater than 6 2 Value not gt 0 3 Value not numeric Example Page 8 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 rie Edt Vew Toos Propertes Comecton Window Mep a JAHN BR RD a Gs mMm VD Gnl OA FDIHA Details EER Qualifiertl 1 P 1 Value is greater than 6 lt page PDT HA Test database Ver TEST HA 9 Abnormal results will not normally be produced on a Thursday or Friday Users wishing to print Abnormal results on those days can enter in the following override switch Y N Y The following Result Action code combinations for Result notifications allows the user to enter an anticipated number of days to delivery Result Action code Result Action code Code H R Code H R 1 Ce 3 4 B 41 E2 L3 C1 E2 33 E 4 5 6 2 13 Ce 33 4 G E23 fel Cai 3 C2 2 M 4 5 6 4 1 N C1 C2 3 5 5 x 5 6 6 3 7 4 8 1 9 6 6 Postage Times Help text O 0 27 4 2 3 Update New values will be updated onto the Anticipated no of d
3. 15 7 1 2 a adea tiia aoada 15 7 2 Manual Matching 50 3 3 1 01 16 Tesk 1 16 7 2 2 MM Screen Validation 2 9 6656 16 7 3 CLLM CLLP Reports and Residual Cards 2222 9 6 16 ES 16 3 33 313 5 5 3 3 1 0 17 Tao EMOPIMESSAGSS 1 9 00 17 8 2 1 19 8 1 EE EEA 1 17 Ee 19 8 2 ValldatiOn 2 2 Sit ot RE a tiie ht eee 20 8 3 5 7 1 737 1 23 8 3 1 Ceasing DUC to Age rarnana ao 133 1 1 1111 311111 eas 23 9 5 1 2 3 1 90 24 10 AJ CIN Changes CINCD 6 1111 3 1 1 7 3 113 3131 1 1 1 1 24 11 8
4. Health amp Social Care 6 6 Information Centre h Document filename HPV PS User guide Directorate Programme SSD Project Document Reference Project Manager Hilary Denny Status Owner Hilary Denny Version Author Hilary Denny Version issue date Cytology Approved V 1 0 18 04 2013 HPV Primary Screening User Guide April 2013 Page 1 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Amendment History Version Date Amendment History Draft 29 11 2012 1 draft copy of user guide 1 0 18 04 2013 Pilot review Forecast Changes Anticipated Change When Reviewers This document must be reviewed by the following Indicate any delegation for sign off Signature _ Title Responsibility Date Name Hilary Denny Po fanwnimore O a PT Approvals This document requires the following approvals Signature _ Title Responsibility Date Version Page 2 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Distribution Any new version of this document should be distributed to the following recipients Hilary Denny Document Status This is a controlled document This document version is only valid at the time it is retrieved
5. line squaumous 8 Borderline change in squamous cells 9 B line Endocerv 9 Borderline change in endocervical cells B B line squam HPV B Borderline change in squamous cells HP E B line Endocer HPV E Borderline change in endocervical cells G GlandN nonCer HPV G Glandular neoplasia non cervical HPV M Low grade dysk HPV M Low grade dyskaryosis HPV tested N Negative HPV N Negative HPV tested x No Cytology Test x No Cytology Test Undertaken 3 7 Connected to 10 149 132 33 Secue VIRO 2 16 Rows Coad 4 2 Page 9 Changes New result action codes have been added to allow anticipated estimated delivery days to be set A PSAU will be issued to set up new Estimated days to delivery for the new X result code Action Please note that the number of days will be set initially to 1 This is the minimum allowed so you may wish to alter the number of days 4 2 1 Display Screen The PSAU will install the new result action codes pre set to 1 day for the anticipated number of days to delivery Action It is up to each PCO to reset the number of days in line with policy This number of days setting is required for the calculation and setting of the anticipated date of delivery of a cytology result letter This date is used to calculate the 14 day turnaround figures CSSVSA vital signs monitoring Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Gu
6. 2 25 12 Ad 0 NT S 25 Appendix A Changes to ceasing due to age rules 2 2 eeeeeteteteeeenenennnnnnnnnnnnnnennnennnnnns 26 Page 4 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 1 Introduction In the next few years the NHS Cervical Screening Programme is expected to move entirely from primary screening by cytology with or without HPV triage to primary screening by HPV testing Cytology testing will be undertaken only for those women who were positive for high risk HPV infection This screening method is radically different in as much as an HPV test is performed initially amp only if the HPV Result is positive infection code 9 is a cytology test undertaken A new result code of X dummy code is to be introduced to record tests where the HPV test was negative therefore a cytology test was not required Codes are as follows Result Description Code Glandular neoplasia non cervical Inadequate Negative Low grade dyskaryosis CIN1 High grade dyskaryosis severe CIN3 High grade dyskaryosis invasive squamous carcinoma Gland
7. Glandular neoplasia non cervical HPV tested A Rs S M Low grade dyskaryosis HPV tested A R 3 N Negative HPV tested A R S x No Cytology Test Undertaken A R 5 1 27 Connected to 1 143 132 58 Secue VTA 4tu27mn Row Coal The pop up window to display the abbreviated expansion for each result code has been amended to include the new X result code These abbreviations are used throughout the system for reports and are limited to 18 characters Page 6 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 This pop up window can be accessed from the KEY field in the normal way Fic Edt vew Tools Propertes 0 Window Meb 5 Page 7 of 27 Details Qualifier gt xx DATA RESTORED lt page gt PDT HA Test database Ve The following RESULT CODES can only be associat RESULT CODE Expansion GlandNeo nonCerv 0 Glandular neoplasia non cervical 1 Inadequate 1 Inadequate 2 Negative 2 Negative 3 Low grade dysk 3 Low grade dyskaryosis 4 High gr dusk Sev 4 High grade dyskaryosis severe 5 High gr dysk Inv 5 High grade dyskaryosis invasive squamo 6 GlandNeo Endocer 6 Glandular neoplasia of endocervical ty F High gr dysk Mod 7 High grade dyskaryosis moderate 8 B
8. 2013 Recall Type I Early Repeat Inadequate Notif Date 22 01 2013 Recall Status 1 Patient Informed National Code Test Date Slide No Sender National Code Result Notif Source Sender Result Code Inf Action Code Rpt in Months HPV Primary Correspondence Y Age at test date Input date Screening HA TES Comment Complete Susp List Y Test 0 of Test Date Result Infection Action Code Rpt Mths HPV Primary NB 28 122012 9 04 Y FP69 FNR 14 01 2012 9 02 Y POS DOUBT N 12 12 x201 36 Y AGE at NTD Sample Test Result Display Screen The HPV Primary Flag will be displayed in reverse video amp blink CYjJCytology Test Qualifier 977 752 1324 lt page gt HPV Patient DoB 09 06 1962 Age 50 Extra Name Q Code QT1l Dr V Ermillion Code 000030 10 Any Old Road EXE Nat Local District Code E10 EX EX1 9CC PNL Date Invited UNAVAIL Next Test due 28 04 2013 Recall Type 1 Early Repeat Inadequate Notif Date 22 01 2013 Recall Status 1 Patient Informed National Code 60020 BISHOP AUCKLAND CO DURHAM Slide No 12090897 Test Date 28 12 2012 Sender National Code 880030 Result Notif Source G Sender 000030 Dr V ERMILLION Result Code 1 Inf 9 Action Code R Rpt in 04 Months HPV Primary Y Correspondence Y Age at test date 50 Input date 22 01 2013 Screening HA TES Comment Susp List Y Test 1 of Previous Recall Type R Status Test Date Result Infection Action Code Rpt
9. Mths HPV Primary NB 14 01 2012 1 9 R 02 Y FP69 FNR 12 12 2011 2 A 36 POS DOUBT N AGE at NTD Page 19 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 8 2 Validation Changes have been made to the validation routine to accommodate the HPV screening flag and the new result and infection codes and to ensure the correct combinations of result action infection and repeat month s values are entered The HPV Primary screening flag will identify a test result being entered as a HPV Primary screening result It must be completed by entering either N S or Y N Not HPV Primary Screening S Self sampling tested There may be none of these initially S is to allow for possible future development of self testing Y HPV Primary screening test If the HPV Primary flag is left blank the following REJECT message will be displayed HPV PS flag missing If a character other than N S or Y is entered the following REJECT message will be displayed HPV PS flag invalid If N is entered in the HPV primary field the test result will be validated as per the ABC3 validation rules If S or Y is entered the test result will be validated as a HPV Primary screening test result The following rules apply Valid Result Infection Action code repeat months are as follows 0 Glandular Neoplasia non cervical
10. Rem A reminder that this field applies to ALL Invitations and Reminders for this district Dest The letter destination used for this combination This is a mandatory field Permitted Values P Patient This is the only allowed value Error Messages DEST missing Must contain a value DEST must be P Only permitted value Laboratory Links Changes AJ CLLM Validation The laboratory links application has been changed to receive and validate the new HPV Primary Screening test results and the new HPV Primary screening marker The HPV Primary Screening marker will be set to Y HPV Primary screening test S HPV Primary Screening test Self Sample or N Not an HPV Primary Screening test Initially the marker will only be set at HPV PS pilot laboratories at all other laboratories the HPV Primary Screening Marker will be set to null Any markers set to null will be set to N by the Lab Links application For new valid Result Infection Action code combinations are as follows Result Code Infection Code s Action Code s 0 R 0 A X 0 9orU S 1 9orQ RorS 0 9orQ RorS 2 9orQ RorS 3 9orQ S 4 9orQ 5 9orQ 6 9orQ 7 9orQ 8 9orQ 9 9orQ Table 1 Only result codes 0 9 and X are valid if the HPV Primary flag is set All other result codes such as B E G M or N will be rejected Only the comb
11. Rem Auto Cease following XOA PXOC D P REPEAT MONTHS STANDARD LETTERS ALTERNATIVE LETTERS Lower Upper mmm mmm ed Need 0 mmm 130 Connected to 10 149 132 98 Secure Ma apt T420 4hr55 min Rowl Coll Line 3 displays the name of the district followed by a Y N flag indicating whether the district is designated as producing HPV Primary Screening Invitations or not Essentially this flag controls whether AJ RP will use the HP or the traditional DD screen parameters when producing Invitations and Reminders for this District This is explained in more detail below This field will be pre populated with a value of N for each of your districts Note that the HP screen settings will ALWAYS be used to produce Invitations and Reminders for women following an HPV Primary result since these result combinations are not defined on the DD screen The following table indicates which screen AJ RP will pick up its letter parameters from Latest Test District Inv Rem setting Screen used for Result Type line 3 of HP screen Letters Y HP HPV Primary HPV Primary N HP Non Primary X HP N DD Page 12 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Below this flag is a small table which controls the general letter settings fo
12. as long as 1 She will be aged 65 or more when her next test is due 2 She has no abnormal tests result codes 3 9 or HPV positive infection 9 with results coded B E G M N or X in her history 3 She has abnormal test s but they were prior to her last 3 normal tests Normal tests are OA OH OR OS O9R 09S OQR 0QS 1H 1R 1S 19R 19S 1QR 1QS 2A 2R 2S 29R 29S 2QR 2QS BOA BOR BOS BUR BUS EOA EOR E0S EUR EUS GOA GOR GOS GUR GUS MOA MOR MOS MUR MUS NOA NOR NOS NUR NUS XOA XOR XUR XOS XUS Abnormal tests are 3R 3S 4S 5S 6S 7S 8R 8S 9R or 9S 39S 30S 49S 4QS 59S 5QS 69S 6QS 79S 7QS 89S 8QS 99S or 9QS B9R B9S E9S G9S M9R M9S N9R N9S or X9S Page 26 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 B9R M R amp NOR are no longer used but historic tests exist so they need to be taken into account when assessing if a woman may be ceased due to age Abnormal Normal Results Table HPV test result none Q gt HPV triage oa no HPV PS no HPV no HPV test test planned Cytology required result a E E E om 0 ee ee 56 0 0 1 Ke fest Bel a 0 3 505 3 cc FF Eu acl Mail a a Page 27 of 27 Copyright 2013 Health and Social Care Information Centre
13. from controlled filestore after which a new approved version will replace it On receipt of a new issue please destroy all previous issues unless a specified earlier issue is baselined for use throughout the programme Glossary of Terms List any new terms created in this document Mail the NPO Quality Manager to have these included in the master glossary above 1 Page 3 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Contents to 3 2323 A 311 1 111 1 111 11111 11 11 11111 1 5 2 Result Infection Action Code Combinations cccccccecececeteeeeeeeeeeee scenes eeaeeeeaeeseeeeeseaeeesaeeneneee 5 6 System Changes nascent ienen tin a ena iit ativan ea ea 6 4 FD Sereen Change Sinin keera e deena bie een dite deat tea ete a tees 6 4 1 Page 5 Changes 6 4 2 Page 9 Changes a ainda ei ata ti en wet aoe tol ch yan 7 42 1 Display SCreen sseni hee tah eee tie eb Ate tte ee 7 4 2 2 Page 9 Validation s insiens vee ian i ith A 8 HS Update hs sin tt eins ed 9 5 DDI SChOen sisi tia ee aie ee hl ae EG 10 5 1 PAG ONS 5 css codste tev raaa a a ea aa adel reais toa ett dt Races ream ta Athena 10 5 2 PAJEG eraa aaa a a a a a aea a a a a a a a eta ea 10 5 3 PAGS A EAA A A E E E AE 11 6 HP screen HPV Primary Letters 3333 31 11 1177 12 7 Laboratory Links
14. hand side of the screen is for information only with the right hand side displaying configurable parameters READ ONLY FIELDS Res This column indicates the result combination for which this row s parameters apply REPEAT MONTHS Divided into Lower and Upper age ranges these two columns indicate the number of months automatically added to the Next Test Due NTD date upon adding an HPV Primary test with this result depending on which age category the woman was in on the date the sample was taken Results with an action of S will utilise the standard recall interval for suspended tests as defined on the DD screen STANDARD LETTERS Divided into three columns for Invitation Reminder and Result these values show the default letter code which the system will attempt to produce for that scenario Page 13 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 The standard INV and REM codes displayed on each line may change depending on whether this is an HPV primary district or not and also whether alternative default Call Inv Rem fields above have been defined EDITABLE FIELDS HPV Primary Screening flag The HPV primary screening flag governs the type of Invites Reminders produced for a given District and must be set to N or Y It must be set to Y if the District receives and handles HPV Primary Screening results Error Message Must be Y or N Quer
15. 2 12 2011 Page 22 of 27 Q Sender National Code Sender Action Code R Rpt in 12 Months HPV Primary Y Input date Screening HA TES Complete Susp List Y Action Code Rpt Mths HPV Primary NB T2 Y FP69 FNR 15 Y POS DOUBT N 36 Y AGE at NTD Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 CY Cytology Test 1 3rd inad Colp req PATIENT HPV Extra Name 10 Any Old Road EXE REJECT Qualifier 977 752 1324 page gt 50 000030 E10 EX DoB 09 06 1962 Age Dr Vermillion Code Nat Local District Code Q Code QT1 EX1 2CC Amend Delete previous tests Y Delete ALL Tests PNL Date Recall Type Status NO Invited UNAVAI Early Repeat Inadequate Patient Informed Next Test due Notif Date 28 04 2013 22 01 2013 1 1 National Code Test Date 1 18 1 13 BISHOP AUCKLAND CO DURHAM Sender National Code Result Notif Source G Sender Result Code X Inf U Action Code R Rpt in Correspondence Y Age at test date Input date Comment Test 0 of Test Date 28 12 2012 14 01 2012 12 12 2011 Slide No 13009865 Months HPV Primary Y Screening HA TES Complete Susp List Y Infection Action Code 9 9 Result Rpt Mths 04 02 36 HPV Primary NB ia FP69 FNR ng POS DOUBT N Y AGE at NTD 8
16. 3 Update The CY screen update routines have been amended to update the test result details for the new result codes and to set the new recall date according to the rules outlined in 7 1 validation rules The HPV Primary Screening flag will be updated on to the woman s test record as follows Flag set to Y Sample Method set to Null HPV Flag remains Y Flag set to S Sample Method set to S HPV Flag set to Y Flag set to N Sample Method set to Null HPV Flag set to N 8 3 1 Ceasing Due to Age A woman whose test result is coded XOA and who passes all other ceasing due to age rules will be ceased automatically if her new recall date is on or after her 65 birthday This applies to the Laboratory Links system and the Deducted Transfer software CINCD The rules governing ceasing due to age are explained in Section 11 of this document Page 23 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 9 AJ CD Changes Minor changes have been made to the CD software to accommodate the new HPV primary screening flag so that the new Result infection Action codes can be accommodated The outgoing electronic transfer file will contain the new flag in order to identify to the receiving NHAIS agency that the test result is a HPV Primary screening result The AJ CD deducted card print has been amended to include the screening flag Cervical Cytology Scr
17. HS A 60 District Policy Standard age range ACTION CODE MONTHS R ACTION CODE MONTHS C13 Default for OS 2S GS NS XS Tests Max 15 Months C11 Default for other S Tests Max 12 Months An ACTION CODE of H irrespective of the RESULT CODE will leave the patient s Status UNALTERED 0 6 10 143 32 98 Sere 71420 9 Flow Cdi 5 2 Page 6 New result X has been added to the Suppress printing of the next test due date screen Fe Edt Wer Toss 0 9 Comecon Windom Heb 2 AHS Aa 2 Sane RB gt Gna DD District Data Qualifier EX EXETER MAXIMUM LENGTH DISTRICT District Suppress the printing of Next Test Due Date on the following All RP Letters All CP Letters RP Leatterg GP Letteprs noc Res H R S A Res H R S A Res H R S A Res H R 9 A 6 EV YT YI B CYT CN B Cy Cy Cy 1 V EVI E LYI CY ENT LVS EY Bd E EI LEI CV 2 Cy Y Y y 6 Cy Cy 2 VI CY CY Eyl B Y3 Eyl Ev 3 Eya CY M YT 93 at 3 EY EY M EY CY 4 Y N CEL Cy N 4 Y N CY EYI 5 Y xX 5 Y x 6 Y 6 Ld 7 Y 7 Y 8 EV LY 8 Cy 9 EI TTA 9 CYd Enter a in the All Letters fields only if postponement of Call Rec
18. a new screen called HP See section 6 of the User Guide Page 25 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Appendix A Changes to ceasing due to age rules Amendments will be needed to introduce the new rules governing a woman s automatic ceasing due to age NEW CEASING RULES As a general rule any woman whose test is coded A for routine recall can be ceased automatically due to age unless there is an abnormal result in any of her last three tests including the final one This is different from the previous rules where the woman had to have had a negative routine recall test i e one coded 2A or N 0 A When assessing if a woman may be ceased due to age or not the following must be taken into account e Abnormal test is a test coded 3R 3S 4S 5S 6S 7S 8S 9R or 9S OR BOR B9S E9S GIS M9R M9S NOR N9S or X9S e lf awoman has an abnormal test result in her history she may only be ceased due to age on the 3 consecutive negative test result following the abnormal result Private H coded tests OH 1H amp 2H and Inadequate Result code 1R or 1S tests are discounted when calculating the number of negative test results following the abnormal test result e Women who have no abnormal test results Ceasing due to age rules are as follows If most recent test has an action code of A the woman may be ceased
19. all required Otherwise enter Y selectively for each Result Action Code D 1 10 145 122 38 ES 140 1 Colt ACTION Please note new fields for Result code X will initially be blank and will require setting up if your organisation uses NHAIS letters and wishes to suppress the printing of the next test due date Page 10 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 5 3 Page 7 Result code X added to the parameter information screen for the recalling of Non responders Term hp27 W Pie Edt Vew Toos Comecton Window rep 22 DD District Data Qualifier Ex EXETER MAXIMUM LENGTH DISTRICT District Parameters required for the recalling of Non responders All Early Repeat Repeat Advised Non Responders will have their Next Test Due date recalculated using a nationally defined period of 12 months Calculation is based on the patients previous test where the result is 0 9 and the Action Code is R All Call and Routine Non Responders types will come back into recall by using the districts parameters for normal recall See page 2 All referral Suspended Non Responders will have the Next Test Due date recalculated using the default suspend para
20. ary screening Laboratory Links Manual Matching Screen MM CY Screen Cytology Tests AJ CD Deducted tests print HA HA transfer of deducted tests redirected tests AJ CIN HA HA transfer of deducted tests redirected tests AJ CP Result Letter Print AJ RP Invitations Reminders First Final Non responders etc CSSE Enquiry Package To be amended amp released separately KC53 Statistics To be amended amp released separately 4 FD Screen Changes 4 1 Page 5 Changes Changes have been made to page 5 of the FD screen to include new result code X and HPV Primary Screening Result Action combinations Fle EG vew Took Propertes Correcton Wrdon meb DAHA DS Ns Bb DFR ly Details Qualifierl if lt page gt POT HA Test database Ver TEST HA 5 The following RESULT CODES can only be associated with the ACTION CODES listed RESULT CODE Expansion Action Codes 0 Glandular neoplasia non cervical A R 8 1 Inadequate Hy R 2 Negative A H RS 3 Low grade dyskaryosis R S 4 High grade dyskaryosis severe 5 5 High grade dyskaryosis invasive squamous carcinoma 6 Glandular neoplasia of endocervical type S 7 High grade dyskaryosis moderate 8 Borderline change in squamous cells Rk S 9 Borderline change in endocervical cells R S B Borderline change in squamous cells HPV tested A R S 3 Borderline change in endocervical cells HPV tested AL Ry S G
21. ays file The change is captured on the FD screen audit file and may be viewed via the pop up window The pop up window is accessed from the Qualifier field in the normal way EF SmarTerm hp27 LE File Edit View Tools Properties Connection Window Help ax DAH S kae Esar Al D aE lla FD HA Details Qualifier J PDT HA Test database Ver TEST HA 9 Abnormal results will not normally be produced on a Thursday or Friday Users wishing to print Abnormal results on those days can enter Y in the following override switch Y N Y The following Result Action code combinations for Result notifications allows the user to enter an anticipated number of days to delivery 15 01 2013 15 01 2043 05 12 2012 05 12 2012 05 12 2012 05 12 2012 05 12 2012 IAXX 05 12 2012 IAXX gt gt z Connected to 10 149 132 98 Secure Car VT420 2h 25min Row 24 Col 2 FULS IAXX IAXX IAXX IAXX Page 9 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 5 DDScreen 5 1 Page 3 A small change to add Result code X to Suspended defaults fe ves Tere Pooeves Comecton wies mew 8 ISH Ta G Gs DB gt yoa 101 41 Data 0 TC Qualifier Ex eo DIN lt page gt EXETER MAXIMUM LENGTH DISTRICT District ACTION CODE MONT
22. d Contact the Laboratory Residual Cards message 3RD INAD RES COLP REQ This message will apply to any test where the HPV Primary screening flag is set to Y or S and the previous 2 tests were combinations of 19R or XUR and the new test Is a combination of 19R or XUR The new test should have an action code of S HPV Primary test result is invalid for test that is not HPV PS Contact the Laboratory Residual Cards message HPV PS INVALID TEST RESULT NON HPV PS This message will apply to any test where the HPV Primary screening flag is set to N or null and the result or infection code is set to a code that applies to a HPV PS test only The relevant message will be added to the report but not the residual cards e Infection Q invalid e Result X invalid Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 8 CY Screen Changes 8 1 Display A new data field HPV Primary has been added to the CY screen This data field is the HPV Primary screening flag and is a mandatory data field Sample Input Screen CYjJCytology Test Qualifier 977 752 1324 page gt HPV Patient DoB 09 06 1962 Age 50 Extra Name Code QT1 Dr V Ermillion Code 000030 10 Any Old Road EXE Nat Local District Code E10 EX EX1 9CC Amend Delete previous tests N Delete ALL Tests NO PNL Date Invited UNAVAI Next Test due 28 04
23. d such as XOR Valid combinations are shown in the tables above RPT MTHS invalid for HPV An incorrect repeat month s value has been entered for an R coded test Please note that the repeat month s values for Suspended and Negative test results will be set automatically and can t be overridden 3rd HPV Colp req If previous 2 NEGATIVE tests result codes 0 or 2 are coded as Repeat Advised or Early Repeats the new 3 test must be coded S to suspend the woman from recall 3rd inad Colp req 37 consecutive in adequate result coded R 3rd test must be coded S An Inadequate test is deemed to be one with result code 1 or any tests with a infection code of U Sample Screens CY Cytology Test 1 3rd HPV Colp req HPV Patient Extra Name 10 Any Old Road EXE EXI 2CC Amend Delete previous tests Next Test due 28 12 2013 Notif Date REJECT Qualifier 977 752 1324 page gt DoB 09 06 1962 Age 50 Q Code QT1 Dr Vermillion Code 000030 Nat Local District Code E10 EX Delete ALL Tests NO PNL Date Invited 01 2013 Recall Type R Early Repeat Normal Recall Status no Action National Code 1 BISHOP AUCKLAND CO DURHAM Slide No 13099867 Test Date 18 11 13 Result Notif Source Result Code 2 Inf 9 Correspondence Y Age at test date Comment Test 0 of Test Date Result Infection 2812 2012 14 01 2012 1
24. een settings Result Codes Infection Action Repeat Months Code Code 3 4 5 6 7 8 9 9 Maximum 12 months As per District Settings 3 4 5 6 7 8 9 Q S Maximum 12 months As per District Settings X No Cytology Test Undertaken New Result Code Infection Action Code Repeat Months Code X 0 A 36 months if lt 50 As per District Settings 60 months if gt 49 x 0 R 12 or 36 months 0 S Maximum 15 months As per District Settings X 9 S Maximum 15 months As per District Settings X U R 3 months X U S Maximum 15 months As per District Settings The following REJECT messages may be generated if any invalid data items combinations are entered Message Description INFECTION invalid Infection must be 9 or Q except if test result is coded X when infection may only be 0 or U INFECTION missing Infection code must contain a value if the test result is HPV Primary RESULT invalid Result code must be 0 9 or X Page 21 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 RESULT missing Result code must be 0 9 or X ACTION invalid Action code must be valid for result code A R or S ACTION missing Valid action code must be entered COMBINATION invalid An invalid combination has been entere
25. eening Summary Record Patients Hpv Mrs Deducting HA TES NHS No WAH 2 Date of Birth 23 07 1949 Reason for Deduct MOVEMENT TO NEW HA CR Asd Exeter Devon GP Nat Code 880030 Recall Type Cancelled C Recall Status Cancelled C Cancelled Pos Doubtful N There is 1 test record to be printed Cervical Cytology Screening Test Record Patient Hpv Mrs NHS No WAH 2 Test Date 17 02 13 Slide No 13090986 Screening HA TES Result NEGATIVE 2 Lab BISHOP AUCKLAND CO DURHAM 60020 Action Code A Sender 880030 Source G Rpt Months 60 GP Nat Code 880030 HPV Primary N Infection Code 10 AJ CIN Changes CINCD Minor changes have been made to the CINCD software to accommodate the new HPV primary screening flag so that the new Result infection Action codes can be accommodated Redirected test results where the flag is set to S or Y will be validated according to the Primary screening validation rules The repeat months will be set as per the HPV primary screening protocols The CINCD print reports will display the new result infection action code combinations and the HPV Primary Screening flag Test results that have been redirected will be highlighted on the AUDIT Automatic Update to Cytology Details report A Non HPV Primary screening redirected test result will display the following message below the Comments line This test result from laboratory was redirec
26. f 928877 1 Code F 05 11 11 07 11 11 Balance FUZZY MATCH Lab Details HA 11 1 of 2 LIVE Database Matching Code A3 NHS NUMBER match NHS Number 650 014 2225 650 014 2225 Surname JOUSAR Forenames LOBINA LOBINA M Date of Birth 25 12 1976 25 12 1976 Prev Surname JENKINS Alt Surname Address at Lab 11 Cedar Drive Address at HA 100 Newtown Street Abbar Test Data Slide No 12007659 Result Code 2 Rpt in Test Date 24 11 2012 Action Code R Infection Q Action Action Codes X Non Hit H it N ext Lab Rec P rev Lab Rec Q uit ste Cornecied to 10 14912258 Secure VT420 48 1 Colt 7 2 2 MM Screen Validation When a woman is matched on the MM screen MM F or MM N the test will be validated the same as in AJ CLLM Validation messages will be added to Insufficient Information on the AJ CLLP report 7 3 CLLM CLLP Reports and Residual Cards 7 3 1 Residual Cards The HPV Primary screening marker will be displayed on the residual card This is necessary because the Card can be sent to another PCO area and used to manually update the test result via the CY screen Page 16 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Residual Cards are produced for N Non Hit Insufficient Informa
27. ide gt V1 0 18 04 13 Pie Kat View Toos Properses Window rep Dew ee Bawa MP lr og Details QualifierLl lt page POT HA Test database Ver TEST HA 9 Abnormal results will not normally be produced on a Thursday or Friday Users wishing to print Abnormal results on those days can enter Y in the following override switch Y N Y The following Result Action code combinations for Result notifications allows the user to enter an anticipated number of days to delivery Result Action code Result Action code Code H R sS A Cods H R sS A Cal C3 C43 B E27 C2 3 1 E27 Ce C3 E C4 5 2 C13 te C33 4 G Caj Ce C3 3 Cel C4 5 6 4 EL N E23 Cel 3 5 x C4 5 6 6 C3 7 4 8 C1 C23 9 6 Postage Times Help text 7 we ow f Connected to 10145 13255 Secure VITA 0 15 mm Flow Cai The pop up window that is accessed via the KEY field on page 9 to display abnormal results for CP printing has also been amended to include the new result codes fie Eat view Toos Procertes Comecton window meb tal a Tea es OD Pb Details Qualifier POT HA Test database Ver TEST HA Result Action codes classified into Abnormal or Normal results for printing purposes 14 day Turnaround Initiative CRS 6 27
28. ination of result infection action as outlined above will be accepted as valid Any other combination will be rejected as invalid Repeat months will be calculated by the Lab Links software based on the result infection action combination age of patient and District settings Result infection action combination XOR repeat months of 36 can be overridden by an alternative value sent from the Laboratory currently 12 months Validation messages will be added to Insufficient Information on the AJ CLLM report Page 15 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt 1 0 18 04 13 7 2 Manual Matching Screen 7 2 1 MM Display The MM screen displays test results that were found to be Partially Matched i e Possible Fuzzy matches e NON Hits no match found on either Live or Deducted database e Non Redirected Test results Test date dated after date of deduction The 3 screen displays have been amended to add the infection code to the test data details and to highlight a test result where the HPV Primary screening marker is set If the HPV Primary screening marker is set HPV PS will be hi lighted next to Lab Details See example below of MM F screen for HPV Primary screening below SmarTerm hp27 stw File Edit View Took Properties Connecton Window Heb ax MM Lab Links Manual Matching Qualifier 1928877 1 1 12007659 J Lab No 60020 File Re
29. meters 13 months for those whose previous test has a result code of 0 2 G N or X and 11 months for those whose previous test has any other result code NB The combination of a result action code of 1S will be treated in the same way as 11 month referrals Corrected to 10 148 13298 VID 5 5 Rows Cot Page 11 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 6 HP screen HPV Primary Letters In order to avoid numerous result combinations from being added to the already weighty DD screen a new screen HP has been developed to handle the letter requirement parameters for HPV primary screening invitations reminders and results It is worthwhile thinking of the HP screen as an extension to the DD screen The screen is accessed by entering a key of HP and a qualifier of the required existing DHA code The HP screen will be pre populated for each of your existing districts as shown below f SmarTerm hp27 stw DAR Fie Edit View Tools Properties Connection Window Help Sle ole HPJHPV Primary Letters QualifierLHP 1 S page gt HPV PS DISTRICT District Produce HPV Primary Invites Reminders for this District incl Call N Standard Alternative Orig Dest Invitation Letter 1 D P Applied to Reminder Letter xA 2 ALL Inv
30. of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 Page 18 of 27 This message will apply to any test where the HPV Primary screening flag is not set to Y S N or null Null will be allowed and set to N to allow for Labs that have not amended their system to allow for HPV Primary screening HPV Primary test result is invalid Contact the Laboratory Residual Cards message HPV PS INVALID RESULT INFECT ACTION This message will apply to any test where the HPV Primary screening flag is set to Y or S and the result infection action code is missing invalid or an invalid combination The relevant message will be added to the report but not the residual cards Result missing Infection missing Action missing Result invalid Infection invalid Action invalid Invalid combination Third consecutive HPV positive Cytology negative result action should be S Colposcopy required Contact the Laboratory Residual Cards message 3RD HPV POS COLP REQ This message will apply to any test where the HPV Primary screening flag is set to Y or S and the previous 2 negative tests result codes 0 or 2 had an action code of R and the new test has an action code of R The new test must have an action code of S Third consecutive Inadequate Unreliable result action should be S Colposcopy require
31. r Invitations and Reminders as well as those for the Auto Cease due to age letter In this table each letter type has up to four column entries Standard The Standard letter code in use READ ONLY Alternative Alternative Letter Code to use must be defined in LL Orig Letter Originator only F D or G permitted Dest Letter Destination must be P Dummy LL entries have been automatically generated for all standard codes Invitation and Reminders always share the same Originator and Destination values and these apply to ALL HPV Primary invites reminders regardless of latest result The letter codes for Invites and Reminders defined here may be further overridden for individual result codes by filling in the appropriate column in the results table see below Auto Cease following XOA Should a woman receive an XOA result and the calculated NTD date take her beyond the upper age limit for screening the system will cease her due to age subject to auto ceasing rules The standard letter produced will be the PXOC result letter with Originator and Destination as defined on this row The Alternative result field can be used if a code other than PXOC is required for a particular district General results table A single row will be displayed for each valid HPV primary screening Result Infection Action result combination Each row is divided into columns which display the parameters used by this district The left
32. ted via HA A result letter is required An HPV Primary Screening redirected test result will display the following message below the Comments line This HPV PRIMARY SCREENING test result from laboratory was redirected via HA PLEASE NOTE HPV PRIMARY SCREENING RESULT LETTER is required Page 24 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 11 AJ CP changes Minor changes have also been made to the Analysis Job CP to differentiate between HPV Primary screening Districts and Non HPV Primary Screening Districts when selecting the correct result letter for issuing to a woman The software will automatically select the correct result letter identifier based on the District Result code Infection code and action code The HPV Primary Screening letter identifiers are held on a new screen called HP See section 6 of the User Guide 12 AJ RP changes Minor changes have also been made to the Analysis Job RP to differentiate between HPV Primary screening Districts and Non HPV Primary Screening Districts when selecting the correct invitation letter or reminder letter identifiers The software will automatically select the correct letter identifier based on the District Result code Infection code and action code The HPV Primary Screening letter identifiers are held on
33. tion D Invalid for DHA Slide R Rejections 12004433 Bishop Auckland Co Durham File REF 91020 2 National Lab Code 60020 CERVICAL CYTOLOGY LABORATORY LINK Smear test details unmatchable at PDT HA Test database Ver TEST HA REJECTED TESTS SECTION R Printed 22 NOV 2012 at 12 35 PM Reason for rejection NO CYP Wool Wendy NHS Number 999 788 7745 Date of Birth 7 7 1951 Address 79 East Make Believe Hill Exeter Slide No 12004433 Test Date 16 11 2012 Standard Result 3 Low grade dysk Action R Repeat in 06 months TES Sender Code TORHOS Infection Code 3 HPV PS N TES Sender Details The Big Hospital 267 The Road Xxxxxxxxxxxxxx Lawes Bridg 7 3 2 Reports Laboratory Links and the MM screen both produce a matching report This report is split into many sections These sections are as follows HITS Live HITS Deducted ADDRESS HITS POSSIBLE HITS LIVE amp DEDUCTED MANUAL HITS LIVE MANUAL HITS DEDUCTED No of Tests Redirected No of Tests NOT REDIRECTED NON HITS INVALID INPUT INVALID FOR HA SLIDE REJECTED TESTS The HPV Primary screening marker flag will be displayed on all these reports 7 3 3 Error messages Five new error messages have been introduced and will appear on the Laboratory Links Matching Error reports and the Residual Cards They are 1 HPV Primary screening flag invalid must be Y S or N Contact the Laboratory Residual Cards message HPV PRIMARY FLAG INVALID Page 17
34. ular neoplasia of endocervical type High grade dyskaryosis moderate CIN2 Borderline change in squamous cells Borderline change in endocervical cells Borderline change in squamous cells HPV tested Borderline change in endocervical cells HPV tested Glandular neoplasia non cervical HPV tested Low grade dyskaryosis HPV tested Negative HPV tested No Cytology result HPV Primary may only be used if HPV primary screening test lt 2 260 Infection codes HPV Negative HPV Positive HPV Unreliable inadequate No HPV undertaken 2 Result Infection Action Code Combinations The new valid Result Infection Action code combinations are as follows Result Code Infection Code s Action Code s OorU R 0 A X 0 9orU 5 1 9orQ RorS 0 9orQ RorS 2 9orQ RorS 3 9orQ S 4 9orQ S 5 9orQ S 6 9orQ S 7 9orQ S 8 9orQ S 9 9orQ S Page 5 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 3 System Changes The introduction of these result codes has impacted on several core areas of the current system These areas are as follows FD Screen HA Details DD Screen Pages 3 6 amp 7 Introduce new screen HP for setting up letter Id s etc for HPV Prim
35. y Message District now no longer HPV PRIMARY Confirm if you wish to change the HPV Primary status of this district ALTERNATIVE LETTERS Likewise divided into three columns these fields store the letter codes which this district should use instead of the standard equivalent letter code These fields should be left blank unless you have a specific business requirement to produce an alternative letter for a particular result combination or district e g removing references to a woman s GP for the ZZ district Permitted Values AS Address Slips AL Address Labels XXXX Valid Letter Code Up to 4 characters as defined on the LL screen Error Messages LETTER undefined Letter code must be defined on LL screen unless using AS or AL for slips and labels Query Messages amend Std INV lett Confirm if you wish to override the standard Invitation letter code for this district amend Std REM lett Confirm if you wish to override the standard Reminder letter code for this district Orig The letter originator used for this combination This is a mandatory field Permitted Values D District F FHSA G GP Error Messages ORIG missing Must contain a value ORIG must be D F or G Only permitted values Page 14 of 27 Copyright 2013 Health and Social Care Information Centre lt HPV Primary Screening User Guide gt V1 0 18 04 13 7 1 Query Message amend ORIG for ALL Inv
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