Change Request 4636 - 'ABC' User Guide
Contents
1. Rage 3 of 22 Change Request 4636 ABC3 User Guide Contents EE 0 000 ence Renton ee tener ene eee ee nine ee ean E ee ee eee 5 2 IU EEILI STENT mmm 5 SEE BEREIT Eoo Emm 6 3 1 mice oes ORNOS en i nn ene E 6 a fe i BBP OCO O Tome 6 3 2 Ble ogc aca Sc UU ee 7 221 DEPA SONS NER EE EEEE EE 8 a23 Page 9 roue 9 gea UPOO RR 9 4 LD Screen Page 3 Change cccccccsssesecceeeeeeeeeseeeeeeeeeeaueeseeeeeeeesaeaeeceeeeseseeasseeeeeeeessegeeeeeeeeees 11 5 DD Screen Changes cccccscccssssceseccescccsesenseececccecesenseeeecsneceeseesceeeececceeeneeeeeseccedsdeeeersesseecsceess 11 5 1 FS CPN T E A reason tc duende 11 5 2 FA SO IN SS E 12 5 3 xo Weinen c ee eee ene een en eee ee ee eee 12 5 5 Pada IMAI NT ND een ea ee Tm 13 5 6 Page 10 onwards Changes to the Result Code Action Code Letter pages 13 6 Laboratory LInkSs dde amen ee ee ene eoes can tere ee eee ee eee 14 6 1 icerum 14 6 2 misi miei ER m 15 E RY CF CNM NG Se RR 16 7 1 lerne Me 16 7 2 Mapping of HPV coded results to non HPV equivalents eeeeseseeeessss 17 7 3 Woo 17 7 4 SS ASIC DUETO FS d 18 7 5 ChahiGe2. Al A Un HP27had Connected to 10 149 132 33 Secure vV1420 ShivOUmn Rowi Col i 3 2 3 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 0 3 Value not numeric Example f mai Teim RITTELLJ ws QP Mie Cup Hae Took Properties Geon Eies Hain E OPH a bG g bake ud bic cO a FD HR Details l ARAA Gualifier 8 1 Value not numeric lt page POT HA Test database Ver TEST HA q 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 H Y The following Result Action code combinations for Result notifications allows the user to enter an anticipated number of days to delivery Result Rction code Result Action code Code H R 5 A Code H R 5 H 0 3 6 6 6 B 2 2 2 1 3 3 3 E 6 6 6 e 3 3 E3 3 G 6 6 6 3 1 1 M 1 1 1 4 2 H 3 3 3 5 2 6 2 7 2 8 4 4 g 6 6 Wear Corrected na 1183 13238 Secus WT Gh iima Row l3 Dali 3 2 4 Update Crown Copyright 2012 Page90of22 Change Request 4636 ABC3 User
3. Lonneched bo TOL T4 1 8 fecu Via amp ievi2mm PowT Coll 5 6 Page 10 onwards Changes to the Result Code Action Code Letter pages A PSAU will be issued to set up the new result and action code combinations on the District Details Screen The DD screen pages allowing for result notifications to be entered have had several new pages added They have also had result code action code pages removed New pages added are as follows OA OH OR and OS 9R and 9S EOA EOR amp EOS Infection HPV Negative E9S Infection HPV Positive EUR amp EUS Infection HPV Unreliable GOA GOR amp GOS Infection HPV Negative G9S Infection HPV Positive GUR amp GUS Infection HPV Unreliable ACTION Please note the new result and recall letters will need to be set up on LL DD and PEP or similar application where used as soon as possible The national letter templates will be advised by NHSCSP Crown Copyright 2012 Page13of 22 Change Request 4636 ABC3 User Guide We have taken the opportunity to remove the DD screen pages for result action code combinations that are no longer valid Combinations removed are 4R 5R 6R and 7R Please note that even though the removed as above result action code notifications screens are no longer available for viewing or amending the original data continues to be held in the background This ensures that appropriate invitation reminder etc will be issued when required
4. Y N ENT ak ees X X Wo amp ww LI 6 Glandular Heopl Y N EMS o4 se uo v x RE 7 Cin 2 Y N LMI s a e o ES a X Do 39 o 0 0 AE 8 Borderline Y N ENDE uas ae oe ct coe ea e DER et 4 vx TERR H Borderline HPU Y N E d M Mild dysk HPU Y N J 1 N Negative HPU Y N E Si E 3 m hp27 ste UM het stw Connected to 10 149 132 98 Secum VT420 Ow 54 mm Rowi Co 1 5 DD Screen Changes 5 1 Page 3 changes Page 3 of the DD screen has been amended to include results coded 0S GS amp NS under the maximum default of 15 months Screen will now display as follows P Sear Dorm HPF 7 had ete WP Fie Cot Yew Too Properties Connection Widow Hal R LJ ee bed ee E MEA am Uo i DD District Data i Qualifier EX 4 P EXETER MAXIMUM LENGTH DISTRICT District ACTION CODE MONTHS A 60 District Policy Standard age range ACTION CODE MONTHS R uU ACTION CODE MONTHS 5 15 Default for 0S 25 GS A HS Tests Max 15 Months 12 Default for other 5S Tests Max 12 Months An ACTION CODE of H irrespective of the RESULT CODE will leave the patient s Status UNALTERED b Pahad on Eeneesched to 1 143 132 38 Secure WG Oe mn Hee Coll It should be noted that R action coded tests where the HPV infection is classed as unreliable will have a maximum repeat months of 6 Crown Copyright 2012 Rage 11 0f 22 Cha
5. Proprie Conden idee Help SX Ph WM 7 Ae Im b OSE v aie DD District Data Qualifier EX rg 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 Hon Responders types will come back into recall by having 48 months added to the HTD date Automatic option for this district All referral Suspended Hon Responders will have the Next Test Due date recalculated using the default suspend parameters 15 months for those with a previous test with a result code of 0 2 G or H and 12 months for those with a previous test with anu other result code HB The combination of a result action code of 15 will be treated in the same way as 12 month referrals HP2Zhad hod ste Connected ie 10 148 132 3 5 pum viat 3m hem Fipe Cell Crown Copyright 2012 Page12o0f22 Change Request 4636 ABC3 User Guide 5 5 Page 8 changes Women may now be ceased due to age following any A coded test result See ceasing rules in Section 12 Appendix A ACTION Please note the new ceasing letters will need to be set up on LL DD and PEP or similar application where used as soon as possible The nat
6. can onlu be associated uith the RCTIOH CODES listed RESULT CODE Expansion Action Codes 0 Glandular neoplasia non cervical Hn H R 5 1 Inadequate H R S 2 Negative A R S 3 Lou grade duskaruosis R S 4 High grade dyskaryosis severe 5 5 High grade dyskaryosis invasive squamous carcinoma S 6 Glandular neoplasia of endocervical tupe S T High grade dyskaryosis moderate 8 Borderline change in squamous cells RE 5 g Borderline change in endocervical cells R S B Borderline change in squamous cells HPU tested A R S E Borderline change in endocervical cells HPV tested R 5 G Glandular neoplasia non cervical HPU tested A H R S M Low grade dyskaryosis HPU tested A R S H Hegative HPU tested A R 5 V HPZThad Lonnecterd b 10 145 1 52 98 Teue Yia didlm PFowT Col We have introduced a pop up window to display the abbreviated expansion for each result code These abbreviations are used throughout the system for reports and are limited to 18 characters This pop up window can be accessed from the KEY field in the normal way T amp marTerm HE27had stw QE Fe Edt Wes Took Propeler Connection Window Heip BOX JO d we MM Wm ub GB FDJHA Details Qualifier 1 Pil lt page gt POT HA Test database Ver TEST HA 5 The following RESULT CODES can only be associat RESULT CODE Expansion Result Abrreviated Expansion 0 Glandular neoplasia non cervical G landNeo
7. nonCerv 1 Inadequate 1 Inadequate e Negative e Negative 3 Low grade dyskaryosis 3 Lou grade dusk 4 High grade duskaryosis severe 4 High grade dus sev 5 High grade dyskaryosis invasive squamo 5 High grade inv 6 Glandular neoplasia of endocervical tu 6 5landHeo Endocerv P High grade dyskaryosis moderate T High grade dus Mad 8 Borderline change in sqaumous cells 8 B line Sqaum cells g Borderline change in endocerval cells g B line endocer v l H Borderline change in sqaumous cells HP B B line Sqaum HPV E Borderline change in endocerval cells E B line endocer HPV G Glandular neoplasia non cervical HPV G G landN nonCer HPY M Low grade dyskaryosis HPV tested M Lou grade dusk HPU N Negative HPV tested N Negative HPV Vh HPZ7had Connected ta TOL 145 132 Se fium Vidal 2h Seen Ae Calti i 3 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 result codes Action Please note that the number of days will be set initially to 6 This is the maximum allowed so you will probably wish to alter the number of days Crown Copyright 2012 Page70f22 Change Request 4636 ABC3 User Guide 3 2 1 Display Screen The PSAU will install the new result action codes pre set to 6 days for the anticipated number of days to delivery It is up to each PCO to
8. Guide New values will be updated onto the Anticipated no of days 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 SmarTerm hp27 MP Fie Edt View Too Propertes Correction Window Help F xX OO Ws BEY aer MD GFR 7 2 FD H8 Details Qualifier 9 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 Rction code combinations for Result notifications allows the user to enter an anticipated number of days to delivery Result Rction code Result Rction code Code H R S R Code H R S A 1 2 3 4 B 5 6 1 1 E11 Lai L3J E 4 51 6 2 1 2 3 L4 G 5 6 1 3 1 LEJ M 3 4 5 4 Ej N 2 3 4 5 2 6 3 7 4 8 1 2 q 1 8 Postage Times Help text SmarTerm hp27 e File Edit View Tools Properties Connection Window Help 2 OX FD HR Details Qualifier PDT HA Test database Ver TEST HR Abnormal results will not normally be produced on a Thursday or Friday Users uishing to print Rbnormal results on those daus can enter Y in the following override switch Y N Y The follouing Result Rction code combinations for Result notifications allous the user
9. NHS Connecting Change Request 4636 ABC3 User Guide Ss SS O Sub Prog I Pee Owner Hilary Denn Version 1 0 Version Date 29 102012 Status Change Request 4636 ABC3 User Guide Crown Copyright 2011 Pageiof22 Change Request 4636 ABC3 User Guide Amendment History Version Date Amendment History Draft 11 08 2012 1 draft copy of specification Final a a Forecast Changes Anticipated Change When Reviewers This document must be reviewed by the following Indicate any delegation for sign off Name Signature Title Responsibility Date Version a Approvals This document requires the following approvals Crown Copyright 2012 Rage 2 of 22 Change Request 4636 ABC3 User Guide 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 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 Crown Copyright 2012
10. S 16 ABC QUIG SINC sissicerennpdsn n E aia 18 o ING rains CINCO aeaea E A E A E E E 18 I CIGO NOEL E E EE A E 18 10 ARP CANO S oar E E E R E EERE E 18 11 Appendix A Changes to ceasing due to age rules ccccccsseeeeeeeeeeeeeeaeeeeeeeeeeeeeaaeeeeeeeeeeeaas 19 12 Appendix B Changes to Return to Routine Recall guidelines 21 13 Appendix C Change Request 4636 ccccccsssccccccsssseeeeceeesseeeeseaeeeeesseaeceeseeeaseeessseageeeessaas 22 Crown Copyright 2012 Page40f22 Change Request 4636 ABC3 User Guide 1 Introduction NHS CSP and Royal College of Pathologists have agreed to the revision of the ABC guidance and that an updated version is required The principal changes to the guidelines are as follows a The NHSCSP will adopt the revised BCSS terminology for reporting cervical cytology e Division of the category borderline change into squamous and endocervical categories e Division of dyskaryosis into low grade and high grade categories the latter encompassing moderate amp severe dyskaryosis e Division of glandular neoplasia into endocervical and non cervical categories b Guidance on the management of abnormal cytology results has been linked to the new terminology e Management guidance has been updated in the light of HR HPV testing for triage of low grade cyto
11. We have also rationalised the screens to remove Infection Present Infection Not Present for result codes 1 and 2 as infection is no longer relevant for these results The letters codes are the same regardless of the infection code therefore the DD screen will display only 1 screen for each action code the Infection not Present screen Validation and update will apply only to the No infection letters As infection now only applies to HPV tested results the DD screen will no longer display the heading Infection except for those result codes B E G M amp N where infection is required 6 Laboratory Links Changes 6 1 Validation The laboratory links application has been changed to receive and validate the new result codes All result action code combinations for the 4 new result codes will be validated against the following rules 0 Glandular Neoplasia non cervical Code Code Code e P a 60 months if 249 es Maximum 15 months As per District Settings A Dn 9 Borderline changes in endocervical cells New Result Infection Action Repeat Months Code Code Code PM Maximum 12 months As per District Settings G Glandular Neoplasia non cervical HPV Tested Cede Code Gove MoM sacs Code Code Pu R5 sers eene 60 months if gt 49 G Up to maximum of 36 months if lt 50 OR up to 60 months if 249 G JO 4 S Maximum 15 months As per District Setti
12. disabled in line with the withdrawal of the screen 3 of LD Crown Copyright 2012 Pagei80f22 Change Request 4636 ABC3 User Guide 11 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 3H 3S 4S 5S 6S 7S 8S 9R or 9S Or B9R B9S E9S G9S M9R M9S N9R or N9S e f a woman 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 as long as 1 She wil
13. ge Request 4636 ABC3 User Guide 12 Appendix B Changes to Return to Routine Recall guidelines A woman may be returned to routine recall following an abnormal test result according to the following rules We are awaiting confirmation from NHSCSP of the return to routine recall rules We will add these rules to the document when confirmation is received Crown Copyright 2012 eee Rage 21 of 22 Change Request 4636 ABC3 User Guide 13 Appendix C Change Request 4636 Change Request Number 4636 Summary Implement 4 new result codes in relation to the release of ABC3 in early 2012 Problem Description The system supports result codes 1 8 and M B N New result codes will be required for two new cytology result categories and two HPV tested equivalents when ABC3 is published early in 2012 Suggested Solution Implement 4 new result codes as follows 0 glandular neoplasia non cervical 9 borderline change in endocervical cells G as 0 but HPV tested E as 9 but HPV tested Potential Benefits Laboratories will be required to report screening tests according to the new categories from April 2012 NHAIS must be able to accept and process the new codes Crown Copyright 2012 Page220 22
14. ge Request 4636 ABC3 User Guide 7 4 Ceasing Due to Age The CY screen will use the new Ceasing due to Age rules when assessing a woman s recall date following an A coded action test result These new rules will also be applied to the Laboratory Links system and the Deducted Transfer software CINCD The new rules governing ceasing due to age are explained in Section 11 of this document 7 5 Changes to ABC guidelines The CY screen will call the ABC guidelines module CYABC for any test result entered that has an action code of A The ABC module has been amended in line with the new rules governing a return to routine recall and is explained in Section 12 of this document 8 AJ CIN Changes CINCD Minor changes have been made to the CINCD software to accommodate the 4 new result codes The new automatic ceasing due to age rules and ABC3 return to routine recall will also be applied within CINCD processing The print reports will display the new expansions for existing result codes and the expansion for the new result codes 9 AJ CP changes Amendment made to AJ CP letter print to report the new result codes New ceasing due to age letters will also be produced for women according to the result infection action code combination see page 8 of the DD screen changes that caused them to be ceased from recall We have also amended the setting of the infection fo
15. ional letter templates will be advised by NHSCSP DD screen page 8 has been amended to add 6 new result codes to the cease due to age letter options to enable the new letter Identifiers to be entered This screen will now display as follows rm fx Qn Fir Sie Vues Taos Proseries Cennectan Vinee Hrg x 19 d SOS aaese M gt oan v a flo District Data Qualifier EXx 1 lt page gt EXETER MAXIMUM LENGTH DISTRICT District Notifications relating to uomen ceased from Call Recall Rdvice confirmation GP cards Ceased Recentlu Re Reg Currentlu Ceased Bie toO age i zo wo ox x Ew ox Ee ew xL N CONG carvixz gt e sa r s rewa Fe we SEA H B Informed choice e LN HN SCORED a ata comtala EDS Sw 9 ES ee eB N 99 Mental Capacity Act Best Interests N N Letters to uomen ceasing recall Originator Destination Letter Rt upper age limit following a 2A test 6 P CSEN OA test F G CSEN BOR test F G CSEN EQOA test IF 6 CSEN GOA test F G CSEN MOA test 6 P CSEN NOA test F 6 CSEN At upper age limit following non attendance F G WAH1 J Due to absence of cervix e F G WAH1 Due to informed choice F 6 HRH1 Due to mental capacity act best interests F G WAH1 J Originator Destination F G D L S or P 7 P nez
16. l District Code L51 SM EXO 022 Amend Delete previous tests N Delete ALL Tests NO PNL Date 06 2012 Invited 06 2012 Next Test due 01 06 2012 Recall Type S Notif Date 19 06 2012 Recall Status 1 Patient Informed National Code BISHOP AUCKLAND CO DURHAM Slide No 12090875 Test Date 23 06 12 Sender National Code I Result Notif Source G Sender I Result Code E Infection 9 Action Code R Rpt in 12 Months Correspondence Y Age at test date Input date Screening HA TES Comment Complete Susp List Y Test 0 of 1 Test Date Result Infection Action Code Rpt Months NB 01 06 2012 0 S 15 IFP69 FNR POS DOUBT AGE at NTD 7 2 Mapping of HPV coded results to non HPV equivalents If HPV coded tests require entering at a PCO who are not yet switched on for HPV testing the HPV coded test should be mapped to the following HPV Infection Action Mapped Infection Action Entered in CY record Comment G2 il aad n Ee value according to age E JOU L JR Masto 9 JR _ APVN E JU J R Mapsto 9 REPU HPVP mm HPVU ee HPVWN S PHPVN PHPVU PHPVN eve MM PHPVU S 7 3 Update The CY screen update routines 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 Crown Copyright 2012 Rage 17 of 22 Chan
17. l 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 or N 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 1H 1R 1S 2A 2R 2S 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 Abnormal tests are 3H 3S 4S 5S 6S 7S 8H 8S 9H or 9S BOR B9S E9S GIS M9R M9S NOR or N9S BOR M9R amp N R 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 Crown Copyright 2012 Pagei90f22 Change Request 4636 ABC3 User Guide Abnormal Normal Results Table HPV test result gt none Cytology no HPV test boit no ul result v 0 nmaa ma ma X ma ea mma mona noma noma nma ma ma _ N ma noma abnoma norma abnomal X nma X ma ma M ma nomai abnoma norma 4 abnormal abnormal abnormal abnormal 5 abnormali abnormal abnormal abnormal 6 abnormali abnormal abnormal abnormali 8 abnma ma nma ma B ma noma abnormal normai 9 aboma nma ma a Crown Copyright 2012 Rage 20 of 22 Chan
18. logical abnormality and test of cure e Expanded codes have been developed for standard cytology results to take account of the changes outlined above The above changes require the introduction of 4 new result codes These new result codes are as follows e Code 0 Glandular neoplasia non cervical To be treated exactly the same as code 2 negative for cervical screening purposes This includes result types recall dates and statistical reports e Code G Glandular neoplasia non cervical HPV tested This is required for the same reasons that we have a code N negative HPV tested to mirror code 2 negative and should be treated the same way i e as negative for result types recall dates and statistical reports but a different result letter e Code 9 Borderline change in endocervical cells To be treated exactly the same as code 8 borderline for result types recall dates and statistical reports Result letters will be worded differently The main difference between code 9 and code 8 is that borderline endocervical cells should be treated with greater caution than borderline squamous cells ref ABC2 p 12 and so it will be helpful for screening staff to know precisely which type of borderline a woman has or has had in the past e Code E Borderline change in endocervical cells HPV tested This code is required because code 9s are still borderline and therefore will be treated same as code 8S for HPV triage purpo
19. mal results will not n Result letters require an anticipated date of Users wishing to print Abno of delivery following override switch Enter a value between 1 and 6 to calculate The following Result Action the number of days from the date the letter was the user to enter an antici printed to the estimated date of delivery For Example Result Action code Code H R S a Enter 1 for Posting same day ist class postage o 1 2 31 41 Enter 3 for Posting same day 2nd class postage 1 C13 2 3 Enter 4 if using an external print agency 2 1 2 3 4 3 1 2 Enter up to 6 for other external printing 4 4 5 3 6 3 7 1 8 4 31 9 4 31 Postage Times Help text Connected to 10 149 132 98 Secure VT420 Ohman fown Co29 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 Crown Copyright 2012 Rage 8 of 22 Change Request 4636 ABC3 User Guide ES Smarterm hiP 2s had stw Qm F e Eat View Took Properties Connection Window Mob Gis l0 54 o m z3 Bet US b SFR G1 ow FDJHR Details Qualifier 5 lt page PDT HA Test database Ver TEST HA 9 Result Action codes classified into Abnormal or Normal results for printing purposes 14 day Turnaround Initiative CRS AJAJAJA ALATA ALAA JAJAA M N ALATA JA ALA INTATNI DDDDDDDD N A
20. nge Request 4636 ABC3 User Guide 5 2 Page 6 Changes Page 6 has been amended to include the new result codes of 0 amp 9 and all the HPV coded tests of B E G M amp N gma tenm LE EPFETTSESITII QD Pie DE View Tool Properties Connection Window Help F X OPH aki g iaae E OSB Ge DD District Data Qualifier EX 1T EXETER MAXIMUM LENGTH DISTRICT District Suppress the printing of Next Test Due Date on the following All RP Letters All CP Letters Res H R 2 A Res H R 2 A Res H R 9 A Res H R S A e Y V IV B CY Y Y v v Y Y B Y Y VY i Y Y Y E Y Y Y 41 IY Y Y E Y Y Y 2 v Y Y Y 6 Y Y Y 2 Y Y Y Y 26 Y Y Y 3 Y Y M Y Y Y 3 Y Y M 43 Y Y 4 Y N Y Y Y 4 Y N Y Y V 5 Y 5 b Y 6 7 Y 7 Y 8 v Y 8 Y Y q CJ C 9 Y EY Enter a Y in the All Letters fields only if postponement of Call Recall is required theruise enter Y selectivelu for each Result Rction Code Luisa ta 1O Ea 1732 08 Secus VIA OR amen How Da ACTION Please note new fields on this screen will initially be blank and will require setting up if your organisation uses NHAIS letters 5 3 Page 7 Changes Result codes 0 and G have been added to the referral text for Final Non responders who are referrals Suspended LE Smarterm HPI hadat EI Pie Edt Ver Tos
21. ngs Crown Copyright 2012 Rage 14 of 22 Change Request 4636 ABC3 User Guide EE eee i Maximum 15 months As per District Settings Maximum 15 months As per District Settings E Borderline changes in endocervical cells HPV tested BS eT code Code done E 36 months if 50 7 re p p pem cse fF ie Maximum 12 months As per District Setting Se Fe fF Maximum 12 months As per District Setting Maximum 12 months As per District Setting Any test result that fails validation will be rejected The rejected test will be reported on the Laboratory Links Error report and a residual card will also be printed In addition to the introduction of the new result codes we have amended the validation to REJECT Result Infection Action code combinations of B9R M9R and NOR as these are no longer valid Although these results will be rejected by the Lab Links software they will continue to be considered valid when entered via the CY screen This is to enable historic tests to be entered when required Test results that have an action code of A 0A 2A BOA EOA GOA MOA amp NOA will also be validated against the new ABC guidelines for return to routine recall These guideline changes are explained in Section 12 of this document A woman may also be ceased automatically due to age when an A coded test is entered if her recall date is after her 65 birthday s
22. r result codes 1 and 2 Currently infection is set to Y es if an infection code is present or N o if none present This infection marker is then used in combination with the Result and Action code to select the correct letter identity code to produce the result letter As only infection codes 0 9 or U are relevant now and the DD screen has been amended to show only infection not present screens for result codes 1 and 2 infection will always be set to N from now on A change has also been made to disable the Letters sent from Laboratory flag in line with withdrawal of LD screen 3 as all result letters should now be produced by the PCO 10 AJ RP changes As per AJ CP new recall letters FNR notifications will be produced by AJ RP for the new result action code combinations as set up by district on the letter pages of the DD screen As detailed in AJ CP above we have also amended the setting of the infection for result codes 1 and 2 Currently infection is set to Y es if an infection code is present or N o if none present This infection marker is then used in combination with the Result and Action code to select the correct letter identity code to produce the RP notifications As only infection codes 0 9 or U are relevant now and the DD screen has been amended to show only infection not present screens for result codes 1 and 2 infection will always be set to N from now on The production of Recall letters from AJ RP has been
23. 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 QE Pie bi o Vue Took Properties Connecghon Ard hai M IPH RA g Beeler OO F LDS 56i ow FD HR8 Details Bualifierl PDT HA Test database Ver TEST HA Abnormal results will not normally be produced on a Thursday or Friday Users wishing to print Abnormal results on those days can enter v in the following override switch 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 S A Code H R S A o Lil 21 3 4 B 11 2 3 1 11 2 31 E 11 2 31 2 11 2 31 4 G 11 2 31 3 1 2 M C1 2 31 4 4 H 1 2 3 5 3 6 3 T i 8 4 3 9 4 3 Postage Times Help text 7 orme tc 10 141 T7077 Su ue VEAZO Of dimen Pose Co The help text that was originally displayed on page 9 has been moved to a pop up window This may be accessed in the normal way from the box next to Postage Times Help EF mar Tarm HP 2 Thad aia QU Pia Ede vens Took Properbes Connection Wee Hele F X Lect ae Be S EA a To b DSB 6 Lem FDJHA Details 1 PDT Abnor
24. ses Code E will appear far more frequently than code 9 since virtually all borderline tests should be HPV tested 2 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 District Details LD Screen Laboratory Details Laboratory Links Crown Copyright 2012 Page5of22 Change Request 4636 ABC3 User Guide Manual Matching Screen MM CY Screen Cytology 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 HPV to Non HPV mapping routines KC53 Statistics To be amended amp released separately 3 FD Screen Changes 3 1 Page 5 Changes 3 1 1 Display Screen Changes have been made to page 5 of the FD screen to include new result codes 0 9 E and G and to change current expansions for the existing result codes 3 4 5 6 7 8 B amp M to the new expansions according to ABC3 guidelines Crown Copyright 2012 Page60f22 Change Request 4636 ABC3 User Guide EF Smar Term HPF tha cher bd rie Ed Ves Took Properties Comedian Winker Help oe Pu S mOHEWem imu GOIHA Details Qualifier PDT HA Test database Uer TEST HA 5 The follouing RESULT CODES
25. the result letter does not need to be infection specific G Glandular Neoplasia non cervical HPV Tested E Code S O lomos E 60 months if gt 49 Up to maximum of 36 months if 50 OR up to 60 months if gt 49 G U JR Upto months 0 S G A2 Z O0 Maximum 5 months As per District Settings G AJ GS S Maximum tS months As per District Settings Go S Maximum 5 months As per District Settings re S E Borderline changes in endocervical cells HPV tested Code Code Code Ff eomme OSHS 60 months if gt 49 E 36 months if lt 50 Eo eo a Semmens 0o o eu D LL LENNON LE Maximum 12 months As per District Setting ERLEBEN Maximum 12 months As per District Setting Maximum 12 months As per District Setting Crown Copyright 2012 Rage 16 fF 22 Change Request 4636 ABC3 User Guide Any test result entered that fails the above validation rules will be rejected with the appropriate message For example the screen below shows an EQR result infection action code combination being entered 9 is an invalid infection code for an ER coded test result and is therefore rejected with the message INFECT RES conflict CY Cytology Test REJECT Qualifier 956 587 4588 1 INFECT RES conflict page gt SMITH Ms Zoe Anne DoB 23 11 1979 Age 32 Extra Name Q Code QT2 Dr T Asprilla Code 000010 3 Any Old Street EXE Nat Loca
26. to enter an anticipated number of days to deliveru Cervical Screening Audit of Changes Screen 9 of FD Application Date of Change Field Identifier Previous Value Categoru Initials 2012 2012 2012 2012 2012 2012 2012 IRXX IR IRXX IR IRXX IR IRXX IR IRXX IR IRXX IR IRXX IR C CO CO I CO CO On Connected to 10 149 132 98 Secue Maco Pint Capture Hod VT420 Sh 18m Fow24 Cd2 Crown Copyright 2012 Rage 10 0f 22 Change Request 4636 ABC3 User Guide 4 LD Screen Page 3 Changes The LD screen page 3 which controlled Laboratory result and recall notifications has been disabled This decision was made by the CSUG as laboratories should no longer be producing result recall notifications The following LD screen has now been disabled and will no longer display a F e Eat View Took Propertes Commection Window Peel m x d Wl cf Daw UI P EB 6 oe NMolLaboratori Details Qualifier t J E LABORATORY STANDARD ACTION CODE CONTROLS BISHOP AUCKLAND CO DURHAM Is the Laboratory using the new Standard Action Codes Y N CY Will the Laboratory handle Letters Result Code Expansion RESULT RECALL 1 Inadequate Y N LNI S ow RLS CaS 92 w w EN 2 Negative Y N EMI Gc x o WS Oe 65 Ok ww SRD 3 Can amp Y N ENT dc ow a er c9 nme Ck A Cin 3 Y N ENDE e a ae ten EE X OX OL d X9 0X xx Rn 5 Ca In S Invasive
27. ubject to ceasing rules checks These checks are explained in Section 11 of this document 6 2 Print Routines Two new error messages have been introduced and will appear on the Laboratory Links Matching Error reports and the Residual Cards They are Infection code must be O0 or U for this result action code Contact the Laboratory This message will apply to any test coded BR ER GR MR or NR that has an infection code 9 The infection code must be present and can only be 0 or U Repeat months exceeds maximum allowed for this result action code Contact the Laboratory Crown Copyright 2012 Rage 15 of 22 Change Request 4636 ABC3 User Guide 7 CY Screen Changes 7 1 Validation Changes required to the validation routine to enable the entry of the following new result codes 0 Glandular Neoplasia non cervical awepo Code code Code Eger eee D presen 60 months if gt 49 Up to maximum of 36 months v av pee ci If present ie n cM RE If present Although infection may be present for Result Code O0 it can be disregarded and not recorded as the result letter does not need to be infection specific 9 z Borderline changes in endocervical cells mre ee ue e a Code Code Code Pm s pum If present D jme o mme emere a If present As per Result code O although infection may be present for Result Code 9 it can be disregarded and not recorded as
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