KC53: Adult Screening Programmes: Cervical Screening
Part F: Cervical Screening Programme - Test Recall/Status of women following most severe screening result in the year
This part of the return collects information about the action taken following a woman's most severe test result in a year.
The women included are those who have had a Screening Test and are aged 20 to 64. The age is derived from the PERSON BIRTH DATE.
A Screening Test is a CLINICAL INTERVENTION where the CLINICAL INTERVENTION TYPE is National Code 28 'Screening Test'.
The data are based on the results of the woman's most severe test in the year and relate to Screening Tests with a Screening Test Date between 1 April - 31 March. Classifications are those of CYTOLOGY RESULT TYPE of a Request for Pathology Investigation and are in accordance with the categories shown in box 22 of HMR 101/5 Request/Report for Cervical or Vaginal Cytology.
Screening Test Date is the same as attribute ACTIVITY DATE where the ACTIVITY DATE TIME TYPE is National Code 47 'Screening Test Date'. A Request for Pathology Investigation is a DIAGNOSTIC TEST REQUEST where the DIAGNOSTIC TEST REQUEST TYPE is National Code 03 'Request for Pathology Investigation.'
Woman's most severe test result in the year
This is classified by the following CYTOLOGY RESULT TYPES:
Inadequate (cat. 1)
Negative (cat. 2)
Mild dyskaryosis (cat. 3)
Severe dyskaryosis (cat. 4)
Severe dyskaryosis/?invasive carcinoma (cat. 5)
?Glandular neoplasia (cat. 6)
Moderate dyskaryosis (cat. 7)
Borderline changes (cat. 8)The return requires a count of the CYTOLOGY SCREENING ACTION TYPE against each CYTOLOGY RESULT TYPE. The actions are classified into:
Normal (A) - Standard Primary Care Trust recall interval (Normal) (A) Suspend (S) - Refer for medical assessment or under medical treatment (Suspend) (S) Repeat (R) - Repeat at interval specified (R) The actions are based on result codes 1 to 8 from HMR 101/5, the operational document used by most laboratories for coding the results of cervical smears.