Cervical Cytology - Exclude a Patient from Smear Target Figures

The Target Report can be run from the Vision - Search & Reports module. You can exclude a patient from the Cervical Cytology Target Report if they have had a hysterectomy, smear follow-ups have been stopped, or you consider it inappropriate to carry out a smear, or the patient has refused to have a smear.

1. Select the patient and start a consultation.
2. Select Add – Cytology.
3. On the Cervical Cytology – Add screen, click on Exclude from Target Report so that it is selected (checked).
4. Then click on to display the Reason for Exclusion and click on your selection:
   • Hysterectomy,
   • Follow-up stopped,
   • Patient refusal,

   Considered inappropriate.

5. Select a suitable READ code: These four codes will exclude the patient from Cervical Cytology Recall, but so will ticking the Exclude from Target Report box and selecting a suitable reason:
   • 685G No smear - not sexually active
   • 685H No smear - benign hysterectomy (QOF acceptable as exception code)
   • 6853 No smear - not wanted (QOF acceptable as exception code)
   • 6855 No smear - not needed.
6. Other suitable codes include:

   Refused or not wanted:

   • 685L Cervical smear refused (QOF acceptable as exception code)
   • 6853 Ca cervix screen - not wanted (QOF acceptable as exception code)

   Hysterectomy codes:

   • 685H. No smear- benign hysterectomy
   • 685H.11 No smear - hysterectomy
   • 685I. No smear-amputation of cervix
   • 685K. No smear - no cervix
   • 7E040 Abdominal hysterocolpectomy and excision periuterine tissue
   • 7E042 Abdominal hysterocolpectomy NEC
   • 7E043 Total abdominal hysterectomy NEC
   • 7E046 Radical hysterectomy
   • 7E049 TAH - Tot abdom hysterectomy and BSO - bilat salpingophorect
   • 7E05. Vaginal excision of uterus
   • 7E05.11 Schauta radical vaginal hysterectomy
   • 7E05.12 Vaginal hysterectomy
   • 7E050 Vaginal hysterocolpectomy and excision of periuterine tissue
   • 7E051 Vaginal hysterectomy and excision of periuterine tissue NEC
   • 7E052 Vaginal hysterocolpectomy NEC
   • 7E053 Vaginal hysterectomy NEC
   • 7E053.11 Heaney vaginal hysterectomy
   • 7E054 Laparoscopic vaginal hysterectomy
   • 7E05y Other specified vaginal excision of uterus
   • 7E05y.11 Ward vaginal hysterectomy
   • 7E05z Vaginal excision of uterus NOS
7. Click OK.

   Note - Always the latest cytology record must have Exclude from Target Report selected (ticked) for the patient to be excluded from the Target Report. This means that if you enter a new smear result for this patient with a later date, you must remember to tick the Exclude box again.