SCCRS Exclusion Message

SCCRS sends exclusion messages for patients whom it is deemed inappropriate to call for cervical cytology screening. The SCCRS exclusion message consists of:

  • Exclusion Reason - The reason why the patient should be excluded from the recall system. There are two ways the exclusion reason can be given by:
    • Free Text, for example, Smear in Progress, or
    • Read code, the only exclusion reason is 9O8S. Cervical Smear Defaulter.
      Note - A Medical History alert is also generated which displays on the Alerts pane.
  • Date of Exclusion - The start date of the exclusion period. This also depicts the commencement date of a Data Entry Caution.
  • Exclusion End Date - The end of the exclusion period, in the form of a recall date. This also ends the Data Entry Caution time period.
  • Closed - If the closed field is populated with Yes, the previous data entry caution is closed.
  • Next Recall Date - If there is a date received, a new recall entry for the next smear due is created.

If you try to enter recall or smear data during an exclusion period, you are prompted with a Data Entry Caution.

Viewing SCCRS Exclusions in Consultation Manager

When a SCCRS Exclusion message files into Consultation Manager, different entities are generated in the Patient Record depending on whether the exclusion message is a Cervical Smear Defaulter or has another reason for exclusion:

  • SCCRS Non-Defaulter Exclusions - When a Non-Defaulter Exclusion message files into a patient record, the following are generated:
    • A Data Entry Caution with an exclusion period.
    • An Alert in the alerts pane displaying that the patient is a non-Defaulter.

    Non-Defaulter messages may contain a new Recall entry for when the default period expires.

    All existing smear recalls are cancelled.

  • SCCRS Smear Defaulter Exclusions - When Cervical Smear Defaulter messages file into a patient record, the following are generated:
    • A Medical History Read code entry of Cervical Smear Defaulter 9O8S.00.
    • A Data Entry Caution with a 3 year exclusion period.
    • An Alert in the alerts pane displaying that the patient is a Defaulter.

    Non-Defaulter messages may contain a new Recall entry for when the default period expires.

    All existing smear recalls are cancelled.

Note - The purpose of the SCCRS exclusion is to mark the patient record with a reason for why they should not be included in the smear recall system for a certain period of time. It should be noted that SCCRS Exclusion messages do not update the Exclude from target report flag within the Cervical Cytology SDA as this is for reasons why a patient should not have a smear taken in the first place. You should therefore do this yourself.

Defaulter Alert

A Medical History Alert is created in the Alerts pane in Consultation Manager for defaulter SCCRS exclusions. This acts as a warning that the patient has been excluded from the Smear recall system for a certain period of time.

To view full details for the alert, double click on the Medical History Alert.

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