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Sexual Health Audits

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10/31/2011
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Code



Number of patients who have been given 43C..

an HIV test within the past year 43C1.

4J35.

4JR7.

62b..

6827.



Number of patients who have been given 68K7.

a chlamydia test in the past year: 4JK9.

4JKA.

4JKD.

43U3.

43U0.



Number of patients who have been given 4JKB.

a test for Gonorrhoea in the past year: 4JKC.

4JLA.



Number of patients who have been given 4JR4.

a test for Syphilis in the past year 4386.

4384.

4387.

4388.

4389.



Number of patients tested for a first 4J36.

episode of genital herpes in the past year: 4J3C.

43dm.

43de.



Number of patients having had a test for 6828.

hepatitis in the past year: 6829.

43d9.

43B8.

43d8.

43dB.

43k1.

43X6.

CTV3

Read V2 Description

Code



HTLV-3 antibody test 43C..

Blood sent for HTLV-3 serology 43C1.

HIV p24 antigen level XaFuO

HIV screening test XaIon

Antenatal HIV screening XaIOI

AIDS (HTLV-III) screening 6827.



Urine screen for Chlamydia XaJny

Endocervical Chlamydia swab XaIOG

Urethral chlamydia swab XaIOH

Low vaginal swab for chlamydia taken by patient XaLI0

Chlamydia trachomatis antigen test XaJNe

Chlamydia antigen by ELISA XaClh



Gonococcal cervical swab XaIx2

Gonococcal urethral swab XaIxB

Gonococcal swab XaIx3



Treponema screening test XaIaD

Fluorescent treponemal antibody test X77bm

V.D.R.L. test 4384.

Treponema pallidum haemaglutination test XE24y

Treponema pallidum particle inhibition test XaIvX

Syphilis serology X77bl



Herpes simplex antigen (EIA) XaFua

Herpes simplex virus isolation XaKFg

Herpes simplex IgG level XaJJL

Herpes simplex IgM level XaIRy



Hepatitis B screening. 6828.

Hepatitis C screening XaJh4

Hepatitis B surface antigen level XaFuS

Hepatitis B core antigen test XaEOm

Hepatitis B surface antibody level XaFuR

Hepatitis B core antibody level XaFuU

Hepatitis C antigen level XaILw

Hepatitis C antibody level XaEOG

CTV3 Description





Human immunodeficiency virus test

Blood sent for HTLV-3 serology

HIV p24 antigen level

HIV screening test

Antenatal HIV screening

HIV screening



Urine screen for chlamydia

Endocervical chlamydia swab

Urethral chlamydia swab

Low vaginal swab for chlamydia taken by patient

Chlamydia trachomatis antigen test

Chlamydia antigen by ELISA



Gonococcal cervical swab

Gonococcal urethral swab

Gonococcal swab



Treponema screening test

Fluorescent treponemal antibody test

Venereal diseases research laboratory test

Treponema pallidum haemaglutination test

Treponema pallidum particle agglutination test

Syphilis serology



Herpes simplex antigen (EIA)

Herpes simplex virus isolation

Herpes simplex IgG level

Herpes simplex IgM level



Hepatitis B screening

Hepatitis C screening

Hepatitis B surface antigen level

Hepatitis B core antigen test

Hepatitis B surface antibody level

Hepatitis B core antibody level

Hepatitis C antigen level

Hepatitis C antibody test

Read V2

Code





Number testing positive for HIV: 43C3.

A788.%



Number testing positive for Chlamydia: 46H6.

4JK7.

4JK10

43U4.

43U8.

43U1.

A78A.%



Number testing positive for gonorrhoea: 4JK50

4JK7.

4JK10

4JQA.

A98..%



Number testing positive for syphilis: 4382.

438B.

A91..%



Number testing positive for genital herpes: A541.%

A7812

4J32.







Number testing positive for hepatitis B and C: A703.

A707.%

A7050

43B6.

43B7.

Read V2 Description CTV3 Code







HTLV-3 antibody positive 43C3.

Acquired immune deficiency syndrome X70M6



Urine chlamydia trachomatis test positive XaKID

Vaginal swab culture positive 4JK7.

Urethral swab culture positive 4JK10

Chlamydia PCR positive XaJbE

Chlamydia test positive XaLKB

Chlamydia antigen ELISA positive XaF8W

Chlamydial infection A78A.%



Cervical swab culture positive 4JK50

Vaginal swab culture positive 4JK7.

Urethral swab culture positive 4JK10

Gonorrhoea test positive XaLos

Gonococcal infections A98..%



Syphilis titre test positive 4382.

Trep. Pallidum ELISA positive XaIQI

Early symptomatic syphilis X70MH%



Genital herpes simplex A541.%

Genital warts XE0RT

Sample virus identified 4J32.

Request new term

Herpes type 1 & 2 infection



Viral (serum) hepatitis B A703.%

Chronic viral hepatitis X306e

Viral hepatitis C without mention of hepatic coma X306k

Hepatitis B non-immune 43B6.

Hepatitis C non-immune Xa0v1

Request new codes:

Hep B and Hep C screening positive

CTV3 Description







HIV positive

Human immunodeficiency virus infection



Urine chlamydia trachomatis test positive

Vaginal swab culture positive

Urethral swab culture positive

Chlamydia PCR positive

Chlamydia test positive

Chlamydia antigen ELISA positive

Chlamydial infection - (choose appropriate terms)



Cervical swab culture positive

Vaginal swab culture positive

Urethral swab culture positive

Gonorrhoea test positive

Gonococcal infection - (choose appropriate terms)



Syphilis titre test positive

Treponema pallidum ELISA positive

Acquired syphilis - (choose appropriate terms)



Genital herpes simplex

Genital warts

Sample: virus identified

Request new term

Herpes type 1 & 2 infection



Viral serum hepatitis B

Acute hepatitis C

Chronic viral hepatitis C

Hepatitis B non-immune

Hepatitis C non-immune

Request new codes:

Hep B and Hep C screening positive

Read V2

Code

Use of Service

A Number of patients who have been given 43C..

an HIV test within the past year 43C1.

4J35.

4JR7.

62b..

6827.



Pre - test Counselling

B Of those in A – Number who had received 677N.

pre-test counselling and advice within the 677J.

Practice.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the



Test results

C Of those in A - Number who have tested 43C2.

negative for HIV. 4J33.



E Of those in A - Number who have tested 43C3.

positive for HIV. A788.%



Post test counselling

D Of those in C (HIV negative) - number 6773.

who received post-test counselling and 67I2.

advice about future sexual health. 8CAE.

679S.

679K.

8CEC.



D1 Of those in C (HIV negative) - number 6713.

who refused post-test counselling 6782

9Oh8.



F Of those in E (HIV positive) - number who 6773.

have received post-test counselling and 6772.

advice about referral and treatment. 679S.

679K.

8CEC.

ZV6D4

677B.



F1 Of those in E (HIV positive) - number who 6713.

have refused post-test counselling 6782.

9Oh8.



Contact tracing

G Of those in E - number whose contacts 65X..

have been traced. (Contacts should be

offered counselling and HIV test)

J Number of contacts who have been Record the type of contact:

offered an HIV test 65PR.

ZV019



Record HIV test offered etc.

43C..

43C1.

4J35.

4JR7.

62b..

6827.



Referral

H Of those in E - Number who have been 8H4A.

referred to secondary care appropriately. 8HTR.



Treatment / Shared care

I Of those in H- Number who are receiving 66S1.

treatment/ shared care between the 66S2.

Practice and secondary care.

Read V2 Description CTV3 Code





HTLV-3 antibody test 43C..

Blood sent for HTLV-3 serology 43C1.

HIV p24 antigen level XaFuO

HIV screening test XaIon

Antenatal HIV screening XaIOI

AIDS (HTLV-III) screening 6827.





HIV screening counselling XaLIE

Pre-screening counselling Ua1O4





Counselling not wanted 6713.







HTLV-3 antibody negative 43C2.

Sample: no virus identified 4J33.



HTLV-3 antibody positive 43C3.

Acquired immune deficiency syndrome X70M6





Investig result counselling 6773.

Advice about HIV prevention XaEFk

Patient advised about the risks of HIV 8CAE.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

[V]Human immunodefiency virus counselling ZV6D4

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs





Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt

Record the type of contact:

Human immunodeficiency virus contact XaLHr

[V]Contact with and exposure to human immunodeficiency virus ZV019



Record HIV test offered etc. Record HIV test offered etc.

HTLV-3 antibody test 43C..

Blood sent for HTLV-3 serology 43C1.

HIV p24 antigen level XaFuO

HIV screening test XaIon

Antenatal HIV screening XaIOI

AIDS (HTLV-III) screening 6827.





Referred to venereologist 8H4A.

Referral to sexually transmitted infections clinic XaJcA





Full care by specialist XE1TC

Shared care - specialist / GP XE1TD

CTV3 Description





Human immunodeficiency virus test

Blood sent for HTLV-3 serology

HIV p24 antigen level

HIV screening test

Antenatal HIV screening

HIV screening





HIV screening counselling

Pre-screening counselling





Counselling not wanted







HIV negative

Sample: no virus identified



HIV positive

Human immunodeficiency virus infection





Investigation result counselling

Advice about HIV prevention

Patient advised about the risks of HIV

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

[V]Human immunodefiency virus counselling

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined





Contact tracing

Referral to contact tracing nurse

Human immunodeficiency virus contact

[V]Contact with and exposure to human immunodeficiency virus



Record HIV test offered etc.

Human immunodeficiency virus test

Blood sent for HTLV-3 serology

HIV p24 antigen level

HIV screening test

Antenatal HIV screening

HIV screening





Referred to venereologist

Referral to sexually transmitted infections clinic





Full care by specialist

Shared care - specialist and GP

Read V2

Code

Use of Service

A Number of patients who have been given a 68K7.

chlamydia test in the past year: 4JK9.

4JKA.

4JKD.

43U3.

43U0.



Pre - test Counselling

B Of those in A – Number who had received 677J.

pre-test counselling and advice within the 677L.

Practice.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the



Test results

C Of those in A - Number who have tested 46H7.

negative for Chlamydia. 4JK11

4JK6.

43U5.

43U6.

43U2.



E Of those in A – Number who have tested 46H6.

positive for Chlamydia. (Screening for 4JK7.

other STIs is recommended ref:Prodigy 4JK10

guidance) 43U4.

43U8.

43U1.

A78A.%



Post test counselling

D Of those in C – number who received 6773.

post-test counselling and advice about 679S.

future sexual health. 679K.

8CEC.



D1 Of those in C - number who refused post- 6713.

test counselling 6782.

9Oh8.



F Of those in E (Chlamydia positive) - 6773.

number who have received post-test 6772.

counselling and advice about treatment. 679S.

679K.

8CEC.

677B.



F1 Of those in E - number who have refused 6713.

post-test counselling 6782.

9Oh8.

Contact tracing

G Of those in E - number whose contacts 65X..

have been traced.



Treatment

H Of those in E – Number who have been e75..%

treated appropriately. (Antimicrobial e93..%

therapy for up to 10 days) eg8..%

e91..%

e93..%



H1 Of those in E - Number who have 8B3O.%

declined drug therapy



Follow - up

I Of those in H – Number who have

received a follow up test for Chlamydia to

test the efficacy of treatment.



I1 Of those in H - Number who have refused 8HA5.

follow up 9N42.

9N41.

Read V2 Description CTV3 Code





Urine screen for Chlamydia XaJny

Endocervical Chlamydia swab XaIOG

Urethral chlamydia swab XaIOH

Low vaginal swab for chlamydia taken by patient XaLI0

Chlamydia trachomatis antigen test XaJNe

Chlamydia antigen by ELISA XaClh





Pre-screening counselling Ua1O4

Chlamydia screening counselling XaLHn





Counselling not wanted 6713.







Urine chlamydia trachomatis test negative XaKIG

Urethral swab culture negative 4JK11

Vaginal swab culture negative 4JK6.

Chlamydia PCR negative XaJbF

Chlamydia test negative XaLKA

Chlamydia antigen ELISA negative XaF8V



Urine chlamydia trachomatis test positive XaKID

Vaginal swab culture positive 4JK7.

Urethral swab culture positive 4JK10

Chlamydia PCR positive XaJbE

Chlamydia test positive XaLKB

Chlamydia antigen ELISA positive XaF8W

Chlamydial infection - (choose appropriate terms) A78A.%





Investig result counselling 6773.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt



Choose appropriate genric/branded products from the sections below

Doxycycline e75..%

Azithromycin e93..%

Ofloxacin eg8..%

Erythromycin x01Ho%

Azithromycin e93..%



Drug declined by patient 8B3O.%

Choose appropriate child concept





No suitable Read Code exists, request for: Patient reviewed following

treatment for STD

Then record appropriate test performed and the result.



Follow-up refused 8HA5.

Did not attend - no reason XE2NM

Did not attend - reason given 9N41.

CTV3 Description





Urine screen for chlamydia

Endocervical chlamydia swab

Urethral chlamydia swab

Low vaginal swab for chlamydia taken by patient

Chlamydia trachomatis antigen test

Chlamydia antigen by ELISA





Pre-screening counselling

Chlamydia screening counselling





Counselling not wanted







Urine chlamydia trachomatis test negative

Urethral swab culture negative

Vaginal swab culture negative

Chlamydia PCR negative

Chlamydia test negative

Chlamydia antigen ELISA negative



Urine chlamydia trachomatis test positive

Vaginal swab culture positive

Urethral swab culture positive

Chlamydia PCR positive

Chlamydia test positive

Chlamydia antigen ELISA positive

Chlamydial infection - (choose appropriate terms)





Investigation result counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Contact tracing

Referral to contact tracing nurse



Choose appropriate genric/branded products from the sections below

Doxycycline

Azithromycin

Ofloxacin

Oral erythromycin

Azithromycin



Drug declined by patient

Choose appropriate child concept





No suitable Read Code exists, request for: Patient reviewed following

treatment for STD

Then record appropriate test performed and the result.



Follow-up refused

Did not attend - no reason

Did not attend - reason given

Read V2

Code

Use of Service

A Number of patients who have been given 4JKB.

a test for Gonorrhoea in the past year. 4JKC.

4JLA.





Pre - test Counselling

B Of those in A – Number who had received 677J.

pre-test counselling and advice within the 677M

Practice.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the

Practice.



Test results

C Of those in A - Number who have tested 4JK51

negative for Gonorrhoea. 4JK11

4JQ8.



E Of those in A – Number who have tested 4JK50

positive for gonorrhoea. (Screening for 4JK7.

other STIs is recommended ref:Prodigy 4JK10

guidance) 4JQA.

A98..%



Post test counselling

D Of those in C – number who received post- 6773.

test counselling and advice about future 679S.

sexual health. 679K.

8CEC.



D1 Of those in C - number who refused post- 6713.

test counselling 6782.

9Oh8.



F Of those in E (Gonorrhoea positive) - 6773.

number who have received post-test 6772.

counselling and advice about treatment. 679S.

679K.

8CEC.

677B.



F1 Of those in E - number who have refused 6713.

post-test counselling 6782.

9Oh8.

Contact tracing

G Of those in E - number whose contacts 65X..

have been traced.

65PK.



Treatment

H Of those in E (ie those who had a positive e6m4.

test) – Number who have been treated e6h1.

appropriately. (Single dose antimicrobial eg6w.

therapy)



H1 Of those in E - Number who have declined 8B3O.%

drug therapy



Follow - up

I Of those in H – Number who have 8H8..%

received follow–up to assess compliance 8HB1.

with therapy and resolution of symptoms. 8HTR.



I1 Of those in H - Number who have refused 8HA5.

follow up 9N42.

9N41.

Read V2 Description CTV3 Code





Gonococcal cervical swab XaIx2

Gonococcal urethral swab XaIxB

Gonococcal swab XaIx3

Request new term, Urine screen for gonorrohoea





Pre-screening counselling Ua1O4

Gonorrhoea screening counselling XaLI4





Counselling not wanted 6713.









Cervical swab culture negative 4JK51

Urethral swab culture negative 4JK11

Gonorrhoea test negative XaLoq



Cervical swab culture positive 4JK50

Vaginal swab culture positive 4JK7.

Urethral swab culture positive 4JK10

Gonorrhoea test positive XaLos

Gonococcal infections - (choose appropriate terms) A98..%





Investig result counselling 6773.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs

Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt

Gonorrhoea contact Xa0Qw





CEFTRIAXONE 250mg injection e6m4.%

CEFIXIME 200mg tablets e6h1.%

CIPROFLOXACIN 500mg tablets eg6w.%





Drug declined by patient 8B3O.%

Choose appropriate child concept





Follow-up arranged 8H8..%

Recall arranged 8HB1.

Referral to sexually transmitted infections clinic XaJcA



Follow-up refused 8HA5.

Did not attend - no reason XE2NM

Did not attend - reason given 9N41.

CTV3 Description





Gonococcal cervical swab

Gonococcal urethral swab

Gonococcal swab

Request new term, Urine screen for gonorrohoea





Pre-screening counselling

Gonorrhoea screening counselling





Counselling not wanted









Cervical swab culture negative

Urethral swab culture negative

Gonorrhoea test negative



Cervical swab culture positive

Vaginal swab culture positive

Urethral swab culture positive

Gonorrhoea test positive

Gonococcal infection - (choose appropriate terms)





Investigation result counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined

Contact tracing

Referral to contact tracing nurse

Gonorrhoea contact





Ceftriaxone 250mg injection (pdr for recon)

Cefixime 200mg tablet

Ciprofloxacin 500mg tablet





Drug declined by patient

Choose appropriate child concept





Follow-up arranged

Recall arranged

Referral to sexually transmitted infections clinic



Follow-up refused

Did not attend - no reason

Did not attend - reason given

Read V2

Code

Use of Service

Number of patients who have been given a 4JR4.

test for Syphilis in the past year. 4386.

4384.

4387.

4388.

4389.



Pre - test Counselling

B Of those in A – Number who had received 677J.

pre-test counselling and advice within the 677P.

Practice.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the

Practice.



Test results

C Of those in A - Number who have tested 4381.

negative for syphilis. 438A.



E Of those in A – Number who have tested 4382.

positive for syphilis. 438B.

A91..%



Post test counselling

D Of those in C – number who received 6773.

post-test counselling and advice about 679S.

future sexual health. 679K.

8CEC.



D1 Of those in C - number who refused post- 6713.

test counselling 6782.

9Oh8.



F Of those in E (Syphilis positive) - number 6773.

who have received post-test counselling 6772.

and advice about treatment. 679S.

679K.

8CEC.

677B.



F1 Of those in E - number who have refused 6713.

post-test counselling 6782.

9Oh8.



Contact tracing

G Of those in E - number whose contacts 65X..

have been traced.

67M..

65PN.

Treatment for contacts e758.



Treatment

H Of those in E – Number who have been e16..%

treated appropriately. (Antimicrobial

therapy)



H1 Of those in E - Number who have 8B3O.%

declined drug therapy



Follow - up

I Of those in H – Number who have 8H89.

received a first follow up test for Syphilis

after 3 months,.



J Of those in H – Number who have 8H8A.

received a second follow up test for

Syphilis after 6 months



K Of those in H – Number who have 8H8B.

received a third follow up test for Syphilis

after 1 year)



L Of those in H - Number who have refused 8HA5.

follow up 9N42.

9N41.

Read V2 Description CTV3 Code





Treponema screening test XaIaD

Fluorescent treponemal antibody test X77bm

V.D.R.L. test 4384

Treponema pallidum haemaglutination test XE24y

Treponema pallidum particle inhibition test XaIvX

Syphilis serology X77bl





Pre-screening counselling Ua1O4

Syphilis screening counselling XaLTt





Counselling not wanted 6713.









Syphilis titre test negative 4381.

Treponema pallidum ELISA negative XaIQH



Syphilis titre test positive 4382.

Trep. Pallidum ELISA positive XaIQI

Early symptomatic syphilis - (choose appropriate terms) X70MH%





Investig result counselling 6773.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs





Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt

Informing partner XaJ5u

Syphilis contact Xa0Qx

DOXYCYCLINE 100mg capsules e758.





PROCAINE PENICILLIN e16..%







Drug declined by patient 8B3O.%

Choose appropriate child concept





Follow-up 4-6 months 8H89.

Request new term

Syphilis screen 3 months post treatment



Follow-up 7-11 months 8H8A.

Request new term

Syphilis screen 6 months post treatment



Follow-up 1 year 8H8B.

Request new term

Syphilis screen 1 year post treatment



Follow-up refused 8HA5.

Did not attend - no reason XE2NM

Did not attend - reason given 9N41.

CTV3 Description





Treponema screening test

Fluorescent treponemal antibody test

Venereal diseases research laboratory test

Treponema pallidum haemaglutination test

Treponema pallidum particle agglutination test

Syphilis serology





Pre-screening counselling

Syphilis screening counselling





Counselling not wanted









Syphilis titre test negative

Treponema pallidum ELISA negative



Syphilis titre test positive

Treponema pallidum ELISA positive

Acquired syphilis - (choose appropriate terms)





Investigation result counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined





Contact tracing

Referral to contact tracing nurse

Informing partner

Syphilis contact

Doxycycline 100mg capsule





PROCAINE PENICILLIN







Drug declined by patient

Choose appropriate child concept





Follow-up 4-6 months

Request new term

Syphilis screen 3 months post treatment



Follow-up 7-11 months

Request new term

Syphilis screen 6 months post treatment



Follow-up 1 year

Request new term

Syphilis screen 1 year post treatment



Follow-up refused

Did not attend - no reason

Did not attend - reason given

Read V2

Code

Use of Service

Number of patients tested for a first 4J36.

episode of genital herpes in the past year: 4J3C.

43dm.

43de.



Pre - test Counselling

B Of those in A – Number who had received 677J.

pre-test counselling and advice within the

Practice.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the

Practice.



Test results

C Of those in A – Number who have tested 4J33.

negative for genital herpes.





E Of those in A – Number who have tested A541.%

positive for genital herpes. A7812

4J32.









Post test counselling

D Of those in C – number who received post- 6773.

test counselling and advice about future 679S.

sexual health. 679K.

8CEC.



D1 Of those in C - number who refused post- 6713.

test counselling 6782.

9Oh8.



F Of those in E – number who have 6773.

received post-test counselling and advice 6772.

about treatment. 679S.

679K.

8CEC.

677B.



F1 Of those in E - number who have refused 6713.

post-test counselling 6782.

9Oh8.

Contact tracing

G Of those in E - number whose contacts 65X..

have been traced.

67M..

65PQ.



Treatment

H Of those in E – Number who have received ei15.

appropriate first episode treatment. (oral ei1h.

antiviral therapy for 5 days BASHH ei1j.

guideline) ei18.

ei1a.

ei1l.

ei9..%

eiC..%



H1 Of those in E - Number who have declined 8B3O.%

drug therapy



Follow - up

I Of those in H number who have received 8H84.

a follow up appointment after 5-7 days to

assess lesions and further treatment if

needed



I1 Of those in H - Number who have refused 8HA5.

follow up 9N42.

9N41.



Ongoing treatment

J Of those in H – Number who are receiving

ongoing treatment for recurrent episodes

of genital herpes.



Referral for specialist treatment

Number in I who have been referred for 8H4A.

specialist treatment ie if pregnant, have 8HVP.

acute urinary retention, are 8HTR.

immunocompromised, need professional 8HHw.

counselling

Read V2 Description CTV3 Code





Herpes simplex antigen (EIA) XaFua

Herpes simplex virus isolation XaKFg

Herpes simplex IgG level XaJJL

Herpes simplex IgM level XaIRy





Pre-screening counselling Ua1O4

Request new term:

Genital herpes screening counselling



Counselling not wanted 6713.









Sample: no virus identified 4J33.

Request new terms:

Negative results for Herpes simplex tests



Genital herpes simplex A541.%

Genital warts XE0RT

Sample virus identified 4J32.

Request new term

Herpes type 1 & 2 infection





Investig result counselling 6773.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs

Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt

Informing partner XaJ5u

Genital herpes simplex contact X70JW





ACICLOVIR 200mg tablets. ei15.%

ACICLOVIR 200mg dispersable tablets ei1h.%

ZOVIRAX 200mg dispersible tablets ei18.%

ACICLOVIR 400mg tablets ei1k.%

ZOVIRAX CP 400mg tablets ei9..%

ZOVIRAX 400mg dispersible tablets eiC..%

FAMCICLOVIR

VALACICLOVIR



Drug declined by patient 8B3O.%

Choose appropriate child concept





Follow-up 1 week 8H84.









Follow-up refused 8HA5.

Did not attend - no reason XE2NM

Did not attend - reason given 9N41.





No suitable Read Codes exist. Request:

Recurrent genital herpes

Treatment of recurrent genital herpes





Referred to venereologist 8H4A.

Private referral to venereologist 8HVP.

Referral to sexually transmitted infections clinic XaJcA

Refer to community sexual health advisor XaLHR

CTV3 Description





Herpes simplex antigen (EIA)

Herpes simplex virus isolation

Herpes simplex IgG level

Herpes simplex IgM level





Pre-screening counselling

Request new term:

Genital herpes screening counselling



Counselling not wanted









Sample: no virus identified

Request new terms:

Negative results for Herpes simplex tests



Genital herpes simplex

Genital warts

Sample: virus identified

Request new term

Herpes type 1 & 2 infection





Investigation result counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined

Contact tracing

Referral to contact tracing nurse

Informing partner

Genital herpes simplex virus contact





Aciclovir 200mg tablet

Aciclovir 200mg dispersible tablet

Aciclovir 400mg tablet

Aciclovir 400mg dispersible tablet

FAMCICLOVIR

VALACICLOVIR







Drug declined by patient

Choose appropriate child concept





Follow-up 1 week









Follow-up refused

Did not attend - no reason

Did not attend - reason given





No suitable Read Codes exist. Request:

Recurrent genital herpes

Treatment of recurrent genital herpes





Referred to venereologist

Private referral to venereologist

Referral to sexually transmitted infections clinic

Refer to community sexual health advisor

Read V2

Code

Use of Service

Number of patients having had a test for 6828.

hepatitis in the past year: 6829.

43d9.

43B8.

43d8.

43dB.

43k1.

43X6.



Pre - test Counselling

B Of those in A – Number who had received 677J.

pre-test counselling and advice within the 677R.

Practice. 677Q.



B1 Of those in A - Number who refused pre- 6713.

test counselling and advice within the

Practice.



Test results

C Of those in A – Number who have tested

negative for hepatitis



F Of those in A – Number who have tested A703.

positive for hepatitis. A707.%

A7050

43B6.

43B7.







Post test counselling

D Of those in C – number who received 6773.

post-test counselling and advice about 679S.

future sexual health. 679K.

8CEC.



D1 Of those in C - number who refused post- 6713.

test counselling 6782.

9Oh8.



G Of those in F – number who have 6773.

received post-test counselling and advice 6772.

about treatment. 679S.

679K.

8CEC.

677B.



G1 Of those in F - number who have refused 6713.

post-test counselling 6782.

9Oh8.

Contact tracing

H Of those in F - number whose contacts 65X..

have been traced.

67M..

65PL.

65PM.



At Risk

E Number’ at risk’ patients who have been n46..%

immunised for hepatitis (‘Green book’) 65F..%





Treatment / Referral

I Of those in F - number who have been 8Hk5.

appropriately referred





Follow - up

J Of those in I – Number who have

received a follow up test for hepatitis after

6 months.(BASHH)



K Of those in I -Number with chronic

infection who are receiving regular review

(approx 1 yearly intervals BASHH)



L Of those in I – Number who have refused 8HA5.

follow up 9N42.

9N41.

Referral

M Number in J whose follow up test is +ve 8H48.

and have been referred for liver function 8HVN.

testing 8Hk5.

44D6.

Read V2 Description CTV3 Code





Hepatitis B screening. 6828.

Hepatitis C screening XaJh4

Hepatitis B surface antigen level XaFuS

Hepatitis B core antigen test XaEOm

Hepatitis B surface antibody level XaFuR

Hepatitis B core antibody level XaFuU

Hepatitis C antigen level XaILw

Hepatitis C antibody level XaEOG





Pre-screening counselling Ua1O4

Hepatitis B screening counselling XaLTv

Hepatitis C screening counselling XaLTu



Counselling not wanted 6713.









Request new codes:

Hep B and Hep C screening negative



Viral (serum) hepatitis B A703.%

Chronic viral hepatitis X306e

Viral hepatitis C without mention of hepatic coma X306k

Hepatitis B non-immune 43B6.

Hepatitis C non-immune Xa0v1

Request new codes:

Hep B and Hep C screening positive





Investig result counselling 6773.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs



Investig result counselling 6773.

Disease counselling 6772.

Health education. - safe sex XaKuU

Health education - sexual health XaIyP

Safer sex leaflet given XaLoH

Advice about treatment given 677B.



Counselling not wanted 6713.

Health education not wanted 6782.

Personal risk assessment declined XaJDs

Contact tracing Ua1RW

Referral to contact tracing nurse - new request XaAgt

Informing partner XaJ5u

Hepatitis B contact Xa1pO

Hepatitis C contact XaLGb





HEPATITIS B VACCINE n46..%

Other viral vaccinations X74VC%

(choose those relevant to Hep B)





Referred to hepatology service XaLrh

Request new code:

Hepatitis antigen positive councelling





Request new term

6 month hepatitis status follow-up





Request new term

Chronic hepatitis annual review





Follow-up refused 8HA5.

Did not attend - no reason XE2NM

Did not attend - reason given 9N41.



Gastroenterological referral 8H48.

Private referral to Gastroenterologist 8HVN.

Referred to hepatology service XaLrh

Liver function test X77WP

CTV3 Description





Hepatitis B screening

Hepatitis C screening

Hepatitis B surface antigen level

Hepatitis B core antigen test

Hepatitis B surface antibody level

Hepatitis B core antibody level

Hepatitis C antigen level

Hepatitis C antibody test





Pre-screening counselling

Hepatitis B screening counselling

Hepatitis C screening counselling



Counselling not wanted









Request new codes:

Hep B and Hep C screening negative



Viral serum hepatitis B

Acute hepatitis C

Chronic viral hepatitis C

Hepatitis B non-immune

Hepatitis C non-immune

Request new codes:

Hep B and Hep C screening positive





Investigation result counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given



Counselling not wanted

Health education not wanted

Personal risk assessment declined



Investigation result counselling

Disease counselling

Health education. - safe sex

Health education - sexual health

Safer sex leaflet given

Advice about treatment given



Counselling not wanted

Health education not wanted

Personal risk assessment declined

Contact tracing

Referral to contact tracing nurse

Informing partner

Hepatitis B contact

Hepatitis C contact





Hepatitis B vaccine

Hepatitis B immunisation







Referred to hepatology service

Request new code:

Hepatitis antigen positive councelling





Request new term

6 month hepatitis status follow-up





Request new term

Chronic hepatitis annual review





Follow-up refused

Did not attend - no reason

Did not attend - reason given



Referral to gastroenterology service

Private referral to gastroenterologist

Referred to hepatology service

Liver function tests

Read V2

Code



Gender 1K0..

1K1..

1K2..

1K3..



Sexuality E2200

E2201

13m0.

13m1.



Ethnicity 9i…%





Lifestyle 13c..%

1T…%





Record of mental illness 9HA0.

9H8..

Read V2 Description CTV3 Code





Male X768D

Female X768C

Gender unknown XaIg0

Gender unspecified XaIg1



Male homosexuality E2200

Lesbianism E2201

Bisexual X766r

Heterosexual X766q



Ethnic category - 2001 census XaJQu

Choose appropriate ethnic category from this section



Drug user Ub0mt%

History of substance misuse XaMyB%

Choose appropriate drug lifestyle from these section



On depression register XaJWh

On severe mental illness register XaIWQ

CTV3 Description





Male

Female

Gender unknown

Gender unspecified



Male homosexual

Female homosexual

Bisexual

Heterosexual



Ethnic category - 2001 census

Choose appropriate ethnic category from this section



Drug user

History of substance misuse

Choose appropriate drug lifestyle from these section



On depression register

On severe mental illness register



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