Cervical Screening Test Report Format

Section 6. Reporting of the NPAAC Requirements for Laboratories Reporting Tests for the National Cervical Screening Program (First Edition 2017) – [the Requirements] states the requirements for reporting cervical screening test results as follows:

S6.2 The content of the report must include an overall cervical screening risk classification, specimen type, test results and management recommendation.

S6.3 The report format and management recommendation must be in accordance with the NCSP 2016 Guidelines and must take into account the previous screening history from the NCSR.

Chapter 3 – Terminology of the National Cervical Screening Program: Guidelines for the management of screen-detected abnormalities, screening in specific populations and investigation of abnormal vaginal bleeding (2016Guidelines) contains a section on the preparation of cervical screening reports which sets out the required content and format of cervical screening test reports.

Laboratory medicine professionals who prepare cervical screening test reports should ensure that they are familiar with this important section of the 2016 Guidelines. The following brief summary of this section is provided as a guide only and is not comprehensive.

Cervical Screening Test reports must include:

  • An overall cervical screening risk classification, as below:
    • Low-risk for significant cervical abnormality; or
    • Intermediate risk for significant cervical abnormality; or
    • Higher risk for significant cervical abnormality; or
    • Unsatisfactory.
  • Specimen type, including:
    • Sample medium
    • Method of collection (practitioner or self-collected)
    • Site – i.e. cervix
  • Test results, as below:
    • HPV test
      • HPV test method
      • HPV test result (oncogenic HPV 16/18 detected, oncogenic HPV not 16/18 detected, oncogenic HPV not detected, unsatisfactory)
    • LBC
      • LBC method (image assisted or manually screened)
      • Report on epithelial cell findings using AMBS terminology
      • Statement on presence or absence of endocervical component
      • Comment on presence of organisms and other non-neoplastic findings if detected/identified
  • Recommendation for management, as set out in the Guidelines:

This section of the Guidelines also provides guidance on the preparation of stand-alone LBC reports when requested without an HPV test:

  • at the time of colposcopy
  • where reflex LBC has been reported as ‘Unsatisfactory’ following the detection of oncogenic HPV (not 16/18)
  • following the detection of Oncogenic HPV (not 16/18) in a self-collected sample.

Examples of cervical screening test reports

Sample cervical screening test reports are provided in the Supplement to this chapter of the Guidelines.

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