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Framework that allows defining file formats (layouts) and use them to read and write data files.
Alternate Name
Item #
Length
Source of Standard
Column #
254
3
NAACCR
444 - 446
Description
Code for the country in which the patient was born. If the patient has multiple tumors, all records should contain the same code. This data item became part of the NAACCR transmission record effective with Volume II, Version 13 in order to include country and state for each geographic item and to use interoperable codes. It supplements the item BIRTHPLACE--STATE [252]. These two data items are intended to replace the use of BIRTHPLACE [250].
Rationale
Place of Birth is helpful for patient matching and can be used when reviewing race and ethnicity. It is an important item in algorithms for imputing race and ethnicity. In addition, adding birthplace data to race and ethnicity allows for a more specific definition of the population being reported. Careful descriptions of ancestry, birthplace, and immigration history of populations studied are needed to make the basis for classification into ethnic groups clear. Birthplace has been associated with variation in genetic, socioeconomic, cultural, and nutritional characteristics that affect patterns of disease. A better understanding of the differences within racial and ethnic categories also can help states develop effective, culturally-sensitive public health prevention programs to decrease the prevalence of high-risk behaviors and increase the use of preventive services.
Codes
Custom codes for both historic and future use
ZZN
North America NOS
ZZC
Central American NOS
ZZS
South America NOS
ZZP
Pacific NOS
ZZE
Europe NOS
ZZF
Africa NOS
ZZA
Asia NOS
ZZX
Non-US NOS
ZZU
Unknown
Custom codes for historic use only
XNI
North American Islands
XCB
Other Caribbean Islands
XEN
England, Channel Islands, Isle of Man
XSC
Scandinavia
XGR
Germanic Countries
XSL
Slavic Countries
XCZ
Czechoslovakia (former)
XYG
Yugoslavia (former)
XUM
Ukraine and Moldova
XNF
North Africa
XSD
Sudanese Countries
XWF
West Africa
XSF
South Africa
XEF
East Africa
XIF
African Islands
XET
Ethiopia and Eritrea
XAP
Arabian Peninsula
XIS
Israel and Palestine
XCR
Caucasian Republics of former USSR
XOR
Other Asian Republics of former USSR
XSE
Southeast Asia
XMS
Malaysia, Singapore, Brunei
XCH
China, NOS
XML
Melanesian Islands
XMC
Micronesian Islands
XPL
Polynesian Islands
See Appendix B for numeric and alphabetic lists of places and codes (also see Appendix B of the SEER Program Code Manual at
seer.cancer.gov/tools/codingmanuals/index.html).
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