layout.fixed.naaccr.doc.naaccr16.textHistologyTitle.html Maven / Gradle / Ivy

Go to download

Show more of this group Show more artifacts with this name
Show all versions of layout Show documentation

Framework that allows defining file formats (layouts) and use them to read and write data files.

There is a newer version: 6.2


    
        Alternate Name
        Item #
        Length
        Source of Standard
        Implemented Year
        Implemented Version
        Retired Year
        Retired Version
        Column #
    
    
        
        2590
        100
        NPCR
        
        
        
        
        11665 - 11764
    


Description
Text area for manual documentation of information regarding the histologic type, behavior, and grade (differentiation) of the tumor being reported.
Rationale
Text documentation is an essential component of a complete electronic report and is heavily utilized for quality control and special studies. Text is needed to justify coded values and to document supplemental information not transmitted within coded values. High-quality text documentation facilitates consolidation of information from multiple reporting sources at the central registry.

The text field must contain a description that has been entered by the reporter independently from the code(s). If software generates text automatically from codes, the text cannot be utilized to check coded values. Information documenting the disease process should be entered manually from the medical record
    and should not be generated electronically from coded values.

Instructions
    
        Prioritize entered information in the order of the fields listed below.
        Text automatically generated from coded data is not acceptable.
        NAACCR-approved abbreviations should be utilized (see Appendix G).
        Do not repeat information from other text fields.
        Additional comments can be continued in empty text fields, including Remarks. For text documentation that is continued from one text field to another, use asterisks or other symbols to indicate the connection with preceding text.
        If information is missing from the record, state that it is missing.
        Do not include irrelevant information.
        Do not include information that the registry is not authorized to collect.
    
    Note: For software that allows unlimited text, NAACCR recommends that the software indicate to the reporter the portion of the text that will be transmitted to the central registry.

Suggestions for text:
    
        Information on histologic type and behavior
        Information on differentiation from scoring systems such as Gleason’s Score, Bloom-Richardson Grade, etc.
    

Data Item(s) to be verified/validated using the text entered in this field
    
After manual entry of the text field, ensure that the text entered both agrees with the coded values and clearly justifies the selected codes in the following fields:


    
        
        
            
                Item name
            
                Item number
        
        
            
                Histology (92-00) ICD-O-2
            
                420
        
        
            
                Behavior (92-00) ICD-O-2
            
                430
        
        
            
                Histologic Type ICD-O-3
            
                522
        
        
            
                Behavior Code ICD-O-3
            
                523
        
        
            
                Grade
            
                440

Item name	Item number
Histology (92-00) ICD-O-2	420
Behavior (92-00) ICD-O-2	430
Histologic Type ICD-O-3	522
Behavior Code ICD-O-3	523
Grade	440