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Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
254 3 NAACCR 2013 13

NAACCR XML: Patient.birthplaceCountry

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 historic use only
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
CSK Czechoslovakia (former)
YUG 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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