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

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    Item #
    Length
    Source of Standard
    Year Implemented
    Version Implemented
    Year Retired
    Version Retired
  
  
    2530
    4000
    NPCR
    
    
    
    
  



NAACCR XML: Tumor.textDxProcXRayScan




Description
Text area for manual documentation from all X-rays, scan, and/or other imaging examinations that provide information about staging.
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.

InstructionsPrioritize 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:Date(s) and type(s) of X-ray/Scan(s)
Primary site
Histology (if given)
Tumor location
Tumor size
Lymph nodes
Record positive and negative clinical findings. Record positive results first
Distant disease or metastasis
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
             
         
         
             
             Date of Diagnosis
             
             
             390
             
         
         
             
             RxSumm--Dx/Stg Proc
             
             
             1350
             
         
         
             
             Primary Site
             
             
             400
             
         
         
             
             Laterality
             
             
             410
             
         
         
             
             Histology (92-00) ICD-O-2
             
             
             420
             
         
         
             
             Histologic Type ICD-O-3
             
             
             522
             
         
         
             
             Collaborative Stage variables
             
             
             2800-2930
             
         
         
             
             SEER Summary Stage 2000
             
             
             759
             
         
         
             
             SEER Summary Stage 1977
             
             
             760
              
         
         
             
             Summary Stage 2018

             
             
             764
 
         
         
             
             AJCC TNM Data Items

             
             
             1001-1036
 
         
         
             
             EOD Data Items

             
             
             772-776
 
         
         
             
             Site-specific SSDI Data Items

             
             
             3901-3937

Item name	Item number
Date of Diagnosis	390
RxSumm--Dx/Stg Proc	1350
Primary Site	400
Laterality	410
Histology (92-00) ICD-O-2	420
Histologic Type ICD-O-3	522
Collaborative Stage variables	2800-2930
SEER Summary Stage 2000	759
SEER Summary Stage 1977	760
Summary Stage 2018	764
AJCC TNM Data Items	1001-1036
EOD Data Items	772-776
Site-specific SSDI Data Items	3901-3937