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    Item #
    Length
    Source of Standard
    Year Implemented
    Version Implemented
    Year Retired
    Version Retired
  
  
    2071
    1
    SEER
    1997
    5.1
    
    
  



NAACCR XML: Tumor.overRideSiteBehavior


Alternate Names

   Over-ride Flag for Site/Behavior (IF39)

Description

Some computer edits identify errors. Others indicate possible errors that require manual review for resolution. To eliminate the need to review the same cases repeatedly, over-ride flags have been developed to indicate that data in a record (or records) have been reviewed and, while unusual, are correct.
This over-ride is used with the following edits in the NAACCR Metafile of the EDITS software:

Primary Site, Behavior Code ICDO2 (SEER IF39)

Primary Site, Behavior Code ICDO3 (SEER IF39)




Rationale

Some edits check for code combinations that are possible, but quite rare. If the code combination generates an error message and review of the case indicates that the codes are correct for the case, then the over-ride flag is used to skip the edit in the future. See Standards for Cancer Registries, Standard Data Edits. 
Over-ride Flag as Used in the EDITS Software Package
Edits of the type, Primary Site, Behavior Code, require review of the following primary sites with a behavior of in situ (ICD-O-2 or ICD-O-3 behavior = 2):

C269                Gastrointestinal tract, NOS
C399                Ill-defined sites within respiratory system
C559                Uterus, NOS
C579                Female genital tract, NOS
C639                Male genital organs, NOS
C689                Urinary system, NOS
C729                Nervous system, NOS
C759                Endocrine gland, NOS
C760-C768      Ill-defined sites
C809                Unknown primary site

Since the designation of in situ is very specific and almost always requires microscopic confirmation, ordinarily specific information should also be available regarding the primary site. Conversely, if inadequate information is available to determine a specific primary site, it is unlikely that information about a cancer being in situ is reliable.
If an in situ diagnosis is stated, try to obtain a more specific primary site. A primary site within an organ system can sometimes be identified based on the diagnostic procedure or treatment given or on the histologic type. If no more specific site can be determined, it is usually preferable to code a behavior code of 3. In the exceedingly rare situation in which it is certain that the behavior is in situ and no more specific site code is applicable, set Over-ride Site/Behavior to 1.
Instructions for Coding

Leave blank if the program does not generate an error message for the edit Primary Site, Behavior Code ICDO2 (SEER IF39) and/or the edit Primary Site, Behavior Code ICDO3 (SEER IF39).
Leave blank and correct any errors for the case if an item is discovered to be incorrect.
Code 1 if review of site and behavior verifies that the patient has an in situ cancer of a nonspecific site and no further information about the primary site is available.






Codes

        1 Reviewed and confirmed as reported
        Blank Not reviewed or reviewed and corrected



Note: The IF 39 edit does not allow in situ cases of nonspecific sites, such as gastrointestinal tract, NOS; uterus, NOS; female genital tract, NOS; male genital organs, NOS; and others. The over-ride indicates that the conflict has been reviewed.
1	Reviewed and confirmed as reported
Blank	Not reviewed or reviewed and corrected