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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. 
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:

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