California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals
Following installation of CSv2 software, text fields have been expanded to 1000 characters, however, only pertinent text should be entered. Text must support all coded data items and must be entered in a clear and concise manner.
In the text fields for recording the results of diagnostic examinations, enter all pertinent findings, negative as well as positive, in chronological order. Enter the date first, then the name of each procedure, then the results and other pertinent information. Do not record details unrelated to cancer. Use standard medical abbreviations when possible to save space.
See Appendix M.1 for common acceptable abbreviations in alphabetical order.
See Appendix M.2 for common acceptable abbreviations in numerical order.
Enter text for both site and histology in the fields designated.