California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals
Textual information that does not fit into its designated field can be recorded in the Remarks area.
Indicate the name of the field being extended and enter the overflow information. Also record other pertinent information for which there is no designated field.
The last two lines of this section are available for recording the final cancer diagnosis (FDX) as determined by a recognized medical practitioner.
This information is ideally found in the discharge summary or progress notes.
Record the date of the notation and the final diagnosis, including stage if given.
If there is no final diagnosis in the medical record, please state FDX: NR; do not leave this field blank.
If the only information available is a pathology report which has already been recorded, then document “No MD FDX reported” in the FDX field.