California Cancer Reporting System Standards, Volume III

Eureka Edits

IF319:  RX Summ--Surg Prim Site, Diagnostic Confirmation

Edit Sets:

California Hospital Transmit

Eureka Admission Level

Eureka Surgery Procedures

Eureka Tumor Level

Fields:

RX Summ--Surg Prim Site [NAACCR 1290

Diagnostic Confirmation [NAACCR 490]

Over-ride Surg-DxConf [NAACCR 2020]

Message:

IF 319:  If Surgery was performed and Diagnostic Confirmation is [value], Over-ride Surg DxConf must be 1

Specification:

This edit is skipped if RX Summ--Surg Prim Site is blank.

If the case was previously reviewed and accepted as coded (Over-ride Surg DxConf = 1) no further checking is performed.

Where RX Summ--Surg Prim Site = 20-90 the diagnosis must be histologically confirmed (Diagnostic Confirmation Additional Information)

If the patient had a surgical procedure, most likely there was a microscopic examination of the cancer. This edit forces review of cases with a surgical procedure coded in the RX Summ--Surg Prim Site field but not a microscopic confirmation code in Diagnostic Confirmation. Verify the surgery and diagnostic confirmation codes, and correct any errors. Correction of errors may require inspection of the abstracted text, either online or as recorded on a paper abstract. Review of the original medical record may be necessary.

Sometimes there are valid reasons why no microscopic confirmation is achieved with surgery, for example, the tissue removed may be inadequate for evaluation. If upon review, the items are correct as coded, an over-ride flag may be set so that the case will not be considered in error when the edit is run again. Enter a 1 in the field Over-ride Surg DxConf to indicate that the coding is correct.

Historical Changes:

SEER IF76