California Cancer Reporting System Standards, Volume III

 

Eureka Edits

IF332:  Diagnostic Confirmation, Histologic Type ICD-O-3, Over-ride Leuk, Lymphoma

Edit Sets:

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

Fields:

Diagnostic Confirmation  [NAACCR #390]

Histologic Type ICD-0-3  [NAACCR #522]

Over-ride Leuk, Lymphoma  [NAACCR #2070]

Message:

IF 332:  Conflict among Diagnostic Confirmation [value ], Histologic Type ICD-O-3 [value], and Over-ride Leuk, Lymphoma [value]

Specification:

This edit is skipped if Histology Type ICD-O-3 is blank.

If a case has been previously reviewed and accepted as coded (Over-ride Leuk, Lymphoma = 1), no further checking is done.

If Histologic Type ICD-O-3 = 9590 - 9992 (lymphoma and leukemia) then Diagnostic Confirmation cannot be 6 (direct visualization).

If Diagnostic Confirmation is 3 (positive histology PLUS positive immunophenotyping AND/OR positive genetic studies), then Histologic Type ICD-O-3 must = 9590-9992.

Additional Information:

Since lymphoma and leukemia are almost exclusively microscopic diagnoses, this edit forces review of any cases of lymphoma that have diagnostic confirmation 6 (direct visualization) or 8 (clinical), and any leukemia with a diagnostic confirmation of 6 (direct visualization).

Check that the Histologic Type and Diagnostic Confirmation are correctly coded. Remember that positive hematologic findings and bone marrow specimens are included as histologic confirmation (code 1 in Diagnostic Confirmation) for leukemias. Correction of errors may require inspection of the abstracted text, either online or as recorded on a paper abstract.

If upon review, all 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 Leuk, Lymphoma to indicate that the coding is correct.

Example

HISTOLOGIC TYPE          9835/3

DIAGNOSTIC CONFIRMATION  6 (DIRECT VISUALIZATION)

On review, this leukemia diagnosis was based on a hematologic study, CBC. Correct the Diagnostic Confirmation code to 1 (Positive Histology).

SEER IF48_3

Historical Changes:

2010

Data Changes: CCR names (DX Con; Hist Type 3; Lymph Leuk) changed to NAACCR names. In the SEER*Edits software, the title of this edit is:  IF48_3.  NAACCR v12.0 additions:

If Diagnostic Confirmation is 3 (positive histology PLUS positive immunophenotyping AND/OR positive genetic studies), then Histologic Type ICD-O-3 must = 9590-9992.

  • Deleted logic that stated Diagnostic Confirmation cannot be 8 (clinical) for lymphoma

  • Changed the range of histologies that cannot have Diagnostic Confirmation 6 (direct visualization) from "9590-9729, 9731-9948" to "9590-9992".