California Cancer Reporting System Standards, Volume III
Eureka Edits
IF462: Diagnostic Confirm, Seq Num--Central
Edit Sets:
Eureka Tumor Level
Fields:
Diagnostic Confirmation [NAACCR #490]
Over-ride SeqNo DxConf [NAACCR #2000]
Sequence Number Central [NAACCR #380]
Message:
IF 462: If Sequence Number Central = (value) and Diagnostic Confirmation = (value), then Over-ride SeqNo DxConf (Flag 4) must be 1
Specification:
If Sequence Number--Central is in the range of 60-99, this edit is skipped.
If a case has been previously reviewed and accepted as coded (Over-ride SeqNo/DxConf = 1), no further editing is done. If Primary Site specifies an ill-defined or unknown primary (C760-C768, C809), no further checking is done.
If any case is one of multiple primaries and is not microscopically confirmed or positive lab test/marker study, i.e., Diagnostic Confirmation > 5 and Sequence Number--Central > 00 (more than one primary), review is required.
Additional Information:
This edit forces review of multiple primary cancers when one of the primaries is coded to a site other than ill-defined or unknown and is not microscopically confirmed or confirmed by a positive lab test/marker study. It is important to verify that the non- microscopically-confirmed case is indeed a separate primary from any others that may have been reported. If the suspect case is accurate as coded, and the number of primaries is correct, set the Over-ride SeqNo/DxConf flag to 1 so that the case will not appear in future edits as an error. It is not necessary to set the over-ride flag on the patient's other primary cancers.
If it turns out that the non-microscopically-confirmed cancer is considered a manifestation of one of the patient's other cancers, delete the non-microscopically-confirmed case. Check the sequence numbers of remaining cases, correcting them if necessary. Also check for other data items on the remaining cases that may need to be changed, e.g., stage and treatment.
EXAMPLE
SITE DX CONF.
SEQ. NUM. 01 PROSTATE, C61.9 1, HISTOLOGIC CONF.
SEQ. NUM. 02 BONE, C41.9 7, RADIOGRAPHY
The edit identifies the bone cancer case above (number 02) as an edit error. When the patient's chart is reviewed again, it is determined that the bone lesions were thought to be metastases from the prostate cancer. Delete case number 02, and change the sequence number of the prostate cancer to 00. Check carefully for any demographic, diagnostic, staging, treatment, or follow-up information recorded on the bone abstract that should be added to the prostate cancer case.
Historical Changes:
In the SEER*Edits software, the title of this edit is: IF23.
8/15/06: Updated Seq_No_Central range to 59 for 2007 data changes.
2010 Data Item Changes: CCR names (Seq No Central, DX Conf, OR Seq DX Conf) changed to NAACCR names.
2011 Data Item Changes; Specification section updated.
2/1/12 Changed name back to pre 2010 name to match metafile. Name should not have been changed.