California Cancer Reporting System Standards, Volume III
Secondary Diagnosis 1 [NAACCR #3780]
Secondary Diagnosis 2 [NAACCR #3782]
Secondary Diagnosis 3 [NAACCR #3784]
Secondary Diagnosis 4 [NAACCR #3786]
Secondary Diagnosis 5 [NAACCR #3788]
Secondary Diagnosis 6 [NAACCR #3790]
Secondary Diagnosis 7 [NAACCR #3792]
Secondary Diagnosis 8 [NAACCR #3794]
Secondary Diagnosis 9 [NAACCR #3796]
Secondary Diagnosis 10 [NAACCR #3798]
Tumor Level
Multi-Document Consolidation Process
Relevant Source Documents
All active (not deleted or merged) admissions linked to the current tumor
Definitions
No documented Secondary Diagnoses in relevant admissions: Secondary Diagnosis 1 is 0000000 AND Secondary Diagnosis 2 - 10 are blank
Relevant source document hierarchy: An ordered list of selected relevant source documents that provides the means to determine the precedence data from one source document should have over another in consolidation decisions. Here we are using RX Hosp--Surg Prim Site, RX Hosp--Surg Oth Reg/Dis, Rad-Location, RX Hosp--Chemo, RX Hosp--Hormone, RX Hosp--BRM, RX Hosp--Transplnt-Endocr, RX Hosp--Other, RX Hosp--DX/Stg Proc, and then Admission ID as a last resort to determine the hierarchy.
Distinct known codes: No duplicate codes, 0000000, or blanks
Triggers
The set of relevant source documents linked to the tumor changed
RX Hosp--Surg Prim Site, RX Hosp--Surg Oth/Reg/Dis, Rad-Location, RX Hosp--Chemo, RX Hosp--Hormone, RX Hosp--BRM, RX Hosp--Transplnt-Endocr, RX Hosp--Other, RX Hosp--DX/Stg Proc, or one or more Secondary Diagnosis fields are changed in a relevant source document
Special global re-consolidation processes
Process
If all relevant source documents have no documented Secondary Diagnoses then set Secondary Diagnosis 1 – 10 to not documented and stop here.
Otherwise, determine the relevant source document hierarchy by selecting only relevant admissions with documented Secondary Diagnoses:
Compare the selected admissions’ RX Hosp--Surg Prim Site values. Use the RX Hosp--Surg Prim Site hierarchy below to determine an initial relevant source document hierarchy:
Treatment: 10-90
No Treatment/Unknown: 00, 98, 99
If there is more than one selected admission with a RX Hosp--Surg Prim Site in any of the above ranges, then attempt to refine the sub-hierarchies by ordering each range set using RX Hosp-Surg Oth Reg/Dis hierarchy:
Treatment: 1-5
No Treatment: 0, 9
If there is more than one selected admission with a RX Hosp-Surg Oth Reg/Dis in any of the above ranges, then attempt to refine the sub-hierarchies by ordering each range set using Radiation and Chemo hierarchy:
Treatment
Rad--Location of RX: 1-3
RX Hosp—Chemo: 01-03
No Treatment/Unknown
Rad--Location of RX: 0, 4, 8, 9, blank
RX Hosp—Chemo: 00, 82, 85-88, 99
If there is more than one selected admission with a Radiation and Chemo code in any of the above ranges, then attempt to refine the sub-hierarchies by ordering each range set using Other Therapies hierarchy:
Treatment
RX Hosp—Hormone: 01
RX Hosp—BRM: 01
RX Hosp—Transplnt-Endocr: 10-12, 20, 30, 40
RX Hosp—Other: 1-3, 6
No Treatment/Unknown
RX Hosp—Hormone: 00, 82, 85-88, 99
RX Hosp—BRM: 00, 82, 85-88, 99
RX Hosp—Transplnt-Endocr: 00, 82, 85-88, 99
RX Hosp—Other: 0, 7-9
If there is more than one selected admission with a Other Therapies code in any of the above ranges, then attempt to refine the sub-hierarchies by ordering each range set using RX Hosp--DX/Stg Proc hierarchy:
Diagnostic Procedure: 01-07
None/Unknown: 00, 09
If there is more than one selected admission in
any of the class of case ranges and a sub-hierarchy for
a range set could not be determined using treatment fields,
then set the sub-hierarchy for it using Admission ID (lowest
number is highest in the sub-hierarchy)
Then set:
Secondary Diagnosis 1 – 10 fields with distinct known codes from the selected admissions following the relevant source document hierarchy from highest to lowest until all fields are filled or all selected admissions are exhausted and stop here.
Manual Change
Not allowed
Admission Level
Manual Change or Modified Record Applied to Secondary Diagnosis 1 – 10
Perform automatic QC procedures described under SOURCE
11/2016 |
New Multi-Document Update Logic implemented. |