Texas Cancer Reporting News, Volume 8, Number 1 Page: ATTACHMENT
This periodical is part of the collection entitled: Texas State Publications and was provided to The Portal to Texas History by the UNT Libraries Government Documents Department.
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Q If a patient was admitted to our hospital for insertion of a catheter for purposes of administering
chemotherapy, is this reportable?
A Yes. Evidence that the patient is receiving (or will receive) treatment is indication that there is
active cancer. You should report the case if it has not been reported previously by your facility.
Q Why is it important to date staging and treatment information?
A It is very important that you date staging and treatment information. This allows TCR staff to
determine if the staging information was taken during the first two months of diagnosis and if the
treatment was planned and/or initiated within the first four months of diagnosis. Also, if a patient
has treatment that begins after the first four months but is part of the first course of therapy, please
document this in the treatment information box.
Q If I code the morphology, topography, stage, ,and treatment, why do I have to also provide text
documentation?
A Text documentation is a requirement of the Centers for Disease Control and Prevention (CDC), the
National Program of Cancer Registries (NPCR), the North American Association of Central Cancer
Registries (NAACCR), and the TCR. Text documentation is used to support the coded fields. It
also provides TCR staff the opportunity to perform quality checks on coded data items.
Q Is the date of admission a required data element?
A The.ROADS manual states that date of admission is only required for an inpatient admission.
However, the date of admission is a required data element for the TCR and NAACCR,-regardless of
admission status. If apatient was an outpatient only, please record the first date the patient was seen
in your facility for the primary you are reporting.
Q What is the difference between the tumor record number and sequence number?
A Both the tumor record number and the sequence number count the number of tumors, only in
different ways. The tumor record number counts the number of times the patient was at YOUR
facility with a different reportable cancer. The sequence number counts the number of CANCERS,
both reportable and non-reportable, the patient had .in their LIFETIME, regardless of where
diagnosed.EXAMPLE: A patient is admitted to your facility May 23, 1997 and is diagnosed with small cell
carcinoma of the lung. Documentation in the H&P states the patient had a renal cell carcinoma of
the right kidney treated approximately four years ago in Washington. The tumor record number and
sequence number would be coded:
Tumor Record Number 01 - (first admission with a diagnosis of cancer)
Sequence Number 02 - (second diagnosis of cancer for the patient)
Q What is the appropriate topography code when the final diagnosis, is documented as "mediastinal
malignant lymphoma"?
A The ROADS manual, page 104, states code C779 for a mass identified as "retroperitoneal",
"inguinal", "mediastinal", or "mesentery" when no specific information is available to indicate what
tissue is involved. *1
' nM/
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Texas. Cancer Registry Division. Texas Cancer Reporting News, Volume 8, Number 1, periodical, 1997; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1624157/m1/6/?q=%221997~%22: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.