Version 2.77

Term Description

Code indicates the sequence of all malignant and non-malignant neoplasms over the lifetime of the patient. This item differs from the Sequence Number--Central [380] because the definitions of reportable neoplasms often vary between a hospital and a central registry. Each neoplasm is assigned a different number. Sequence Number 00 indicates that the person has only one malignant neoplasm in his lifetime (regardless of hospital registry reference date). Sequence Number 01 indicates the first of two or more malignant neoplasms, while 02 indicates the second of two or more malignant neoplasms, and so on. Because the time period of Sequence Number is a person's lifetime, reportable neoplasms not included in the hospital registry are also allotted a sequence number. For example, a registry may contain a single record for a patient with a sequence number of 02 because the first reportable neoplasm occurred before the hospital registry's reference date. Similarly, Sequence Number 60 indicates the patient has only one non-malignant neoplasm, and Sequence Number 61 represents the first of multiple non-malignant neoplasms.

Reporting Requirements: COC, State/Province, and The Hospital Cancer Committee
The COC standard defining which neoplasms are reportable is described in Chapter III, Standards For Case Inclusion and Reportability; it is assumed that this standard is the "minimum" definition of reportability. In addition to the COC-required reportable neoplasms, hospital cancer registries have to meet the reporting requirements of the central cancer registry and the hospital cancer committee. These neoplasms often are called "reportable by agreement" in COC publications. Any tumor in the patient's past that is reportable or reportable-by-agreement must be taken into account when sequencing subsequently accessioned tumors. Sequence numbers should be reassigned if the facility subsequently learns of an unaccessioned tumor that affects sequencing. Sequence Number-Central [380] does not affect Sequence Number-Hospital. The two notational systems are independent.

Timing Rule
If two or more malignant tumors are diagnosed at the same time, the lowest sequence number will be assigned to the diagnosis with the worst prognosis. Likewise, if two or more non-malignant tumors are diagnosed at the same time, the lowest sequence number is assigned to the diagnosis with the worse prognosis. If no difference in prognosis is evident, the decision is arbitrary... NAACCR Data Standards and Data Dictionary Version 11
Source: Regenstrief LOINC

Fully-Specified Name

Component
Sequence number.hospital
Property
Arb
Time
Pt
System
Cancer.XXX
Scale
Ord
Method

Additional Names

Short Name
Seq #.hospital Cancer

Normative Answer List: LL223-9

Answer Code Score Answer ID
One primary only 00 LA4740-2
First of two or more primaries 01 LA3993-8
Second of two or more primaries 02 LA4311-2
Third of three or more primaries 03 LA4464-9
Fourth of four or more primaries 04 LA3924-3
Fifth of five or more primaries 05 LA3980-5
Sixth of six or more primaries 06 LA4333-6
Seventh of seven or more primaries 07 LA4325-2
Eighth of eight or more primaries 08 LA3979-7
Ninth of nine or more primaries 09 LA4532-3
Tenth of ten or more primaries 10 LA4468-0
Eleventh of eleven or more primaries 11 LA4025-8
Twelfth of twelve or more primaries 12 LA4504-2
Thirteenth of thirteen or more primaries 13 LA4463-1
Fourteenth of fourteen or more primaries 14 LA3987-0
Fifteenth of fifteen or more primaries 15 LA3974-8
Sixteenth of sixteen or more primaries 16 LA4335-1
Seventeenth of seventeen or more primaries 17 LA4285-8
Eighteenth of eighteen or more primaries 18 LA4023-3
Nineteenth of nineteen or more primaries 19 LA4530-7
Twentieth of twenty or more primaries 20 LA4503-4
Twenty-first of twenty-one or more primaries 21 LA4516-6
Twenty-second of twenty-two or more primaries 22 LA4497-9
Twenty-third of twenty-three or more primaries 23 LA4494-6
Twenty-fourth of twenty-four or more primaries 24 LA4499-5
Twenty-fifth of twenty-five or more primaries 25 LA4501-8
Twenty-sixth of twenty-six or more primaries 26 LA4495-3
Twenty-seventh of twenty-seven or more primaries 27 LA4496-1
Twenty-eighth of twenty-eight or more primaries 28 LA4487-0
Twenty-ninth of twenty-nine or more primaries 29 LA4498-7
Thirtieth of thirty or more primaries 30 LA4462-3
Thirty-first of thirty-one or more primaries 31 LA4460-7
Thirty-second of thirty-two or more primaries 32 LA4500-0
Thirty-third of thirty-three or more primaries 33 LA4502-6
Thirty-fourth of thirty-four or more primaries 34 LA4459-9
Thirty-fifth of thirty-five primaries 35 LA4461-5
Only one neoplasm required by the state or the hospital cancer committee but not by COC 60 LA4738-6
First of two or more neoplasms in this category 61 LA3990-4
Second of two or more neoplasms in this category 62 LA4297-3
Unspecified sequence number 99 LA4449-0
One benign tumor only, or the first of more than one benign AA LA4742-8
Second of two or more benign tumors BB LA4283-3
Third of three or more benign tumors CC LA4465-6
Fourth of four or more benign tumors DD LA3914-4
Unspecified number of benign tumors XX LA4450-8

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.32

Member of these Panels

LOINC Long Common Name
49083-9 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 11 panel
59852-4 North American Association of Central Cancer Registries, Inc (NAACCR, Inc) version 12 panel

Language Variants Get Info

Tag Language Translation
es-AR Spanish (Argentina) secuencia numérica.hospital:arbitrario:punto en el tiempo:cáncer.XXX:ordinal:
es-MX Spanish (Mexico) Número de secuencia hospital:Arb:Punto temporal:Cancer.XXX:Ordinal:
it-IT Italian (Italy) Numero di sequenza.ospedale:Arb:Pt:Cancro.XXX:Ord:
Synonyms: Arbitrario Cancro XXX Neoplasia maligna Punto nel tempo (episodio) Registro tumori
ru-RU Russian (Russian Federation) Порядковый номер.госпитальный:Произв:ТчкВрм:Рак.XXX:Пор:
Synonyms: Порядковый Произвольный Точка во времени;Момент
zh-CN Chinese (China) 序号.医院:任意型:时间点:癌.XXX:序数型:
Synonyms: NAACCR 肿瘤登记;癌症登记中心北美协会肿瘤登记;肿瘤注册;肿瘤登记（NAACCR）;肿瘤登记（癌症登记中心北美协会）;癌症登记中心北美协会;North American Association of Central Cancer Registries;NAACCR 不明癌;不明癌症;未作说明的癌;未作说明的癌症;癌.不明;癌.未作说明的;癌症.XXX;癌症.不明;癌症.未作说明的;此处未作说明的癌 不明的;其他;将在相应消息内其他部分之中加以详细说明;未作详细说明的;未作说明的;未做说明的标本;未加规定的;未加说明的标本;杂项 个数;数目 任意;任意的;人工型 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 序列号.医院 时刻;随机;随意;瞬间 病院 癌 院

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=21867-7