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Term Description

Some computer edits identify errors. Others indicate possible errors that require manual review for resolution. To eliminate the need to review the same cases repeatedly, over-ride flags have been developed to indicate that data in a record (or records) have been reviewed and, while unusual, are correct. This over-ride is used with the following edits in the NAACCR Metafile of the EDITS software: Diagnostic Confirmation, Behavior Code (COC) Diagnostic Confirmation, Behavior Code (SEER IF31) Diagnostic Confirmation, Behavior ICDO3 (COC) Diagnostic Confirmation, Behavior ICDO3 (SEER IF31) Morph (1973-91) ICD-O-1 (SEER MORPH) Morphology--Type/Behavior (COC) Morphology--Type/Behavior (SEER MORPH) Morphology--Type/Behavior ICDO3 (COC) Morphology--Type/Behavior ICDO3 (SEER MORPH)

Some edits check for code combinations that are possible, but quite rare. If the code combination generates an error message and review of the case indicates that the codes are correct for the case, then the over-ride flag is used to skip the edit in the future. See Chapter IV, Recommended Data Edits and Software Coordination of Standards. Over-ride Flags as Used in the EDITS Software Package Edits of the type Diagnostic Confirmation, Behavior Code differ in the use of ICD-O-2 or ICD-O-3 and check that, for in situ cases (Behavior = 2), Diagnostic Confirmation specifies microscopic confirmation (1, 2, or 4). The distinction between in situ and invasive is very important to a registry, since prognosis is so different. Since the determination that a neoplasm has not invaded surrounding tissues, i.e., in situ, is made microscopically, cases coded in situ in behavior should have a microscopic confirmation code. However, very rarely, a physician will designate a case noninvasive or in situ without microscopic evidence. If an edit of the type, Diagnostic Confirmation, Behavior Code, gives an error message or warning, check that Behavior and Diagnostic Confirmation have been coded correctly. Check carefully for any cytologic or histologic evidence that may have been missed in coding. The following histologies are not accepted as in situ: 8000-8005, 8020, 8021, 8331, 8320, 8800-9055, 9062, 9082, 9083, 9110-9493, 9501-9989. Edits of the type, Morphology--Type/Behavior, perform the following check: Codes listed in ICD-O-2 or ICD-O-3 with behavior codes of only 0 or 1 are considered valid, since the behavior matrix of ICD-O-2 and ICD-O-3 allows for the elevation of the behavior of such histologies when the tumor is in situ or malignant. This edit forces review of these rare cases to verify that they are indeed in situ or malignant. If a Morphology-Type/Behavior edit produces an error or warning message and the case is one in which the 4-digit morphology code is one that appears in ICD-O-2 or ICD-O-3 only with behavior codes of 0 or 1, verify the coding of morphology and that the behavior should be coded malignant or in situ. The registrar may need to consult a pathologist or medical advisor in problem cases. Exceptions: If year of Date of Diagnosis > 2000, then a behavior code of 1 is valid for the following ICD-O-2 histologies and no over-ride flag is needed: 8931, 9393, 9538, 9950, 9960-9962, 9980-9984, and 9989. Similarly, the following ICD-O-3 histologies are valid with a behavior code of 1: 8442, 8451, 8462, 8472, and 8473. If year of Date of Diagnosis > 2003, the following ICD-O-3 benign histologies will pass without review: 8146, 8271, 8861, 8897, 9121, 9122, 9131, 9161, 9350, 9351, 9352, 9360, 9361, 9383, 9384, 9394, 9412, 9413, 9444, 9492, 9493, 9506, 9531, 9532, 9533, 9534, 9537, 9541, 9550, 9562, and 9570. Grade 5-8 with histologies not in the rage of 9590-9948 is impossible. Instructions for Coding Leave blank if the program does not generate an error message for the edits of the types, Diagnostic Confirmation, Behav Code or Morphology--Type/Behavior. Leave blank and correct any errors for the case if an item is discovered to be incorrect. Code 1, 2, or 3 as indicated if review of all items (Diagnostic Confirmation, Behavior, and Morphology) in the error or warning message confirms that all are correct... NAACCR Data Standards and Data Dictionary Version 11

LOINC Names Get Info

Fully-Specified Name
Histology override flag:Arb:Pt:Cancer case.XXX:Ord:
Long Common Name
Histology override flag Cancer case
Short Name
Histology O/R Cancer case

Part Model Get Info

  • Component
    Histology override flag
    LP72698-1
    • Analyte
      Histology override flag
      LP72698-1
      • Component Numerator
        Histology override flag
        LP72698-1
        • Component Numerator Core
          Histology override flag
          LP72698-1
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Arb
    LP6781-1
  • Time
    Pt
    LP6960-1
  • System
    Cancer case.XXX
    LP7100-3
    • System Core
      Cancer case.XXX
      LP7100-3
    • Super System
      NULL
       
  • Scale
    Ord
    LP7751-3
  • Method
    NULL
     

Normative Answer List: LL167-8

AnswerCodeScoreAnswer ID
Reviewed: Cases 1 and 2 both apply3LA4308-8
Reviewed: Behavior code indicates "benign" or "uncertain" but the pathologist states the primary to be "in situ" or "malignant"1LA4309-6
Reviewed: Behavior code indicates "in situ" but the case is not microscopically confirmed2LA4310-4
Not reviewedBlankLA4694-1

Basic Attributes

Class
TUMRRGT
Type
Clinical
First Released
Version 1.0m
Last Updated
Version 2.27 (MIN)

Member of these Panels

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

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Σήμανση παράκαμψης ιστολογίας:Arb:Pt:Περιστατικό καρκίνου.XXX:Ord:
Synonyms: Arb Ord Pt TUMRRGT XXX Ιστολογία Καρκίνος Περιστατικό καρκίνου.XXX Σήμανση παράκαμψης ιστολογίας
es-MXSpanish (Mexico)Indicador de anulación de histología:Arb:Punto temporal:Caso de cáncer XXX:Ordinal:
es-ARSpanish (Argentina)HISTOLOGY OVERRIDE FLAG:arbitrario:punto en el tiempo:caso de cáncer.XXX:ordinal:
it-ITItalian (Italy)Istologia, flag ignorato:Arb:Pt:Cancro, caso.XXX:Ord:
Synonyms: Arbitrario Caso di cancro XXX Caso di neoplasia maligna XXX Flag ignorato per istologia Neoplasia maligna Punto nel tempo (episodio) Registro tumori
ru-RURussian (Russian Federation)Гистология переопределение флаг:Произв:ТчкВрм:Рак случай.XXX:Пор:
Synonyms: Порядковый Произвольный Случай рака XXX Точка во времени;Момент
zh-CNChinese (China)组织学重写标记:任意型:时间点:癌症病例.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 不明的癌症个案;不明的癌症案例;不明的癌症病例;未作说明的癌症个案;未作说明的癌症案例;未作说明的癌症病例;癌症个案.XXX;癌症个案.不明;癌症个案.未作说明的;癌症案例.XXX;癌症案例.不明;癌症案例.未作说明的;癌症病例.不明;癌症病例.未作说明的;此处未作说明的癌症病例 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 时刻;随机;随意;瞬间 癌 癌症个案 癌症案例 组织学覆盖标记;组织学重写标志 组织结构;生物体的组织结构

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