Surgery and diagnosis confirm override flag Cancer case   21994-9

LOINC Code


LOINC code21994-9
nameSurgery and diagnosis confirm override flag Cancer case
descriptionSome 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: RX Summ--Surg Prim Site, Diag Conf (NAACCR IF76) RX Summ--Surg Prim Site, Diag Conf (SEER IF76) RX Summ--Surgery Type, Diag Conf (SEER IF46) 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 Flag as Used in the EDITS Software Package Edits of the type RX Summ--Surg Prim Site, Diag Conf check that cases with a primary site surgical procedure coded 20-90 are histologically confirmed. If the patient had a surgical procedure, most likely there was a microscopic examination of the cancer. Verify the surgery and diagnostic confirmation codes, and correct any errors. Sometimes there are valid reasons why no microscopic confirmation is achieved with the surgery; for example, the tissue removed may be inadequate for evaluation. Instructions for Coding Leave blank if the program does not generate an error message for edits of the type, RX Summ--Surg Prim Site, Diag Conf. Leave blank and correct any errors for the case if an item is discovered to be incorrect. Code 1 if review of the Surgery of Primary Site and Diagnostic Confirmation confirms that they are correct. The patient had surgery, but the tissue removed was not sufficient for microscopic confirmation... NAACCR Data Standards and Data Dictionary Version 11
statusACTIVE

Fully-Specified Name

componentSurgery&diagnosis confirm override flag
propertyArb  =  Arbitrary
timePt  =  Point in time:  To identify measures at a point in time. This is a synonym for “spot” or “random” as applied to urine measurements.
systemCancer case.XXX
scaleOrd  =  Ordinal:  Ordered categorical responses, e.g., 1+, 2+, 3+; positive, negative; reactive, indeterminate, nonreactive.
method

Additional Names

short nameSurgery/Dx confirm O/R Cancer case

Basic Attributes

classTUMRRGT
type2  Clinical

Associated Observations

LOINC codes that represent optional associated observation(s) for a clinical observation or laboratory test. A LOINC term may represent a single associated observation or panel containing several associated observations.

Member of these Panels

46440-4Edit overrides/Conversion history/System admin section Set NAACCR v.11
60500-6Edit overrides/Conversion history/System admin section Set NAACCR v.12

History/Usage

first released
last updated2.38
last change typeMIN  - change to field other than name

Related Names

Arbitrary
CA
Dx
Misc
Miscellaneous
Oncology
Ordinal
Other
Point in time
QL
Qual
Qualitative
Random
Screen
Spec
Surg
Surgery/Dx confirm O/R
To be specified in another part of the message
TUMOR REGISTRY(NAACCR)
Unspecified

Copyright © 2023 Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © 1995-2023, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://loinc.org/license for the full LOINC copyright and license.

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