Site and behavior override flag Cancer case   22000-4

LOINC Code


LOINC code22000-4
nameSite and behavior 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: Primary Site, Behavior Code (COC) Primary Site, Behavior Code (SEER IF39) Primary Site, Behavior Code ICDO3 (COC) Primary Site, Behavior Code ICDO3 (SEER IF39) 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, Primary Site, Behavior Code, require review of the following primary sites with a behavior of in situ (ICD-O-2 or ICD-O-3 behavior = 2): C269 Gastrointestinal tract, NOS C399 Ill-defined sites within respiratory system C559 Uterus, NOS C579 Female genital tract, NOS C639 Male genital organs, NOS C689 Urinary system, NOS C729 Nervous system, NOS C759 Endocrine gland, NOS C760-C768 Ill-defined sites C809 Unknown primary site Since the designation of in situ is very specific and almost always requires microscopic confirmation, ordinarily specific information should also be available regarding the primary site. Conversely, if inadequate information is available to determine a specific primary site, it is unlikely that information about a cancer being in situ is reliable. If an in situ diagnosis is stated, try to obtain a more specific primary site. A primary site within an organ system can sometimes be identified based on the diagnostic procedure or treatment given or on the histologic type. If no more specific site can be determined, it is usually preferable to code a behavior code of 3. In the exceedingly rare situation in which it is certain that the behavior is in situ and no more specific site code is applicable, set Over-ride Site/Behavior to 1. Instructions for Coding Leave blank if the program does not generate an error message for the edit Primary Site, Behavior Code (COC) and/or the edit Primary Site, Behavior Code ICD-O-3 (COC). Leave blank and correct any errors for the case if an item is discovered to be incorrect. Code 1 if review of site and behavior verifies that the patient has an in situ cancer of a nonspecific site and no further information about the primary site is available... NAACCR Data Standards and Data Dictionary Version 11
statusACTIVE

Fully-Specified Name

componentSite & behavior 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 nameSite/Behavior 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
Misc
Miscellaneous
Oncology
Ordinal
Other
Point in time
QL
Qual
Qualitative
Random
Screen
Site/Behavior O/R
Spec
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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