Alternate Name Item # Length Source of Standard Implemented Year Implemented Version Retired Year Retired Version Column #
2570 1000 NPCR 10565 - 11564
Description
Text area for manual documentation of information from cytology and histopathology reports.
Rationale
Text documentation is an essential component of a complete electronic report and is heavily utilized for quality control and special studies. Text is needed to justify coded values and to document supplemental information not transmitted within coded values. High-quality text documentation facilitates consolidation of information from multiple reporting sources at the central registry.

The text field must contain a description that has been entered by the reporter independently from the code(s). If software generates text automatically from codes, the text cannot be utilized to check coded values. Information documenting the disease process should be entered manually from the medical record and should not be generated electronically from coded values.

Instructions
Note: For software that allows unlimited text, NAACCR recommends that the software indicate to the reporter the portion of the text that will be transmitted to the central registry.

Suggestions for text:
Data Item(s) to be verified/validated using the text entered in this field

After manual entry of the text field, ensure that the text entered both agrees with the coded values and clearly justifies the selected codes in the following fields:

Item name

Item number

Date of Diagnosis

390

Primary Site

400

Laterality

410

Histologic Type ICD-O-3

522

Grade

440

Collaborative Stage variables

2800-2930

Diagnostic confirmation

490

RX Hosp--Surg Prim Site

670

RX Hosp--Scope Reg LN Sur

672

RX Hosp--Surg Oth Rg/Dis

674

RX Summ--Surg Prim Site

1290

RX Summ--Scope Reg LN Sur

1292

RX Summ--Surg Oth Reg/Dis

1294

SEER Summary Stage 2000

759

SEER Summary Stage 1977

760

Regional Nodes Positive

820

Regional Nodes Examined

830

RX Date Surgery

1200

Reason for No Surgery

1340

RX Summ--Surg/Rad Seq

1380

RX Summ--Systemic/Sur Seq

1639