Alternate Name Item# Length Source of Standard Column #
2610 1000 NPCR 12765-13764

Description
Text area for information describing all surgical procedures performed as part of treatment.

Rationale
Text documentation is an essential component of a complete electronic abstract 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 abstractor independently from the code(s). If cancer abstraction 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 abstracting software that allows unlimited text, NAACCR recommends that the software indicate to the abstractor 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 Initial RX--SEER 1260
Date of 1st Crs RX--CoC 1270
RX Date Surgery 1200
RX Summ--Surg Prim Site 1290
RX Hosp--Surg Prim Site 670
RX Summ--Scope Reg LN Sur 1292
RX Hosp--Scope Reg LN Sur 672
RX Summ--Surg Oth Reg/Dis 1294
RX Hosp--Surg Oth Reg/Dis 674
Reason for No Surgery 1340
RX Summ--Surgical Margins 1320
RX Hosp--Palliative Proc 3280
RX Summ--Palliative Proc 3270
Text--Place of Diagnosis 2690
RX Summ--Surg/Rad Seq 1380
RX Summ--Systemic/Sur Seq 1639