CTR Exam-Data Collection (Abstracting/Coding)-55%
Questions and Answers with complete solution
The process of converting the medical record information into standardized
codes within a uniform data set is
Abstracting
Pediatric tumors are analyzed by _____ rather than origination site.
type
Benign and borderline CNS and brain tumors became reportable effective_____
January 1, 2004 per Benign Tumor Cancer Registries Amendment Act
All benign/borderline Central Nervous System (CNS) and Intracranial (brain et al)
tumors with a behvior code of /0 and /1 and all cases with a behavior code of /2
and /3 in ICDO-3, except:
squamous and basal cell carcinomas of skin (after 01/01/2003)(except
reproductive),
Carcinoma In Situ of cervix and Intraepthelial neoplasm of cervix (CIN) III ,
prostate (PIN) III, vulva (VIN) III, vagina (VAIN) III, and anus (AIN)III. (after
01/01/1996)
Reportable Diagnosis
Analytic cases
Patients who were diagnosed or who received any part of first course of treatment at the
hospital
Non-analytic cases
Patients who receive non-first course treatment for a cancer, patients pursing second
opinion, patients with a hx of cancer but being seen for another condition
Examples of ____sources:
pathology reports
disease index
medical record reports
radiation oncology logs
medical oncology logs
outpatient records
radiology reports
other hospitals, nursing homes, out of state facilities, hospitces, outpatient
centers, physician offices, death clearance
Casefinding
Date of first contact
Date the patient was first physically seen at the facility for a cancer diagnosis or
treatment
Non-Reportable diagnoses
squamous and basal cell carcinomas of skin (after 01/01/2003)(except reproductive),
CIS of cervix and CIN III ,PIN III, VIN III, AINIII(after 01/01/1996)
Systematic method for identifying all eligible cases to be included in the cancer
registry database
Casefinding
,Death certificate only benchmark rates by CCR agencies
Seer no more than 1.5%
NAACCR 3-5%
Casefinding timliness benchmark rates for NAACCR, SEER, NPCR
NAACCR at least 95% be avail w/in 23 months of dx
SEER complete counts w/in 22 months of dx
NPCR 90% be avail within 12 mos; 95% within 24 mos
CoC 90% be abstracted within 6 months of date of first contact
Ambiguous terms that constitute a diagnosis
apparently
appears
comparable with
compatible with
consistent with
favors
malginant appearing
most likely
neoplasm * only for brain, CNS
presumed
probable
suspected
suspicous for
tumor* only for brain, CNS
typical of
T or F? Abstract cytology with ambigous term only if positive biopsy or physician
clinical impression of cancer support cytology findings
True
Ambigous terms that DO NOT constitue a dx of CA without add'l information
Cannot be rules out
equivocal
possible
potentially malignant
questionable
rule out
suggests
worrisome
bordering on
concerning for
Requests from the facility's cancer committee or central registry to collect
information about tumors that are not required to be abstracted by the CoC for
accredited programs are called____cases.
Reportable by Agreement
Class of case -- to --are analytic cases
00-22
Class of case -- to -- are included in treatment and survival analysis
10-22
, Analytic class of case -- dx on or after January 1, 2006 are not required to be
staged or followed
00
class of case --to-- are non-analytic
30-99
The CoC does not require registries to accession, abstract, or follow class of
case -- to -- but the program or central registry may require them
30-99
The date the registry database started which is always January 1
reference date
What is the CoC's retention timeframe
abstracts may be destroyed one year after the patient expires
The accession number is a 9 digit number first 4 digists represent
the year patient was first seen at the facility
The accession number is a 9 digit number last 5 digits represent
The sequential order in which the patient was entered into the database for that year
The sequence 00 means the patient has ____malignant primary cancer
one
The sequence numbers are divided into 2 groups ___ and ____
1. malignant and in situ
2. Non-malignant
GISTS with mets, positive LNs or ________ must have behavior changed to /3 and
be abstracted
multiple foci
Brushings, washings, cells aspirates are not _________ procedures
surgical diagnostic staging procedures
Excisional biopsies of primary site are coded as_____procedures
surgical procedure of primary site
Do not code procedures that excise, aspirate or remove lymph nodes to diagnose
or stage cancer in "surgical diagnostic staging procedures". Code as_____
code in scope of regional lymph node surgery under surgical procedure of primary site
____ staging rules: Information obtained before treatment or within 4 months of
date of diagnosis (whichever is shorter)
Clinical staging
___staging rules: Information through the first course surgery or within 4 months
of date of diagnosis (whichever is longer)
Pathological staging
___reporting is considered when cases are need for epidemiologic protocls,
research or tumor board presentation at hospitals. Using this method cases are
identified within___days.
Rapid case reporting
15-30 days after diagnosis or admission
Local recurrence
recurrence in primary organ
trocar recurrence
recurrence in scar tissue of removed organ
Questions and Answers with complete solution
The process of converting the medical record information into standardized
codes within a uniform data set is
Abstracting
Pediatric tumors are analyzed by _____ rather than origination site.
type
Benign and borderline CNS and brain tumors became reportable effective_____
January 1, 2004 per Benign Tumor Cancer Registries Amendment Act
All benign/borderline Central Nervous System (CNS) and Intracranial (brain et al)
tumors with a behvior code of /0 and /1 and all cases with a behavior code of /2
and /3 in ICDO-3, except:
squamous and basal cell carcinomas of skin (after 01/01/2003)(except
reproductive),
Carcinoma In Situ of cervix and Intraepthelial neoplasm of cervix (CIN) III ,
prostate (PIN) III, vulva (VIN) III, vagina (VAIN) III, and anus (AIN)III. (after
01/01/1996)
Reportable Diagnosis
Analytic cases
Patients who were diagnosed or who received any part of first course of treatment at the
hospital
Non-analytic cases
Patients who receive non-first course treatment for a cancer, patients pursing second
opinion, patients with a hx of cancer but being seen for another condition
Examples of ____sources:
pathology reports
disease index
medical record reports
radiation oncology logs
medical oncology logs
outpatient records
radiology reports
other hospitals, nursing homes, out of state facilities, hospitces, outpatient
centers, physician offices, death clearance
Casefinding
Date of first contact
Date the patient was first physically seen at the facility for a cancer diagnosis or
treatment
Non-Reportable diagnoses
squamous and basal cell carcinomas of skin (after 01/01/2003)(except reproductive),
CIS of cervix and CIN III ,PIN III, VIN III, AINIII(after 01/01/1996)
Systematic method for identifying all eligible cases to be included in the cancer
registry database
Casefinding
,Death certificate only benchmark rates by CCR agencies
Seer no more than 1.5%
NAACCR 3-5%
Casefinding timliness benchmark rates for NAACCR, SEER, NPCR
NAACCR at least 95% be avail w/in 23 months of dx
SEER complete counts w/in 22 months of dx
NPCR 90% be avail within 12 mos; 95% within 24 mos
CoC 90% be abstracted within 6 months of date of first contact
Ambiguous terms that constitute a diagnosis
apparently
appears
comparable with
compatible with
consistent with
favors
malginant appearing
most likely
neoplasm * only for brain, CNS
presumed
probable
suspected
suspicous for
tumor* only for brain, CNS
typical of
T or F? Abstract cytology with ambigous term only if positive biopsy or physician
clinical impression of cancer support cytology findings
True
Ambigous terms that DO NOT constitue a dx of CA without add'l information
Cannot be rules out
equivocal
possible
potentially malignant
questionable
rule out
suggests
worrisome
bordering on
concerning for
Requests from the facility's cancer committee or central registry to collect
information about tumors that are not required to be abstracted by the CoC for
accredited programs are called____cases.
Reportable by Agreement
Class of case -- to --are analytic cases
00-22
Class of case -- to -- are included in treatment and survival analysis
10-22
, Analytic class of case -- dx on or after January 1, 2006 are not required to be
staged or followed
00
class of case --to-- are non-analytic
30-99
The CoC does not require registries to accession, abstract, or follow class of
case -- to -- but the program or central registry may require them
30-99
The date the registry database started which is always January 1
reference date
What is the CoC's retention timeframe
abstracts may be destroyed one year after the patient expires
The accession number is a 9 digit number first 4 digists represent
the year patient was first seen at the facility
The accession number is a 9 digit number last 5 digits represent
The sequential order in which the patient was entered into the database for that year
The sequence 00 means the patient has ____malignant primary cancer
one
The sequence numbers are divided into 2 groups ___ and ____
1. malignant and in situ
2. Non-malignant
GISTS with mets, positive LNs or ________ must have behavior changed to /3 and
be abstracted
multiple foci
Brushings, washings, cells aspirates are not _________ procedures
surgical diagnostic staging procedures
Excisional biopsies of primary site are coded as_____procedures
surgical procedure of primary site
Do not code procedures that excise, aspirate or remove lymph nodes to diagnose
or stage cancer in "surgical diagnostic staging procedures". Code as_____
code in scope of regional lymph node surgery under surgical procedure of primary site
____ staging rules: Information obtained before treatment or within 4 months of
date of diagnosis (whichever is shorter)
Clinical staging
___staging rules: Information through the first course surgery or within 4 months
of date of diagnosis (whichever is longer)
Pathological staging
___reporting is considered when cases are need for epidemiologic protocls,
research or tumor board presentation at hospitals. Using this method cases are
identified within___days.
Rapid case reporting
15-30 days after diagnosis or admission
Local recurrence
recurrence in primary organ
trocar recurrence
recurrence in scar tissue of removed organ
