California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
This two-digit field indicates the source that identified the case.
Determine where the case was first identified, and enter the appropriate code. However, if a hospital and a non-hospital source identified the case independently of each other, enter the code for the non-hospital source (i.e., codes 30-95 have priority over codes 10-29).
If the case was first identified at a cancer reporting facility (codes 10-29), code the earliest source of identifying information.
If a death certificate, private pathology laboratory report, consultation only report from a hospital, or other report was used to identify a case that was then abstracted from a different source, enter the code for the source that first identified the case, not the source from which it was abstracted.
If the regional registry or CCR identifies a case and asks a reporting facility to abstract it, the regional registry or CCR must specify the appropriate code to be used in the field.
If a case was identified through the Death Clearance process at the regional registry, the hospital must use code 80 when abstracting the case.
Code |
Description |
Case first identified at cancer reporting facility: |
|
10 |
REPORTING HOSPITAL, NOS |
20 |
PATHOLOGY DEPARTMENT REVIEW (surgical pathology reports, autopsies, or cytology reports) |
21 |
DAILY DISCHARGE REVIEW (daily screening of charts of discharged patients in the medical records department) |
22 |
DISEASE INDEX REVIEW (review of disease index in the medical records department) |
23 |
RADIATION THERAPY DEPARTMENT/CENTER |
24 |
LABORATORY REPORTS (other than pathology reports, code 20) |
25 |
OUTPATIENT CHEMOTHERAPY |
26 |
DIAGNOSTIC IMAGING/RADIOLOGY (other than radiation therapy, code 23; includes nuclear medicine) |
27 |
TUMOR BOARD |
28 |
HOSPITAL REHABILITATION SERVICE OR CLINIC |
29 |
OTHER HOSPITAL SOURCE (including clinic, NOS or outpatient department, NOS) |
Case first identified by source other than a cancer reporting facility: |
|
30 |
PHYSICIAN INITIATED CASE |
40 |
CONSULTATION ONLY OR PATHOLOGY ONLY REPORT (not abstracted by reporting hospital) |
50 |
PRIVATE PATHOLOGY LABORATORY REPORT |
60 |
NURSING HOME INITIATED CASE |
70 |
CORONER'S OFFICE RECORDS REVIEW |
75 |
MANAGED CARE ORGANIZATION (MCO) OR INSURANCE RECORDS |
80 |
DEATH CERTIFICATE FOLLOW BACK (case identified through death clearance) |
85 |
OUT-OF-STATE CASE SHARING |
90 |
OTHER NON REPORTING HOSPITAL SOURCE |
95 |
QUALITY CONTROL REVIEW (case initially identified through quality control activities of a regional registry or the CCR) |
99 |
UNKNOWN |