California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
Abstract reporting by facilities is not mandatory for reportable cases diagnosed by the pathology department on the basis of slides or specimens submitted from outside the reporting facility and cases seen for consultation only. However, the facility must notify the regional registry about these types of cases in order to verify that all reportable cases in the population have been recorded.
It is sometimes difficult to identify a consultation only case, especially at a large teaching facility. As a guideline, the CCR recommends determination of who is ultimately responsible for treatment decisions and follow-up of the patient.
If the consulting facility is responsible for treatment decisions or follow-up, an abstract is required.
If the consulting facility is confirming a diagnosis made elsewhere, rendering a second opinion, or recommending treatment to be delivered and managed elsewhere, an abstract is not required, although the regional registry must be notified.
Note: When in doubt about whether or not to report the case, contact your regional registry for guidance.