Organization | Field Name | ID | Required |
|---|---|---|---|
KCR | Class of Case (Class) (LCaseClass) | 40080 | yes |
NAACCR | Class of Case | yes |
Field Length: 2
Class of case reflects the facility's role in managing this cancer, whether the cancer is required to be reported to ACoS by approved facilities, and whether the case was diagnosed after the program's reference date. Enter the two digit code that describes the patient's relationship to the facility.
Instructions for Coding
Code 00 applies only when it is known that the patient went elsewhere for treatment. If that information is not available, code class of case '10.' It is possible that information for coding class of case will change during the patient's first course of care. If that occurs, edit the code accordingly.
ACoS approved facilities should document Institution Referred To (item #31660) for patients coded 00 to establish that the patient went elsewhere for treatment.
A staff physician (codes 10-12, 41) is a physician who is employed by the reporting facility, under contract with it, or who has routine practice privileges there.
Refer to the "Case Reporting Requirements" section of this manual for a discussion of Classes and KCR requirements.
Codes
Analytic Classes of Case (Required by CoC to be abstracted by accredited programs) | |
|---|---|
Initial diagnosis at reporting facility | |
00 | Initial diagnosis at the reporting facility AND all treatment or a decision not to treat was done elsewhere |
10 | Initial diagnosis at the reporting facility or in a staff physician's office AND part or all of first course treatment or a decision not to treat was at the reporting facility, NOS |
11 | Initial diagnosis in staff physician's office AND part of first course treatment was done at the reporting facility |
12 | Initial diagnosis in staff physician's office AND all first course treatment or decision not to treat was done at the reporting facility |
13 | Initial diagnosis at the reporting facility AND part of first course treatment was done at the reporting facility |
14 | Initial diagnosis at the reporting facility AND all first course treatment or a decision not to treat was done at the reporting facility |
Initial diagnosis elsewhere | |
20 | Initial diagnosis elsewhere AND all or part of first course treatment was done at the reporting facility, NOS |
21 | Initial diagnosis elsewhere AND part of first course treatment was done at the reporting facility |
22 | Initial diagnosis elsewhere AND all first course treatment or a decision not to treat was done at the reporting facility |
Non-analytic Classes of Case (Not required by CoC to be abstracted by accredited programs, but may be required by KCR) | |
Patient appears in person at reporting facility | |
30 | Initial diagnosis and all first course treatment elsewhere AND reporting facility participated in diagnostic workup (i.e., consult only or staging workup) |
31 | Initial diagnosis and all first course treatment elsewhere AND reporting facility provided in-transit care |
32 | Diagnosis AND all first course treatment provided elsewhere AND patients presents at reporting facility with disease recurrence or persistence |
33 | Diagnosis AND all first course treatment provided elsewhere AND patient presents at reporting facility with disease history only |
34 | Type of case not required by CoC to be accessioned (i.e., CIS of cervix) AND initial diagnosis AND part or all of first course treatment by reporting facility |
35 | Case diagnosed before program's reference date AND initial diagnosis AND all or part of first course treatment by reporting facility |
36 | Type of case not required by CoC to be accessioned (i.e., a basal cell skin cancer) AND initial diagnosis elsewhere AND all or part of first course treatment by reporting facility |
37 | Case diagnosed before program's reference date AND initial diagnosis elsewhere AND all or part of first course treatment by facility |
38 | Initial diagnosis established by autopsy at the reporting facility, cancer not suspected prior to death |
Patient does not appear in person at reporting facility Do not abstract cases in class 40 - 99- refer them to KCR; these classes are for KCR use only | |
40 | Diagnosis AND all first course treatment given at the same staff physician's office |
41 | Diagnosis and all first course treatment given in two or more different staff physician offices |
42 | Nonstaff physician or non-CoC accredited clinic or other facility, not part of reporting facility, accessioned by reporting facility for diagnosis and/or treatment by that entity (i.e., hospital abstracts cases from an independent radiation facility) |
43 | Pathology or other lab specimens only |
49 | Death certificate only |
98 | Non-hospital treatment abstracted by KCR |
99 | Non-hospital cases abstracted by KCR |
A case in a multi-facility database may be associated with more than one facility, and this field exists in the class history record for each affiliated facility. When a facility creates or associates itself with a case, this field is automatically filled in with the facility's Class of Case (item 30140).
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