Cancer Registry Case Finding: From Trigger to Suspense

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About Course

Learn a practical, repeatable case finding workflow for a hospital cancer registry. Start with ICD-10-CM disease index and pathology lists, review imaging and clinician documentation, decide whether a new primary meets the applicable reportability rules, assign the facility relationship, and place eligible cases in suspense for later abstraction.

Six short sections include a decision activity after each lesson, realistic fictional pathology reports, imaging reports, physician notes, and a diagnosis-code worklist. A final quiz checks the complete workflow. Always confirm current year and your reporting standard before applying a casefinding list; a trigger is not by itself a reportable diagnosis.

Course Content

1. Find the Trigger: Sources and Worklists
ICD-10-CM diagnosis index, pathology, imaging and provider documentation; use the NAACCR reportability comparison for the reporting standard and year.

  • Where Case Finding Begins

2. Decide Reportability and Ambiguous Language
A positive diagnosis, qualifying ambiguous term, and applicable standard are required; tumor or neoplasm alone is not a malignant diagnosis.

3. Read the Entire Record, Not the Alert
Full fictional pathology, imaging and physician notes show how later information changes a worklist hit.

4. Determine Class of Case
Separate reportability from your facility relationship; use STORE code definitions for analytic and nonanalytic cases.

5. Place the Case in Suspense
Record the minimum diagnostic facts, avoid duplicates and track missing documentation until the abstract is ready.

6. Practice Cases and Final Assessment
Apply the full workflow to reportable and nonreportable fictional cases, then complete the final quiz.

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