Instructions and Reporting Requirements Appendix B Electronic Reporting For Dermatology Physician...
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Instructions and Reporting Requirements Appendix B Electronic Reporting For Dermatology Physician Practices March 2014 North Carolina Central Cancer Registry State Center for Health Statistics Division of Public Health Department of Health and Human Services 1908 Mail Service Center Raleigh, NC 27699-1908 http://www.schs.state.nc.us/units/ccr/ North Carolina Central Cancer Registry
Instructions and Reporting Requirements Appendix B Electronic Reporting For Dermatology Physician Practices March 2014 North Carolina Central Cancer Registry
Instructions and Reporting Requirements Appendix B Electronic
Reporting For Dermatology Physician Practices March 2014 North
Carolina Central Cancer Registry State Center for Health Statistics
Division of Public Health Department of Health and Human Services
1908 Mail Service Center Raleigh, NC 27699-1908
http://www.schs.state.nc.us/units/ccr/
http://www.schs.state.nc.us/units/ccr/ North Carolina Central
Cancer Registry
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Appendix B Physician Practice Casefinding Tracking Log
Appendix B: Casefinding Tracking Log Appendix B: Physician
Practice Casefinding Tracking Log Instructions for completing the
Physician Practice Tracking Log General Instructions: Record all
cases identified through reports/patient logs included in the
casefinding process. This includes reportable and non-reportable
cases. If a patient has two or more independent cases of cancer,
the patient will need to be entered multiple times, once for each
primary. If this tumor for the patient has already been reported,
you do not need to enter the information again on the form. You may
use the comments section to record additional notes if necessary.
You may also update the "Last Date Record Reviewed. Medical Record
# If available, enter the patients physician office medical record
number. Last Name Enter the patient's last name. First Name Enter
the patient's first name. Date of Birth Enter the patient's date of
birth. ICD-9-CM Code If available, enter the ICD-9-CM code. Type of
Cancer/Primary Site Enter the site (organ, tissue, etc.) of the
body where the tumor originated. Date of Diagnosis Enter the date a
medical practitioner first stated this patient has a reportable
cancer or condition. Date of First Visit Enter the date the patient
was first seen at this office with this reportable cancer.
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Appendix B: Casefinding Tracking Log Appendix B: Physician
Practice Casefinding Tracking Log - continued Instructions for
completing the Physician Practice Tracking Log - continued Last
Date Patient Record Reviewed Enter the last date the patient's
record was reviewed. This can be extremely helpful in not having to
re-review information from previous visits. Date Entered/Submitted
to NCCCR Enter the date the case report was entered into the
physician dermatology report form and therefore submitted to the
NCCCR. Leave blank if the case is not reportable. Record Incomplete
if a final decision has not been made and further information is
needed.
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Appendix B: Casefinding Tracking Log Appendix B: Physician
Practice Casefinding Tracking Log - continued Reason not Submitted
to NCCCR / Comments For cases that were determined not to be
reportable, enter the reason the case was not reported to the
NCCCR. Examples include: Seen at ____ Hospital. Not a reportable
condition PIN III, Case already reported, Waiting on upcoming visit
for final diagnosis, etc. Enter additional information here that
will assist the reporter in future casefinding efforts. It can be
especially helpful to document that a final decision cannot be
made. For example, the information in the record was incomplete and
additional information from the physician or information from a
future visit is needed. Enter the North Carolina hospital name if
it is documented that the patient was seen at that North Carolina
hospital for the management of this cancer. Leave blank if the
patient was not seen at a North Carolina hospital (or it is
unknown) for the management of this cancer. This case needs to be
reported. Enter the visit date (inpatient or outpatient) at that
hospital for the diagnosis or treatment of this cancer. Leave blank
if the patient was not seen at a NC hospital (or it is unknown) for
the management of this cancer.