#1: First course treatment
Source 1: 2018 SEER Manual
First Course Treatment/Reportability: Are there situations for which a case with a class-of-case code in the 30’s should be reported to the central registry? We know these are not reportable to the CoC, but should they be reported to the central registry? See Discussion.
Example: 3/22/2017-26 year old white female seen in the emergency room with abdominal pain. Patient was diagnosed about a month ago with breast cancer. Impression: menstrual pain. In this example the patient is newly diagnosed with breast cancer, but the second hospital does not treat or diagnose the patient; pain management for a separate condition is received only. Is this patient reported due to the history of active disease?
Work with your central registry to determine which cases they require you to report. In general, any case still undergoing first course of treatment, even if not given at your facility, should be reported to the central registry. Many central registries will appreciate knowing that the patient was seen at your facility to update date last seen and other data items.