Historical Case (Archived)

FCDS requires reporting historical cancers even when the patient has no evidence the historical cancer is active. 

Suppose a patient has had at least one primary reportable neoplasm that is currently active or under treatment. In that case, all other primary reportable neoplasms the patient has ever had (active or inactive), regardless of the date of diagnosis, must be reported. Each case of cancer must be abstracted and reported separately. These historical cancers are to be reported only once for a patient, not every time a currently active cancer is reported. New cancers for cases with old Accession Numbers must include the old Accession Number. Multiple submissions of the same cancer will fail edit checks. Without an active cancer, a historical cancer alone does not need to be reported.

FCDS recommends that Registrars use the Facility Alpha Listing found in the FCDS Reports Menu in IDEA to avoid duplicate case submissions to FCDS. This report is updated every time cases are submitted to FCDS. It is a complete reference of all cases ever reported to FCDS from your facility since 1981.

Information about the historical cancer may be vague. The abstractor should attempt to complete an abstract with as much information as is available in the medical record. 

Abstracting Historical Cases

There are two methods for reporting a Historical Case: 

1. Historical cases reported as full abstracts or 

2. Reported using the minimal dataset as specified below: 

A. For every abstract submitted, the record layout will allow for the entry of up to five historical cases.

B. The fields required for each of the five cases include: 

1. Sequence Number 

2. Diagnosis Date 

3. Primary Site 

4. Histology

5. Behavior 

6. Laterality 

7. State of Residence at Diagnosis (State Abbreviation)

8. County of Residence at Diagnosis (FIPS County Code) 

9. Schema Discriminator 1 

10. Schema Discriminator 2 

C. These fields will be edited at the time of transmission. 

D. These fields should only be used when abstracting a historical case with insufficient information. 

E. A complete abstract must be reported to FCDS for cases with sufficient information in the patient’s medical record or when the patient has evidence of the historical cancer at the time of patient encounter (persistent disease, progression of disease or disease recurrence. 

F. The minimal dataset only applies to Class of Case 33 Historical Cases with insufficient information. All other Non-Analytical cases, including Class of Case 33 historical cases with enough information, require a full abstract to be reported to FCDS. 

G. Historical Cases should not include Unknown Primary Cancers (C80 or C76).

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