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HIM 239: Abstracting Methods for Oncology

Course Description

This course will utilize basic abstracting principles and methods of the cancer registry to thoroughly review and analyze electronic health records and other source documents. Students will examine cancer identification, patient identification, and facility information as it pertains to the sections of an abstract. In addition, this course will provide general instructions on cancer registries resources and manuals used to accurately apply coding guidelines with hands on experience abstracting major disease sites. (3 credits)

Prerequisites

  • BIO 212: Anatomy & Physiology
  • BIO 215: Pathophysiology
  • HCA 105: Medical Terminology
  • HIM 230: Introduction to Cancer Registry and Management
  • HIM 231: Cancer Registry Operations

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Identify if a patient has single or multiple primary cancer sites.
  2. Code, abstract and translate medical records into standardized codes specific to diagnosis and treatment information.
  3. Construct a complete abstract for all major disease sites.
  4. Create a glossary of cancer registry terminology.
  5. Describe cancer identification, patient identification, facility information as it pertains to the sections of an abstract.
  6. Summarize a cancer patient’s medical chart into text format.
  7. Identify and code cancer identifying information such as primary site, histologies, TNM staging and first course treatment.
  8. Explain how quality control edits are used to ensure the accuracy of data.
  9. Discuss each of the following staging systems: TNM, Summary Stage, Site specific staging classifications, Site specific Data items (SSDI), EOD, Grading.
  10. Use NCCN guidelines to identify expected standards of treatment care for each cancer site.
  11. Navigate through cancer registry manuals widely used in the cancer registry management field.
  12. Explain why data standards are important for reporting.

Course Activities and Grading

Note: A "C" grade or higher must be earned to pass this course.

Letter GradePercentage
A93.0-100.0 
A -90.0-92.9 
B+87.0-89.9 
B83.0-86.9 
B -80.0-82.9 
C +77.0-79.9 
C73.0-76.9 
F72.99% and below



AssignmentsWeight

Discussions (Weeks 1-8)

5%

SEER Educate (Weeks 1, 4, & 5 – 2 total)

15%

Quiz (Weeks 2 & 3)

5%

Pathology Paper (Week 3)

5%

Abstracting and Coding (Weeks 4 & 5)

10%

Site-Specific Surgery Codes (Week 4)

5%

AJCC Staging Case Scenarios (Weeks 4 & 5)

10%

Radiation Cases (Week 6)

5%

Text Documentation (Week 7)

10%

Final Exam – Part 1 (Week 8)

10%

Final Exam – Part 2: Breast, Colon, & Lymphoma (Week 8)

20%

Total

100%

Required Textbooks

Available through Charter Oak State College's Book Bundle

  • National Cancer Registrars Association. Cancer Registry Management Principles and Practice for Hospitals and Central Registries. 4th ed. NCRA, 2021.

  • Amin MB, Edge S, Greene F, Byrd DR, Brookland RK, Washington MK, Gershenwald JE, Compton CC, Hess KR, et al. (Eds.). AJCC Cancer Staging Manual. 8th ed. Springer International Publishing: American Joint Commission on Cancer; 2017. 
    • Note:These textbooks are used in most of the Cancer Registry Management courses and should be saved for preparation for the CTR exam.

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

1,4,5,11

Topic: Cancer Registry Data Identification

  • Read and Review:
    • National Cancer Registrars Association, Chapter 6 
    • STORE Manual:
      • Case Eligibility pp. 38-42
      • Patient Identification pp. 68-92; 102-103, 113-115
      • Note: Print Ambiguous Terminology List p. 40
  • Read assigned chapter
  • Revuew assigned materials
  • Participate in the discussions
  • Submit Week 1 - Assignment: SEER Educate - Casefinding Scans

2

1, 2, 4, 6, 7, 8, 10, 12

Topic: What is Abstracting?

  • Read and Review:
    • National Cancer Registrars Association, Chapters 7-9
  • Read assigned chapters
  • Review the Lecture materials
  • Participate in the discussions
  • Complete Week 2 - Quiz

3

4, 8, 9, 11, 12

Topics: Standards for Collecting and Reporting Cancer Information, Medical Records, and the Data Set

  • Read and Review:
    • National Cancer Registrars Association, Chapter 13
    • STORE Manual:
      • Cancer Identification  
      • AJCC TNM Stage  
      • Date of First Course Treatment  
    • Solid Tumor Rules 2026 for the following sites:
      • Lung
      • Breast
      • Colon/Rectum
      • Prostate
    • How to Read Your Pathology Report
    • Anatomic Pathology.
    • How to Read Your Pathology Report
    • Cancer Protocols
    • Reading a Pathology Report
    • Where to Find Information to Abstract Various Data Items
    • How to Read Your Cancer Pathology Report: A Pathologist Explains | The Patient Story
  • Read assigned chapter
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 3 - Assignment: Pathology Paper
  • Complete Week 3 - Quiz

4

2, 4, 5, 7, 9,11

Topic: Abstracting Top Disease Sites: Prostate, Breast, Lung, Colon & Rectum

  • Read and Review:
    • Amin, et al., Chapters 1, 20, 36, 48, 58
    • Informational Abstracts
  • Read assigned chapters
  • Read assigned materials
  • Participate in the discussions
  • Submit Week 4 - Assignment: SEER Training Tests for Prostate, Breast, Lung, Colon & Rectum
  • Complete Week 4 - Quiz A
  • Complete Week 4 - Quiz B
  • Complete Week 4 - Quiz C

5

1, 2, 4, 7, 9, 10, 11

Topic: Abstracting Top Disease Sites: Bladder, Kidney, Brain and Spinal Cord, Melanoma of the Skin

  • Read and Review:
    • Amin, et al., Chapters 47, 60, 62, 72
    • Informational Abstracts
  • Read assigned chapters 
  • Read assigned materials
  • Participate in the discussions
  • Submit Week 5 - Assignments 1 & 2: SEER Educate - Training Tests for Bladder, Kidney, Brain, Melanoma of the Skin
  • Complete Week 5 - Quiz A
  • Complete Week 5 - Quiz B

6

2, 4, 11

Topic: Understanding the Radiation Treatment Plan

  • Read and Review:
    • STORE Manual. Appendix R, pp. 254-321, 425-477 
    • Missouri Cancer Registry and Research Center
    • Brachytherapy
  • Read assigned materials
  • Review the Lecture material
  • Participate in the Discussions
  • Submit Week 6  - Assignment: Radiation Cases

7

2, 3, 4, 5, 6, 11

Topics: Documenting Important Medical Data in the Cancer Abstract

  • Read and Review:
    • Washington State Cancer Registry Text Requirements
    • California Registrar Resources and Reporting - Appendix T - Text Documentation Guidelines
    • A Cancer Registrar’s Guide to Collecting Industry and Occupation
    • CTR Coding Break – Abstracting in Text
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 7 - Assignment: Text Documentation

8

1-12

Topics: Case Finalization and Validation

  • Read and Review:
    • National Cancer Registrars Association, Chapter 14
    • California Registrar Resources and Reporting - Appendix T - Text Documentation Guidelines
    • CTR Coding Break – Abstracting in Text
  • Read assigned chapter
  • Review assigned materials
  • Participate in the discussions
  • Submit Week 8 - Final Exam: Part 1
  • Submit Week 8 - Final Exam: Part 2
  • Complete the Course Evaluation

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COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.