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Question 13

The first cancer patient seen in your facility on January 1, 2008, was diagnosed with colon cancer, with no known history of previous malignancies. Th eaccession number assigned to this patient is

    Correct Answer: C

    The accession number is composed of the year the patient was first diagnosed at the facility and a sequence number. For this patient, the year is 2008. The sequence number consists of a unique identifier and a sequence indicating the number of primary cancers the patient has had in their lifetime. Since this is the first patient and the first diagnosed primary cancer in 2008 without any previous malignancy, the correct accession number is 2008-0001/00.

Discussion
RHITSwitchingOption: B

Year-A unique identifier for each separate primary for a patient that describes the chronology of diagnoses, allowing the registry to identify patients who have multiple primaries. The sequence number indicates the number of primary cancers the patient has had in his or her lifetime, not just the number of primary cancers included in the reporting registry. Malignant cancers start at 00 and benign or borderline tumors start at 60.