Collaborative Stage Data Set - Revised 08/07/2013 FINAL

Prostate

CS Site-Specific Factor 2
Prostatic Specific Antigen (PSA) Interpretation

Note 1: Record the interpretation for the highest PSA lab value recorded in the medical record prior to diagnostic biopsy of prostate and treatment. This lab value may be recorded in the lab report, history and physical, or clinical statement in the pathology report. See General Rules Part I, Section 2 for further instructions on coding lab test interpretations.
Note 2: The interpretation should be for the same laboratory test recorded in CS Site-Specific Factor 1.

Code	Description
000	OBSOLETE DATA CONVERTED V0200 See code 998 Test not done (test was not ordered and was not performed)
010	Positive/elevated
020	Negative/normal; within normal limits
030	Borderline; undetermined whether positive or negative
080	OBSOLETE DATA CONVERTED V0200 See code 997 Ordered, but results not in chart
988	Not applicable: Information not collected for this case (If this item is required by your standard setter, use of code 988 will result in an edit error)
997	Test ordered, results not in chart
998	Test not done (test not ordered and not performed)
999	Unknown or no information Not documented in patient record