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Completing ADF96 Private Hospital Discharge Forms

Cancer patients

The following information only needs to be reported for the patient’s first cancer diagnosis admission to your hospital.

Occupation code (mandatory field for cancer patients)

A four-digit code or a description of the patient’s current occupation at the time of admission (or their previous occupation if they are now retired). Choose a code from the Occupation code table,) or enter a description (eg, Accountant, Retired Gold Miner) in area above ‘Occupation code’.

• Those over 60 years of age that do not report an occupation, as well as housewives, students, and children under 16 years of age, should be coded as ‘9900’.

Country of birth (mandatory field for cancer patients)

A three-digit code giving the patient’s country of birth. Choose a code from the list of selected countries below or from the Country of Birth code table, or write a description in the area to the right of the code field.

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060 Australia
148 Canada
180 China, Peoples Republic of
196 Cook Islands
244 England
268 Fiji
276 France
300 Germany
372 India
388 Republic of Ireland (Eire)
412 Japan
572 New Zealand
596 Northern Ireland
612 Pakistan
643 Russia
698 Western Samoa
712 Scotland
800 Tonga
840 Great Britain
844 United States of America
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Morphology description

Describe the pathological nature, structure, and form of malignancy. Please provide this if known.

Morphology code

A code, from the International Classification of Diseases for Oncology, that describes the pathological nature, structure, and form of the malignancy. Please provide this if known.

Basis

A single-digit code from the list below, giving the single most valid basis for diagnosis of a new, primary, malignant tumour. Please provide this if known.
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0 Death certificate only
1 Clinical only
2 Clinical investigation
3 Exploratory surgery or autopsy but without histology
4 Specific biochemical / immunological tests
5 Cytology or haematology
6 Histology of metastases
7 Histology of primary tumour
8 Autopsy with concurrent or previous histology
9 Unknown
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Stage

A single-digit code from the list below, describing the stage of development the primary malignant tumour reached at time diagnosed. Please provide this if known.
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0 In situ
1 Localised
2 Regional or node involvement
3 Remote or diffuse metastases
5 Not stated
6 Not applicable (Lymphoma/Leukaemia)
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Laboratory code

A four-digit code from the list below, specifying the laboratory that diagnosed and reported the cancer. Please provide this if known.
Fill in appropriate codes from the Laboratory code table.

Melanoma invasion level

A single-digit code from list below, describing the extent of invasion of a malignant melanoma. Please provide this if known.
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1 Clark’s level I, melanoma in situ, non-invasive

2 Clark’s level II, 0.75 mm or less and invades papillary dermis

3 Clark’s level III, range >0.75 mm to 1.5 mm in thickness and/or
invades to papillary-reticular dermal interface

4 Clark’s level IV, range >1.5 mm to 4.0 mm in thickness and/or
invades the reticular dermis

5 Clark’s level V, range >4.0 mm and/or invades subcutaneous tissue
and/or satellite(s) within 2 cm of primary tumour
____________________________________________________________________

Melanoma thickness

Thickness of a primary malignant melanoma in millimetres.
Use Breslow’s Thickness in the format NN.NNN. Please provide this if known.

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