A follow-up record may be added to an exam at any time during the year between screening exams.
Note: For LCSR purposes, a follow-up is not a screening exam; it is any additional imaging, biopsy, or surgery which occurs within 12 months of a screening exam, performed as a result of the findings of a screening exam. See "What follow-up procedures should be reported?" on the LCSR FAQ page for more information.
Follow-up visits should be added to Section B of the exam form. If more than one exam form exists for a patient, enter the follow-up record on the most recent exam form whose exam date is less than or equal to the date of follow-up.
You may add follow-up data to a submitted exam by clicking Exam under Data Collection in the LCSR menu. Click the corresponding Exam # for the patient for whom you want to add follow-up data. The submitted Exam form will display previously saved information. Click thebutton to expand the 'B. Follow-up within 1 year' section.
Click Add Follow-up Record to add a new record and enter all required and/or applicable information for the follow-up record.
Note: The following fields need to be collected for any follow-up imaging, biopsy, or surgical procedure for a patient who is in the screening program. There can be multiple follow-up records for each patient during the same year. Please complete a follow-up record for each procedure, even if the procedures occur on the same day. If a patient has a percutaneous biopsy and a bronchoscopy, for example, there should be a separate record for each.
Field Name | Description |
*Date of Follow-up | Please enter date in mm/dd/yyyy format. |
*Follow-up diagnostic | Select the appropriate response. |
Lung cancer incidence (The following fields apply if the procedure resulted in a tissue diagnosis. Not applicable for imaging follow-up. |
Tissue diagnosis | Select the appropriate response. |
Tissue diagnosis method | Select the appropriate response. |
Location from which sample was obtained | Select all responses that apply. |
Histology | Select the appropriate response. |
Stage - Clinical or pathologic? | Select the appropriate response. |
Overall Stage | Select the appropriate response. |
T Status | Select the appropriate response. |
N Status | Select the appropriate response. |
M Status | Select the appropriate response. |
AJCC Cancer Staging Manual edition used for staging | Select the appropriate response. |
Click Save to add the follow-up data to the Exam form.
Every follow-up procedure should have a record on the Exam form. If you need to remove a record, you may use the Delete Follow-up Record button to remove the follow-up information from the form.