Alternate Name	Item#	Length	Source of Standard	Column #
Surgical Procedure/Other Site at this Facility Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s) at this Facility (CoC)	674	1	CoC	785-785

Description
Records the surgical removal of distant lymph nodes or other tissue(s)/organ(s) beyond the primary site performed at this facility as a part of first course of treatment.

Rationale
The removal of non-primary tissue documents the extent of surgical treatment and is useful in evaluating the extent of metastatic involvement.

If central registries wish to study the treatment given at particular facilities, the facility-level treatment fields must be used. The summary treatment fields, conversely, combine information for all hospitals that provide first course of treatment for the tumor. Facility-specific fields allow studies of detailed referral patterns and treatment by type of healthcare setting. Knowing what part of the treatment was given at a particular facility also helps resolve consolidation issues.

Codes (Refer to the most recent version of FORDS for additional instructions.)

0	None; no non-primary site resection was performed. Diagnosed at autopsy.
1	Non-primary surgical procedure performed, unknown if whether site is regional or distant.
2	Non-primary surgical procedure to other regional sites
3	Non-primary surgical procedure to distant lymph node(s).
4	Non-primary surgical procedure to distant site.
5	Any combination of codes 2, 3, or 4.
9	Unknown; it is unknown whether any surgical procedure of a non-primary site was performed. Death certificate only.