L4E rule 6 (2018) - Revision history

Michael: /* History */

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History

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	==History==		==History==
	*The CAP-ACP workload committee document states this rule has ''not'' been modified from the 2014 edition of L4E (see ''Page 4'').<ref name=capacp2018/> However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E) and L1 (from 0.15 to 0.125);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in ~~a different weighting where larger cases have significantly less value~~.		*The CAP-ACP workload committee document states this rule has ''not'' been modified from the 2014 edition of L4E (see ''Page 4'').<ref name=capacp2018/> However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E) and L1 (from 0.15 to 0.125);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in lower weights for deepers and additional blocks.
	**Cutting 6 deepers in 2014 was 0.3 L4E; in the 2018 edition it is 0.25 L4Es.		**Cutting 6 deepers in 2014 was 0.3 L4E; in the 2018 edition it is 0.25 L4Es.
	**Submitting 6 additional blocks in 2014 was 2 L4E; in the 2018 edition it is 1.5 L4E.		**Submitting 6 additional blocks in 2014 was 2 L4E; in the 2018 edition it is 1.5 L4E.

Michael: /* See also */

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Michael: tweak

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	==Overview==		==Overview==
	*This rule applies to any case with extra blocks and/or levels requested by the pathologist.		*This rule applies to any case with extra blocks and/or levels requested by the pathologist.

			==History==
			*The CAP-ACP workload committee document states this rule has ''not'' been modified from the 2014 edition of L4E (see ''Page 4'').<ref name=capacp2018/> However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E) and L1 (from 0.15 to 0.125);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in a different weighting where larger cases have significantly less value.
			**Cutting 6 deepers in 2014 was 0.3 L4E; in the 2018 edition it is 0.25 L4Es.
			**Submitting 6 additional blocks in 2014 was 2 L4E; in the 2018 edition it is 1.5 L4E.

	==Details==		==Details==
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	\| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.125 L4E		\| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.125 L4E
	\|}		\|}


	Note:		Note:

Michael: /* Details */

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Details

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	\|-		\|-
	\| All specimens with extra blocks requested by the pathologist		\| All specimens with extra blocks requested by the pathologist
	\| 0.15 L4E/additional block		\| 0.25 L4E/additional block
	\| 1 extra block (EB) = 0.3 L4E, 2 EB = 0.6 L4E, 3 EB = 1 L4E, 4 EB = 1~~.33~~ L4E		\| 1 extra block (EB) = 0.25 L4E, 2 EB = 0.5 L4E, 3 EB = 0.75 L4E, 4 EB = 1 L4E
	\| colorectal cancer in 33 blocks with 11 lymph nodes, 3 more blocks submitted = 11 L4E ([[L4E rule 9 (~~2014~~)\|rule 9]]) + 1 L4E		\| colorectal cancer in 32 blocks with 11 lymph nodes, 4 more blocks submitted = 8 L4E ([[L4E rule 4 (2018)\|rule 9]]) + 1 L4E (rule 6) + 3 L4E ([[L4E rule 5 (2018)\|rule 5]])
	\|-		\|-
	\| All specimens with levels requested by the pathologist		\| All specimens with levels requested by the pathologist
	\| 0.15 L4E/3 levels		\| 0.125 L4E/3 levels (or 1 L1/3 levels)
	\| 1-3 levels = 0.15 L4E, 4-6 levels = 0.3 L4E, 7-9 levels = 0.45 L4E		\| 1-3 levels = 0.125 L4E, 4-6 levels = 0.25 L4E, 7-9 levels = 0.375 L4E
	\| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.15 L4E		\| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.125 L4E
	\|}		\|}


	Note:		Note:

Michael: Created page with "This article covers '''L4E rule 6''' for the 2018 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2018. The definitive reference f..."

2019-05-20T00:21:59Z

Created page with "This article covers '''L4E rule 6''' for the 2018 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2018. The definitive reference f..."

New page

This article covers '''L4E rule 6''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2018]].

The definitive reference for the rule is found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>

==Overview==
*This rule applies to any case with extra blocks and/or levels requested by the pathologist.

==Details==
{| class="wikitable sortable"
! Specimen type(s)
! Weight (L4E)
! Details
! Examples
|-
| All specimens with extra blocks requested by the pathologist
| 0.15 L4E/additional block
| 1 extra block (EB) = 0.3 L4E, 2 EB = 0.6 L4E, 3 EB = 1 L4E, 4 EB = 1.33 L4E
| colorectal cancer in 33 blocks with 11 lymph nodes, 3 more blocks submitted = 11 L4E ([[L4E rule 9 (2014)|rule 9]]) + 1 L4E
|-
| All specimens with levels requested by the pathologist
| 0.15 L4E/3 levels
| 1-3 levels = 0.15 L4E, 4-6 levels = 0.3 L4E, 7-9 levels = 0.45 L4E
| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.15 L4E
|}

Note:
*The above is in relation to the routine of the laboratory. If a lab routinely cuts 1 one slide for a particular type of case and the pathologist orders 3 deepers this rule applies.

==See also==
*[[L4E rules of 2018]].

==References==
{{Reflist|1}}

[[Category:Workload]]

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	==See also==		==See also==
	*[[L4E rules of 2018]].		*[[L4E rules of 2018]].
			*[[L4E rule 6 (2014)]]

	==References==		==References==