L4E rule 5 (2018)
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This article covers L4E rule 5 for the 2018 L4E workload system. An overview of the L4E rules is found in the [[L4E rules of 20148].
The definitive reference for the rule is found on the CAP-ACP website.[1]
Overview
- This rule applies to specimens that require a synoptic report as per the College of American Pathologists (CAP) or are required by provincial health authorities.
Details
| Specimen type(s) | Weight (L4E) | Details | Examples |
|---|---|---|---|
| all non-radical resections with cancer for which a synoptic report has to be filled-out as per CAP guidelines | 3 L4E per synoptic report, at least 5 L4E for a given case | if the case is <5 L4E = 5 L4E for whole case; if the case is >5 L4E, 3 L4E/synoptic filled out | malignant colorectal polyp in 2 blocks = 5 L4E, breast lumpectomy with carcinoma in 16 blocks = 4 L4E (rule 4) + 3 L4E (for synoptic report), hemithyroidectomy with PTC in 20 blocks = 5 L4E (rule 4) + 3 L4E (for synoptic report) |
Note:
- Radical resections are covered by L4E rule 9.
Further examples
| Specimen | Rule 5 applies? | L4E | Explanation |
|---|---|---|---|
| Invasive malignant melanoma - 1 punch biopsy | Yes | 5 L4E | synoptic has to be done, would otherwise by 1 L4E as per rule 1 |
| Melanoma in situ - 1 punch biopsy | No | 1 L4E | no synoptic has to be done, rule 1 applies |
| Partial nephrectomy in 10 blocks with clear cell RCC | Yes | 2.5 L4E + 3 L4E (synoptic) | synoptic has to be done, rule 4 and rule 5 apply |
| Lumpectomy in 24 blocks with DCIS | Yes | 6 L4E + 3 L4E (synoptic) | synoptic has to be done, rule 4 and rule 5 apply |
| Cytoprostatectomy in 32 blocks with prostate cancer and bladder cancer | Yes | 8 L4E + 3 L4E (synoptic for prostate cancer) + 3 L4E (synoptic for bladder cancer) | synoptic has to be done, rule 4 and rule 5 apply |
See also
References
- ↑ 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. Accessed on: 19 May 2019.