Data Items and Record Layout for Submissions to NCDB …

Data Items and Record Layout for

Submissions to NCDB Made During

2021+

Using NAACCR Layout 21.0

and 22.0 Specifications

Layout 21.0 and 22.0 Submission Commission on Cancer 2021+

Page 2 of 102

Key to NCDB Submission Layout Table for 2021+

In the following Record Layout Table you will find two tables, one for v21 and one for v22. The tables identify the

data item, the length of the data item, its position in the record, its standard code format, the most current reference

for the item coding instructions, and the NAACCR item number, which can be used to access data and record exchange

standards published by NAACCR. Data Items that may be blank are indicated in the layout. The notes column is from

NAACCR to indicate the change from previous metafile posting. The last column, CoC required, is used to indicate if

it is a required field to submit to RCRS.

Record Description

CoC collects the “I” type NAACCR record layout which contains all non-confidential coded fields for each case to

include demographic, tumor, staging, treatment, and follow-up. There are also additional custom fields in the layout

for the three Physician NPI numbers and the four new custom CoC breast Surgical Codes (v22 only).

The following symbols are used in the Record Layout Table. They are listed here by column label.

Blank

Y item may be submitted as a blank space

N item must not be submitted as a blank space

year item may be blank only for cases diagnosed in the time period specified (See Record Layout Table Notes on

page 4 for additional detail), for example “<96 >02” (“blank permitted if tumor was diagnosed prior to

1996 or after 2002”) for an item required by ROADS only

Valid Format and Codes

R or L (R)ight or (L)eft justified Z (Z)ero fill U (U)pper case alpha M (M)ixed alpha-numeric

b Embedded (b)lank permitted

“x” Only the conditions described are accepted

n-n, n Single digits, options fully designated 00-99 Digits only; check references for valid codes (for example, site-specific codes)

B (B)lank is one of the codes or the only code permitted, even outside the time range specified

Date 12 Date in CCYYMMDD form, with or without a flag (introduced for submissions beginning in 2012).

The following table includes hyperlinks to the NAACCR Volume II (Data Standards and Data Dictionary) definitions

for the respective items. The Facility Oncology Registry Data Standards (FORDS) manual should be used for data

item codes and coding rules. Other required items are defined by the Collaborative Stage Data Collection System, the

SEER Multiple Primary and Histology Coding Manual, the Hematopoietic and Lymphatic Database, and SEER*Rx.

References to those sources can be found at the respective NAACCR item entries.

Layout 21.0 and 22.0 Submission Commission on Cancer 2021+

Page 3 of 102

Allowable Values

Reflects those values including blanks allowable for the data item

The following table includes hyperlinks to the NAACCR Volume II (Data Standards and Data Dictionary).

STandards for Oncology Registry Entry (STORE); AJCC Cancer Staging System, current edition or version, Site-

Specific Data Items (SSDIs) for collection of site-specific information; NAACCR Guidelines for ICD-O-3 Update

Implementation; 2018 Solid Tumor Coding Rules; SEER Summary Stage 2018 Manual and 2021 SEER Program

Manual to assign Summary Stage; most current SEER Hematopoietic and Lymphoid Neoplasm Database and rules;

and SEER*RX systemic therapy application.

Revisions to CoC reporting requirements for 2018 accommodate the transition from Collaborative Stage Site- Specific Factors to the new SSDI and Grade data items, as well as implementation of new data items for the

collection of radiation therapy, information associated with sentinel and regional lymph nodes, and cancer recurrence. References to those sources can be found at the respective NAACCR item entries.

Commission on Cancer 2021+ Layout 21.0 and 22.0 Submission

Page 4 of 102

NAACCR Layout 21.0 for use for submissions to NCDB and RCRS in 2021

The hyperlinks link to the online NAACCR Volume II Data Dictionary version 21, which will either define the item or

point to the definition source

Length Item # Item Name Format Allowable Values Notes CoC

Required

1 10 Record Type I, C, A, U, M, L .

8 20 Patient ID Number Right justified, zero

filled

.

8 21 Patient System ID-

Hosp

Right justified, zero

filled

.

1 30 Registry Type 1-3 .

35 FIN Coding System

Retired

37 Reserved 00 Retired

40 Registry ID Right justified, zero

filled

10-digit number. Reference

to EDITS table

REGID.DBF in Appendix

B

.

10 45 NPI--Registry ID 10-digit NPI code (9-digit

integer plus 1 check digit),

blank

.

3 50 NAACCR Record

Version

120, 121, 122, 130, 140, 150, 160, 180, 210

Revised .

2 60 Tumor Record

Number


filled 01-99

.

50 70 Addr at DX--City Mixed case letters,

special characters only

as allowed by USPS,

embedded spaces

allowed, left justified,

blank filled

City name or UNKNOWN

R

2 80 Addr at DX--State Upper case Refer to EDITS table

STATE.DBF in Appendix

B; CD, US, XX, YY, ZZ

R

2 81 State at DX

Geocode

1970/80/90

01-95, Blank

.

2 82 State at DX

Geocode 2000

01-95, Blank

.

2 83 State at DX

Geocode 2010

01-95, Blank

.

2 84 State at DX

Geocode 2020

01-95, Blank

.

3 89 County at DX

Analysis

001-997, 998, 999

.

3 90 County at DX

Reported


filled

001-999

R

3 94 County at DX

Geocode

1970/80/90

000-999

.

http://datadictionary.naaccr.org/default.aspx?c=10&Version=21&10




















Page 5 of 102





Required

3 95 County at DX

Geocode2000

001-999

.

3 96 County at DX

Geocode2010

000-999

.

3 97 County at DX

Geocode2020

001-999

.

9 100 Addr at DX--Postal

Code

Numbers or upper case

letters. No special

characters or

embedded spaces

allowed. Left justified,

blank filled

5-digit or 9-digit U.S. ZIP

codes; 6-character

Canadian postal codes;

valid postal codes from

other countries,

888888888, 999999999, 88888+4 blanks (U.S.),

99999+4 blanks (U.S.), 999999+3 blanks (Canada)

R

3 102 Addr at DX--

Country

Upper case International Standards

Organization (ISO) 3166-1

Country Three Character

Codes and custom codes:

ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL

R

6 110 Census Tract

1970/80/90


filled Valid FIPS Codes:

000100-999998, 000000, 999999, Blank

.

1 120 Census Cod Sys

1970/80/90

0-3, blank

.

6 125 Census Tract 2020 Right justified, zero

filled Census Tract Codes

000100-999998, 000000, 999999, Blank

.


filled

Valid FIPS Codes:

000100-999998, 000000, 999999, blank

.


filled

Census Tract Codes

000100-999998, 000000, 999999, blank

.

140 Census Tract Cod

Sys--Alt

Retired

1 145 Census Tr Poverty

Indictr

1-4, 9

.

1 150 Marital Status at

DX

1-6, 9

.

2 160 Race 1 Right justified, zero

filled 01-08, 10-17, 20-22, 25- 28, 30-32, 96-99

R
















Page 6 of 102





Required


filled 01-08, 10-17, 20-22, 25-

28, 30-32, 88, 96-99, blank

.


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.

1 170 Race Coding Sys--

Current

1-7, 9

.

1 180 Race Coding Sys-- Original

1-7, 9

.

1 190 Spanish/Hispanic

Origin

0-8, 9

R

1 191 NHIA Derived

Hisp Origin

0-8, blank

.

1 192 IHS Link 0, 1, blank .

2 193 Race--

NAPIIA(derived

API)


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 96, 99, blank

.

1 200 Computed Ethnicity

0-7, blank

.

1 210 Computed

Ethnicity Source

0-9, blank

.

1 220 Sex 1-6, 9 R

3 230 Age at Diagnosis Right justified, zero

filled

000-120, 999

R

8 240 Date of Birth YYYYMMDD Valid date R

2 241 Date of Birth Flag 10-20, blank .

3 250 Birthplace Right justified, zero

filled Reference to EDITS table

BPLACE.DBF in Appendix B

.

2 252 Birthplace--State Upper case USPS abbreviations and

CanadaPost abbreviations;

also a few local codes to

capture legacy definitions,

including unknowns,

consistent with the codes

allowable for Addr at Dx--

State [80].

R




















Page 7 of 102





Required

3 254 Birthplace--

Country




Codes; custom codes:

ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL. See

Appendix B for complete

list of country names and

corresponding three

character alpha codes.

R

260 Religion Retired

3 270 Census Occ Code 1970-2000

Right justified, zero filled

Reference Industry and

Occupation Coding for Death Certificates

.

4 272 Census Ind Code

2010 CDC


filled Valid 4 digit numbers,

Blank

.


1970-2000


filled


Occupation Coding for

Death Certificates

.

4 282 Census Occ Code

2010 CDC


filled

Valid 4-digit numbers,

Blank

.

1 290 Occupation Source 0-3, 7-9, blank .

1 300 Industry Source 0-3, 7-9, blank .

100 310 Text--Usual

Occupation

Free text Neither carriage return nor

line feed characters

allowed

.

100 320 Text--Usual

Industry



allowed

.

1 330 Census Occ/Ind

Sys 70-00

1-5, 7, 9, blank

.

1 339 RUCA 2000 1, 2, 9 .

340 Tobacco History Retired

1 341 RUCA 2010 1, 2, 9 .

1 345 URIC 2000 1-4, 9 .

1 346 URIC 2010 1-4, 9 .

350 Alcohol History Retired

12 351 GeoLocationID -

1970/80/90

.


2000

.


2010

.






















Page 8 of 102





Required


2020

.

360 Family History of

Cancer

Retired

1 361 Census Block

Group 2020

0-9, Blank

.

1 362 Census Block

Group 2000

0-9, blank

.

1 363 Census Block

Group 2010

0-9, blank

.

1 364 Census Tr Cert

1970/80/90

1-6, 9, blank

.

1 365 Census Tr

Certainty 2000

1-6, 9, blank

.

2 366 GIS Coordinate

Quality


filled

00-12, 98, 99, blank

.

1 367 Census Tr Certainty 2010

1-6, 9, blank

.

1 368 Census Block Grp

1970/80/90

0-9, blank

.

1 369 Census Tract

Certainty 2020

1-6, 9, Blank

.


2 380 Sequence Number-

-Central


filled

00-59, 60-87, 88, 98, 99

.

8 390 Date of Diagnosis YYYYMMDD Valid date R

2 391 Date of Diagnosis

Flag

10-20, blank

.

4 400 Primary Site C followed by 3 digits,

no special characters,

no embedded blanks

Refer to ICD-O-3

(decimals are dropped)

R

1 410 Laterality 0-5, 9 R

5 419 Morph--

Type&Behav ICD-

O-2

Reference to ICD-0-2

.

4 420 Histology (92-00)

ICD-O-2

8000-9989, Refer to ICD- 0-2

RH

1 430 Behavior (92-00) ICD-O-2

0-3, Refer to ICD-0-2

RH

2 439 Date of Mult

Tumors Flag

10-20, blank

RH

1 440 Grade 1-9 RH

1 441 Grade Path Value 1-4, blank RH

1 442 Ambiguous

Terminology DX

0-2, 9

RH

8 443 Date Conclusive

DX YYYYMMDD

Valid date

RH



























Page 9 of 102





Required

2 444 Mult Tum Rpt as

One Prim


filled 00, 10-12, 20, 30-32, 40, 80, 88, 99

RH

8 445 Date of Mult

Tumors YYYYMMDD

Valid date

RH

2 446 Multiplicity

Counter


filled

00-89, 99, blank

RH

447 Number of

Tumors/Hist

Retired


DX Flag

10-20, blank

RH

1 449 Grade Path System 2-4, blank RH

1 450 Site Coding Sys-- Current

1-6, 9

.

1 460 Site Coding Sys--

Original

1-6, 9

.

1 470 Morph Coding

Sys--Current

1-9, A, B

Revised .

1 480 Morph Coding

Sys--Originl

1-9, A, B

Revised .

1 490 Diagnostic

Confirmation

1-9 R

1 500 Type of Reporting

Source

1-8 .

2 501 Casefinding Source 10, 20-30, 40, 50, 60, 70, 75, 80, 85, 90, 95, 99

.

510 Screening Date Retired

520 Screening Result Retired

5 521 Morph--

Type&Behav ICD-

O-3

Refer to ICD-O-3

.

4 522 Histologic Type

ICD-O-3

8000-9989, Refer to ICD-

O-3

R

1 523 Behavior Code

ICD-O-3

0-3, Refer to ICD-O-3

R


538 Reporting Hospital FAN

Retired

10 540 Reporting Facility Right justified, zero

filled

10-digit number

R

10 545 NPI--Reporting

Facility

10-digit NPI code (9-digit

NPI integer plus 1 check

digit), blank

R

9 550 Accession

Number--Hosp

9-digit number

R

2 560 Sequence Number- -Hospital


filled

00-59, 60-87, 88, 99

R

3 570 Abstracted By No special characters Letters and numbers R

8 580 Date of 1st Contact YYYYMMDD Valid dates R

2 581 Date of 1st Contact

Flag

10-20, blank

R





























Page 10 of 102





Required

8 590 Date of Inpt Adm YYYYMMDD Valid dates .

2 591 Date of Inpt Adm

Flag

10-20, blank

.

8 600 Date of Inpt Disch YYYYMMDD Valid dates .

2 601 Date of Inpt Disch

Flag

10-20, blank

.

1 605 Inpatient Status 0,1,9, blank .

2 610 Class of Case Right justified, zero

filled 00, 10-14, 20-22, 30-38, 40-43, 49, 99

R

620 Year First Seen

This CA

Retired

2 630 Primary Payer at

DX


filled 01, 02, 10, 20, 21, 31, 35, 60-68, 99

R

640 Inpatient/Outpt

Status

Retired

650 Presentation at CA

Conf

Retired

660 Date of CA

Conference

Retired

665 RX Hosp--ASA Class

Retired

1 668 RX Hosp--Surg

App 2010

0-5, 9

R

2 670 RX Hosp--Surg

Prim Site


filled 00, 10-80, 90, 98, 99 (site- specific)

R

1 672 RX Hosp--Scope

Reg LN Sur

0-7, 9

R

1 674 RX Hosp--Surg Oth Reg/Dis

0-5, 9

R

2 676 RX Hosp--Reg LN

Removed


filled

00-90, 95-99

RH

678 RX Hosp--Surg

Timing

Retired


8 682 Date Regional

Lymph Node

Dissection

YYYYMMDD

Valid dates

R

2 683 Date Regional

Lymph Node Dissection Flag

10-12, Blank

.

1 690 RX Hosp--

Radiation

0-5, 9

.

2 700 RX Hosp--Chemo Right justified, zero

filled

00-03, 82, 85-88, 99

R

2 710 RX Hosp--

Hormone


filled

00, 01, 82, 85-88, 99

R

2 720 RX Hosp--BRM Right justified, zero

filled

00, 01, 82, 85-88, 99

R

1 730 RX Hosp--Other 0-3, 6-9 R

2 740 RX Hosp--DX/Stg

Proc


filled

00-07, 09

R





























Page 11 of 102





Required

742 RX Hosp--

Screen/BX Proc1

Retired

743 RX Hosp--

Screen/BX Proc2

Retired

744 RX Hosp--

Screen/BX Proc3

Retired

745 RX Hosp--

Screen/BX Proc4

Retired

2 746 RX Hosp--Surg

Site 98-02


filled 00, 10-90, 99 (site- specific), blank

RH


Reg 98-02

0-9 (site-specific), blank

RH

1 748 RX Hosp--Surg

Oth 98-02


RH


3 752 Tumor Size

Clinical

000-990, 998, 999

.

3 754 Tumor Size

Pathologic

000-990, 998, 999

.

3 756 Tumor Size

Summary

000-990, 998, 999

R

1 759 SEER Summary

Stage 2000

0-5, 7, 8, 9

RH

1 760 SEER Summary

Stage 1977

0-5, 7, 8, 9

RH

1 762 Derived Summary

Stage 2018

0-4, 7-9

.

1 764 Summary Stage

2018

0-4, 7-9

.

770 Loc/Reg/Distant

Stage

Retired

3 772 EOD Primary

Tumor

Valid schema-specific

codes; also 000, 800, 999

.

3 774 EOD Regional Nodes

Valid schema-specific codes; also 000, 800, 888,

999

.

2 776 EOD Mets Valid schema-specific

codes; also 00, 88, 99

.

12 779 Extent of Disease

10-Dig

.

3 780 EOD--Tumor Size Right justified, zero

filled

See respective source

references

RH

15 785 Derived EOD 2018

T

.

2 790 EOD--Extension Right justified, zero filled

Reference SEER Extent of Disease manual

.


M

.

2 800 EOD--Extension

Prost Path


filled

Reference SEER Extent of

Disease manual

.



























Page 12 of 102





Required

1 810 EOD--Lymph

Node Involv


Disease manual

.


N

.


Stage Group

.

2 820 Regional Nodes

Positive


filled

00-90, 95, 97-99

R


Examined


filled

00-90, 95-99

R

8 832 Date of Sentinel

Lymph Node

Biopsy

YYYYMMDD

Valid dates

RS


Lymph Node

Biopsy Flag

10-12, Blank

.

2 834 Sentinel Lymph

Nodes Examined


filled

00-90, 95, 98, 99

RS


Nodes Positive


filled

00-90, 95, 97-99

RS

13 840 EOD--Old 13 Digit Numeric and special

characters

.

2 850 EOD--Old 2 Digit Numeric plus special

characters "&" and

"dash" ("-")

.

4 860 EOD--Old 4 Digit .

1 870 Coding System for

EOD

0-4, Blank

.

4 880 TNM Path T Upper case,

alphanumeric, left

justified, blank filled

See AJCC Cancer Staging

Manual and FORDS

manual; also 88, blank

RH

4 890 TNM Path N Upper case,

alphanumeric, left



Manual and FORDS


RH

4 900 TNM Path M Upper case,

alphanumeric, left



Manual and FORDS

Manual; also 88, blank

RH

4 910 TNM Path Stage

Group

Upper case,

alphanumeric. Convert

AJCC Roman

numerals to Arabic

numerals. Left



Manual and FORDS

Manual; also 88, 99

RH

1 920 TNM Path

Descriptor

0-6, 9, blank

RH

2 930 TNM Path Staged

By

00, 10-15, 20, 30, 40, 50, 60, 88, 99

RH

4 940 TNM Clin T Upper case,

alphanumeric, left



Manual and FORDS


RH






















Page 13 of 102





Required

4 950 TNM Clin N Upper case,

alphanumeric, left



Manual and FORDS


RH

4 960 TNM Clin M Upper case,

alphanumeric, left



Manual and FORDS


RH

4 970 TNM Clin Stage

Group

Upper case,


AJCC Roman

numerals to Arabic

numerals. Left



Manual and FORDS

Manual; also 88, 99

RH

1 980 TNM Clin

Descriptor

0-3, 5, 9, blank

RH

2 990 TNM Clin Staged By

00, 10-15, 20, 30, 40, 50, 60, 88, 99

RH

4 995 AJCC ID D

1000 TNM Other T Retired

15 1001 AJCC TNM Clin T Left justified See the AJCC Cancer

Staging Manual for valid

codes; also 88, Blank

R

15 1002 AJCC TNM Clin N Left justified See the AJCC Cancer



R

15 1003 AJCC TNM Clin

M

Left justified See the AJCC Cancer



R


Stage Group



codes; also 88, 99

R

1010 TNM Other N Retired

15 1011 AJCC TNM Path T Left justified See the AJCC Cancer



R

15 1012 AJCC TNM Path N Left justified See the AJCC Cancer



R

15 1013 AJCC TNM Path

M




R


Stage Group



codes; also 88, 99

R

1020 TNM Other M Retired

15 1021 AJCC TNM Post

Therapy Path (yp)

T




Revised

R




















Page 14 of 102





Required


Therapy Path (yp)

N




Revised

R


Therapy Path (yp)

M




Revised

R


Therapy Path (yp)

Stage Group



codes; also 88, 99

Revised

R

1030 TNM Other Stage

Group

Retired

4 1031 AJCC TNM Clin T

Suffix



codes; also (m), (s), blank

R

4 1032 AJCC TNM Path T

Suffix



codes; also (m), (s), Blank

R


Therapy Path (yp)

T Suffix



codes; also (m),(s), Blank

Revised

R

4 1034 AJCC TNM Clin N

Suffix



codes; also (sn), (f), Blank

R

4 1035 AJCC TNM Path N

Suffix

Left justified (sn), (f), Blank

Revised R


Therapy Path (yp) N Suffix

Left justified

(sn), (f), Blank

Revised

R

1040 TNM Other Staged

By

Retired

1050 TNM Other

Descriptor

Retired

2 1060 TNM Edition Number


00-09, 88, 99

Revised R


Therapy Clin (yc)

T

Those published in the

AJCC Cancer Staging

Manual, 88, blank

New

R


Therapy Clin (yc)

T Suffix

(m), (s), blank

New

R


Therapy Clin (yc)

N

In addition to those

published in the AJCC

Cancer Staging Manual:

88, Blank

New

R


Therapy Clin (yc)

N Suffix

(sn), (f), Blank

New

R


Therapy Clin (yc)

M


AJCC Cancer Staging

Manual, 88, Blank

New

R




















Page 15 of 102





Required


Therapy Clin (yc)

Stage Group


AJCC Cancer Staging

Manual, 88, Blank

New

.

1 1068 Grade Post

Therapy Clin (yc)

Refer to the most recent

version of the SSDI, Blank

New

R

1070 Other Staging System

Retired

1080 Date of 1st Positive

BX

Retired

1090 Site of Distant Met

1

Retired


2

Retired


3

Retired

1 1112 Mets at DX-Bone 0, 1, 8, 9

R

1 1113 Mets at DX-Brain 0, 1, 8, 9

R

1 1114 Mets at Dx-Distant

LN

0, 1, 8, 9

R

1 1115 Mets at DX-Liver 0, 1, 8, 9

R

1 1116 Mets at DX-Lung 0, 1, 8, 9

R

1 1117 Mets at DX-Other 0, 1, 2, 8, 9

R

2 1120 Pediatric Stage Alphanumeric Refer to ROADS Manual

.

2 1130 Pediatric Staging

System


filled

00-15, 88, 97, 99

.

1 1140 Pediatric Staged By

0-9

.

1 1150 Tumor Marker 1 0-6, 8, 9

RH

1 1160 Tumor Marker 2 0-6, 8, 9

RH

1 1170 Tumor Marker 3 0-6, 8, 9

RH


1 1182 Lymphovascular

Invasion

0-4,8,9

R


8 1200 RX Date Surgery YYYYMMDD Valid dates

R

























Page 16 of 102





Required

2 1201 RX Date Surgery

Flag

10-20, blank

R

8 1210 RX Date Radiation YYYYMMDD Valid dates

R

2 1211 RX Date Radiation

Flag

10-20, blank

.

8 1220 RX Date Chemo YYYYMMDD Valid dates

R

2 1221 RX Date Chemo

Flag

10-20, blank

.

8 1230 RX Date Hormone YYYYMMDD Valid dates

R

2 1231 RX Date Hormone

Flag

10-20, blank

R

8 1240 RX Date BRM YYYYMMDD Valid dates

R

2 1241 RX Date BRM

Flag

10-20, blank

R

8 1250 RX Date Other YYYYMMDD Valid dates

R

2 1251 RX Date Other

Flag

10-12, 15, blank

.

8 1260 Date Initial RX

SEER

YYYYMMDD Valid dates

.


SEER Flag

10-20, blank

.

8 1270 Date 1st Crs RX

CoC


R


CoC Flag

10-20, blank

.

8 1280 RX Date DX/Stg

Proc


R


Proc Flag

10-20, blank

R

1 1285 RX Summ--

Treatment Status

0-2, 9

R

2 1290 RX Summ--Surg Prim Site


00, 10-80, 90, 98, 99 (site- specific)

R

1 1292 RX Summ--Scope

Reg LN Sur

0-7, 9

R

1 1294 RX Summ--Surg

Oth Reg/Dis

0-5, 9

R

2 1296 RX Summ--Reg

LN Examined


filled

00-90, 95-99

RH


1 1310 RX Summ--

Surgical Approch

0-9 (site-specific)

RH


























Page 17 of 102





Required

1 1320 RX Summ--

Surgical Margins

0-3, 7-9

R

1 1330 RX Summ--

Reconstruct 1st

0-9 (site-specific)

RH

1 1340 Reason for No

Surgery

0-2, 5-9

R

2 1350 RX Summ--

DX/Stg Proc


filled

00-07, 09

R

1 1360 RX Summ--

Radiation

0-9

.

1 1370 RX Summ--Rad to CNS

0, 1, 7-9

.

1 1380 RX Summ--

Surg/Rad Seq

0, 2-7, 9

R

2 1390 RX Summ--Chemo Right justified, zero

filled

00-03, 82, 85-88, 99

R

2 1400 RX Summ--

Hormone


filled

00, 01, 82, 85-88, 99

R

2 1410 RX Summ--BRM Right justified, zero

filled

00, 01, 82, 85-88, 99

R

1 1420 RX Summ--Other 0-3, 6-9

R


Radiation

0-2, 5-9

R

1440 Reason for No

Chemo

Retired

1450 Reason for No

Hormone

Retired

2 1460 RX Coding

System--Current


filled

00-08, 99

.

1470 Protocol Eligibility

Stat

Retired

1480 Protocol

Participation

Retired

1490 Referral to Support

Serv

Retired

1500 First Course Calc Method

Retired

5 1501 Phase I Dose per

Fraction

Right Justified, zero

filled

00000-99999

R

2 1502 Phase I Radiation

External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1503 Phase I Number of Fractions


000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73, 80-86, 88, 90-99

R

























Page 18 of 102





Required


to Draining Lymph

Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1507 Phase I Total Dose Right Justified, zero

filled

000000-999999

R

5 1510 Rad--Regional

Dose: cGy


filled

00000-99999

.

5 1511 Phase II Dose per

Fraction

00000-99999

R

2 1512 Phase II Radiation

External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1513 Phase II Number of

Fractions


filled

000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73, 80-86, 88, 90-99

R


to Draining Lymph

Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1517 Phase II Total Dose Right justified, zero filled

000000-999999

R

3 1520 Rad--No of

Treatment Vol


filled

000-999

.

5 1521 Phase III Dose per

Fraction

00000-99999

R

2 1522 Phase III Radiation

External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1523 Phase III Number

of Fractions

Right-justified, zero-

filled

000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73, 80-86, 88, 90-96, 98-99

R

2 1525 Phase III Radiation to Draining Lymph Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1527 Phase III Total

Dose

right justified, zero

filled

000000-999999

R

1530 Rad--Elapsed RX

Days

Retired






















Page 19 of 102





Required

2 1531 Radiation

Treatment

Discontinued Early

00-07, 99

R

2 1532 Number of Phases

of Rad Treatment

to this Volume

right justified, zero-

filled

00, 01, 02, 03, 04, 99

R

6 1533 Total Dose right justified, zero

filled

000000-999999

R

2 1540 Rad--Treatment

Volume


filled

00-41, 50, 60, 98, 99

.

1 1550 Rad--Location of

RX

0-4, 8, 9

R

1560 Rad--Intent of

Treatment

Retired

2 1570 Rad--Regional RX

Modality


filled 00, 20-32, 40-43, 50-55,

60-62, 80, 85, 98, 99

.

1580 Rad--RX

Completion Status

Retired

1590 Rad--Local Control

Status

Retired

1600 Chemotherapy

Field 1

Retired

1610 Chemotherapy

Field 2

Retired

1620 Chemotherapy Field 3

Retired

1630 Chemotherapy

Field 4

Retired

1 1632 Neoadjuvant

Therapy

0-3, 9

New .

1 1633 Neoadjuvant

Therapy-Clinical

Response

0-9

New

.

1 1634 Neoadjuvant

Therapy-Treatment

Effect

0-4, 6, 7, 9

New

.

1 1639 RX Summ--

Systemic/Sur Seq

0, 2-7, 9

R

2 1640 RX Summ-- Surgery Type


00-99 (site-specific)

.

1642 RX Summ--

Screen/BX Proc1

Retired

1643 RX Summ--

Screen/BX Proc2

Retired

1644 RX Summ--

Screen/BX Proc3

Retired

1645 RX Summ--

Screen/BX Proc4

Retired
























Page 20 of 102





Required


Site 98-02


filled 00, 10-90, 99 (site-

specific), blank

RH


Reg 98-02


RH


Oth 98-02


RH


8 1660 Subsq RX 2nd

Course Date


.

2 1661 Subsq RX 2ndCrs Date Flag

10-20, blank

.

11 1670 Subsq RX 2nd

Course Codes

.

2 1671 Subsq RX 2nd

Course Surg


filled

00, 10-90, 99

.

1 1672 Subsq RX 2nd

Course Rad

0-5, 9

.

1 1673 Subsq RX 2nd

Course Chemo

0-3, 9

.

1 1674 Subsq RX 2nd

Course Horm

0-3, 9

.

1 1675 Subsq RX 2nd

Course BRM

0-9

.

1 1676 Subsq RX 2nd

Course Oth

0-3, 6-9

.

1 1677 Subsq RX 2nd--

Scope LN SU

0-9

.


Surg Oth

0-9

.


Reg LN Rem


filled

00-90, 95-99

.

8 1680 Subsq RX 3rd

Course Date


.

2 1681 Subsq RX 3rdCrs

Date Flag

10-20, blank

.

11 1690 Subsq RX 3rd Course Codes

.

2 1691 Subsq RX 3rd

Course Surg


filled

00, 10-90, 99

.

1 1692 Subsq RX 3rd

Course Rad

0-5, 9

.

1 1693 Subsq RX 3rd

Course Chemo

0-3, 9

.

1 1694 Subsq RX 3rd

Course Horm

0-3, 9

.

1 1695 Subsq RX 3rd

Course BRM

0-9

.


























Page 21 of 102





Required

1 1696 Subsq RX 3rd

Course Oth

0-3, 6-9

.

1 1697 Subsq RX 3rd--

Scope LN Su

0-9

.


Surg Oth

0-9

.


Reg LN Rem


filled

00-90, 95-99

.

8 1700 Subsq RX 4th

Course Date


.

2 1701 Subsq RX 4thCrs Date Flag

10-20, blank

.

11 1710 Subsq RX 4th

Course Codes

.

2 1711 Subsq RX 4th

Course Surg


filled

00, 10-90, 99

.

1 1712 Subsq RX 4th

Course Rad

0-5, 9

.

1 1713 Subsq RX 4th

Course Chemo

0-3, 9

.

1 1714 Subsq RX 4th

Course Horm

0-3, 9

.

1 1715 Subsq RX 4th

Course BRM

0-9

.

1 1716 Subsq RX 4th

Course Oth

0-3, 6-9

.

1 1717 Subsq RX 4th--

Scope LN Su

0-9

.


Surg Oth

0-9

.

2 1719 Subsq RX 4th--Reg

LN Rem


filled

00-90, 95-99

.

1720 Subsq RX 5th

Course Date

Retired

1730 Subsq RX 5th

Course Codes

Retired

1731 Subsq RX 5th

Course Surg

Retired

1732 Subsq RX 5th

Course Rad

Retired

1733 Subsq RX 5th

Course Chemo

Retired

1734 Subsq RX 5th

Course Horm

Retired

1735 Subsq RX 5th Course BRM

Retired

1736 Subsq RX 5th

Course Oth

Retired


























Page 22 of 102





Required

1737 Subsq RX 5th--

Scope LN Su

Retired

1738 Subsq RX 5th--

Surg Oth

Retired

1739 Subsq RX 5th--Reg

LN Rem

Retired


1 1741 Subsq RX--

Reconstruct Del

Site-specific

.

8 1750 Date of Last

Contact


R

2 1751 Date of Last

Contact Flag

10-20, blank

.

8 1755 Date of Death-- Canada

YYYYMMDD Valid Dates

.

2 1756 Date of Death--

CanadaFlag

10-20, blank

.

1 1760 Vital Status 0, 1

R

1 1762 Vital Status

Recode

0, 1

.

1 1770 Cancer Status 1, 2, 9

R

8 1772 Date of Last

Cancer (tumor)

Status

YYYYMMDD

Valid dates

R

2 1773 Date of Last

Cancer (tumor)

Status Flag

12, Blank

.

2 1775 Record Number

Recode

01-99 .

1 1780 Quality of Survival 0-4, 8, 9

.

8 1782 Surv-Date Active

Followup


.

1 1783 Surv-Flag Active

Followup

0-3, 8,9, blank

.

4 1784 Surv-Mos Active

Followup


filled

0000-9999, blank

.

8 1785 Surv-Date

Presumed Alive


.

1 1786 Surv-Flag

Presumed Alive

0-3, 8,9, blank

.

4 1787 Surv-Mos

Presumed Alive


filled

0000-9999, blank

.

8 1788 Surv-Date DX

Recode


.

1 1790 Follow-Up Source 0-5, 7-9

R


























Page 23 of 102





Required

2 1791 Follow-up Source

Central


filled 00-12, 29-35, 39-43, 48-

51, 59-65, 98, 99

.

1 1800 Next Follow-Up

Source

0-5, 8, 9

R

50 1810 Addr Current--City Mixed case letters,


as allowed by USPS,

embedded spaces


blank filled


.

2 1820 Addr Current--

State

See EDITS table

STATE.DBF in

Appendix B; CD, US,

XX, YY, ZZ

.


Postal Code


letters. No special

characters or

embedded spaces


blank filled.


codes; 6- character



other countries,

888888888, 999999999,

88888+4 blanks (U.S.),


.


Country





ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL

.


3 1840 County--Current Right justified, zero filled

See Appendix A for

standard FIPS county codes. See EDITS table

BPLACE.DBF in

Appendix B for geocodes

used by CoC for non-U.S.

residents. Also 998, 999

.

50 1842 Follow-Up

Contact--City

Mixed case letters,


as allowed by USPS,

embedded spaces


blank filled


.











Page 24 of 102





Required

2 1844 Follow-Up

Contact--State

Upper case See EDITS table


B

.

9 1846 Follow-Up

Contact--Postal


letters. No special

characters or

embedded spaces


blank filled


codes; 6- character



other countries,

888888888, 999999999,

88888+4 blanks (U.S.),


.

3 1847 FollowUp Contact-

-Country

Upper case Use the International

Standards Organization

(ISO) 3166-1 Country

Three Character Codes,

augmented by custom

codes: ZZN, ZZC, ZZS,

ZZP, ZZE, ZZF, ZZA,

ZZX, ZZU, XNI, XCB,

XEN, XSC, XGR, XSL,

CSK, YUG, XUM, XNF,

XSD, XWF, XSF, XEF,

XIF, XET, XAP, XIS,

XCR, XOR, XSE, XMS,

XCH, XML, XMC, XPL.

See Appendix B for

complete list of country names and corresponding

three character alpha

codes.

.

2 1850 Unusual Follow- Up Method

00-99

.

8 1860 Recurrence Date--

1st


R


1st Flag

10-20, blank

.

1870 Recurrence Distant

Sites

Retired


Site 1

Retired


Site 2

Retired


Site 3

Retired

2 1880 Recurrence Type--

1st


filled

00, 04, 06, 10, 13-17, 20-

22, 25-27, 30, 36, 40, 46, 51-60, 62, 70, 88, 99

R

1890 Recurrence Type--

1st--Oth

Retired
















Page 25 of 102





Required

4 1910 Cause of Death 4 digits (for ICD-7, 8,

9); for ICD-10, upper

case letter followed by

3 digits or upper case

letter followed by 2

digits plus blank

Valid ICD-7, ICD-8, ICD-

9, and ICD-10 codes; also

0000, 7777, 7797

.

1 1914 SEER Cause

Specific COD

0, 1, 8, 9

.

1 1915 SEER Other COD 0, 1, 8, 9

.

1 1920 ICD Revision

Number

0, 1, 7, 8, 9

.

1 1930 Autopsy 0-2, 9

.

3 1940 Place of Death Right justified, zero

filled

Reference SEER Manual

.

2 1942 Place of Death--

State

Upper case USPS or CanadaPost 2-

character codes; CD, US,

XX, YY, ZZ, Blank

.


Country




Codes augmented by

custom codes: ZZN, ZZC,

ZZS, ZZP, ZZE, ZZF,

ZZA, ZZX, ZZU, XNI,

XCB, XEN, XSC, XGR,

XSL, CSK, YUG, XUM,

XNF, XSD, XWF, XSF,

XEF, XIF, XET, XAP,

XIS, XCR, XOR, XSE,

XMS, XCH, XML, XMC,

XPL, Blank. See Appendix

B for complete list of

country names and

corresponding three


.

4 1960 Site (73-91) ICD-

O-1

Four digits, first digit

equals 1. Reference

ICD-O-1 for valid

entries

1400-1999

.

6 1970 Morph (73-91)

ICD-O-1

Reference ICD-O-1 for

valid entries

.

4 1971 Histology (73-91)

ICD-O-1

Reference ICD-O-1

for valid entries

8000-9970

.

1 1972 Behavior (73-91)

ICD-O-1


valid entries

.

1 1973 Grade (73-91)

ICD-O-1


valid entries

.















Page 26 of 102





Required

1 1980 ICD-O-2

Conversion Flag

0-6, blank

.

1 1981 Over-ride

SS/NodesPos

1 or blank

.

1 1982 Over-ride

SS/TNM-N

1 or blank

.

1 1983 Over-ride

SS/TNM-M

1 or blank

.

1984 Over-ride

SS/DisMet1

Retired

1 1985 Over-ride Acsn/Class/Seq

1 or blank

.

1 1986 Over-ride

HospSeq/DxConf

1 or blank

.

1 1987 Over-ride CoC-

Site/Type

1 or blank

.

1 1988 Over-ride

HospSeq/Site

1 or blank

.

1 1989 Over-ride

Site/TNM-StgGrp

1 or blank

.

1 1990 Over-ride

Age/Site/Morph

1-3 or blank

.

1 1992 Over-ride TNM

Stage

1, Blank

.

1 1993 Over-ride TNM Tis 1, Blank

.

1 1994 Over-ride TNM 3 1, Blank

.

1 2000 Over-ride

SeqNo/DxConf

1 or blank

.

1 2010 Over-ride

Site/Lat/SeqNo

1 or blank

.

1 2020 Over-ride

Surg/DxConf

1 or blank

.

1 2030 Over-ride

Site/Type

1 or blank

.

1 2040 Over-ride Histology

1-3 or blank

.

1 2050 Over-ride Report

Source

1 or blank

.

1 2060 Over-ride Ill-define

Site

1 or blank

.

1 2070 Over-ride Leuk,

Lymphoma

1 or blank

.

1 2071 Over-ride

Site/Behavior

1 or blank

.

1 2072 Over-ride

Site/EOD/DX Dt

1 or blank

.


























Page 27 of 102





Required

1 2073 Over-ride

Site/Lat/EOD

1 or blank

.

1 2074 Over-ride

Site/Lat/Morph

1 or blank

.

1 2078 Over-ride

Name/Sex

1, Blank

.


10 2081 CRC CHECKSUM Calculated or blank

.

8 2085 Date Case Initiated YYYYMMDD Valid date

.

8 2090 Date Case

Completed

YYYYMMDD Valid date

.

8 2092 Date Case

Completed--CoC

YYYYMMDD Valid date

D

8 2100 Date Case Last

Changed

YYYYMMDD Valid date

D

8 2110 Date Case Report

Exported

YYYYMMDD Valid date

.


Received

YYYYMMDD Valid date

.


Loaded

YYYYMMDD Valid date

.

8 2113 Date Tumor

Record Availbl

YYYYMMDD Valid date

.

2114 Future Use

Timeliness 1

Retired

2115 Future Use

Timeliness 2

Retired

1 2116 ICD-O-3

Conversion Flag

Blank, 0, 1, 3

.

5 2117 Schema ID Version

Current

1.0-99.99

New D


Original

1.0-99.99

New D

1 2120 SEER Coding Sys-

-Current

Alphanumeric

.


-Original

Alphanumeric

.

2 2140 CoC Coding Sys--

Current


filled

00-09, 99

.


Original


filled

00-09, 99

.

1 2152 CoC Accredited

Flag

0, 1, 2, Blank

.

1 2155 RQRS NCDB

Submission Flag

1, 2

.


























Page 28 of 102





Required

8 2156 AJCC API Version

Current

Characters may be

alphanumeric and

include decimal

points.

Values of the form XX.YY.ZZ, Blank

New

D


Original

Characters may be

alphanumeric and include decimal points.


New

D

13 2158 AJCC Cancer

Surveillance API

Version Current

N[N].N[N].N[N].N[N

NN] Four groups of

one or more digits

separated by periods.

The first group

identifies the

underlying AJCC

edition number. The

second a major

revision. The third a

minor revision. The

last group identifies

the build. The value

08.01.05.0025 would

represent the 8th

edition, 1st major

revision, 5th minor

revision, and the 25th

build of the API.

Numbers, decimal points

New

D

13 2159 AJCC Cancer

Surveillance API

Version Original

N[N].N[N].N[N].N[N

NN] Four groups of

one or more digits


The first group

identifies the

underlying AJCC

edition number. The

second a major


minor revision. The



08.01.05.0025 would

represent the 8th

edition, 1st major

revision, 5th minor


build of the API.


New

D

2160 Subsq Report for

Primary

Retired











Page 29 of 102





Required


10 2170 Vendor Name R

1 2180 SEER Type of

Follow-Up

1-4 .

2 2190 SEER Record

Number


filled 01-99

.

2 2200 Diagnostic Proc

73-87

.


1000 2220 State/Requestor

Items

.

40 2230 Name--Last Mixed case, left

justified. Truncate

name if more than 40

characters long.

Spaces, hyphens and

apostrophes are allowed.

Do not use other

punctuation.

Revised

.

40 2232 Name--Birth

Surname

Mixed case; Left-

justified, and blank-

filled.

Embedded spaces,

hyphens, apostrophes. No

other special characters are

allowed.

New

.

40 2240 Name--First Mixed case, left

justified. Truncate


characters long.

Blanks, spaces, hyphens

and apostrophes are

allowed. Do not use other

punctuation.

Revised

.

40 2250 Name--Middle Mixed case, left

justified. Truncate


characters long.

Blanks, spaces, hyphens

and apostrophes are

allowed. Do not use other

punctuation.

Revised

.

3 2260 Name--Prefix .

3 2270 Name--Suffix .

40 2280 Name--Alias Truncate name if more

than 40 characters

long; this field may be

updated if the name

changes.

Blanks, spaces, hyphens,

apostrophes are allowed;

do not use other

punctuation.

Revised

.

60 2290 Name--

Spouse/Parent

.

15 2300 Medical Record

Number

Right justified, space

filled

Alphanumeric

Revised .

2 2310 Military Record No

Suffix


filled

01-20, 30-69, 98, 99, blank

.

11 2315 Medicare

Beneficiary

Identifier

Alphanumeric, Blank

.




















Page 30 of 102





Required

9 2320 Social Security

Number

9 digits, no dashes 001010001-899999999,

999999999. Invalid values

in this range exist.

.

60 2330 Addr at DX--No &

Street

Mixed case, embedded

spaces, punctuation

limited to periods, slashes, hyphens, and

pound signs. Left

justified, space filled

Valid address or

UNKNOWN

.

60 2335 Addr at DX--

Supplementl


spaces, punctuation

limited to periods,

slashes, hyphens, and

pound signs. Left


Valid address or blank

.

60 2350 Addr Current--No

& Street


spaces, punctuation

limited to periods,


pound signs. Left


Valid address or

UNKNOWN

.

10 2352 Latitude Right justified Numbers, decimal point,

negative sign

.

11 2354 Longitude Right justified Numbers, decimal point,

negative sign

.


Supplementl


spaces, punctuation

limited to periods,


pound signs. Left


.

10 2360 Telephone 10-digit number Any 10-digit number

.

2370 DC State Retired

6 2380 DC State File

Number

Any characters or blank

.

40 2390 Name--Maiden Truncate name if more

than 40 characters

long.


apostrophes are allowed;

do not use other

punctuation

Revised

.

60 2392 Follow-Up

Contact--No&St


spaces, punctuation

limited to periods,


pound signs. Left


.














Page 31 of 102





Required

60 2393 Follow-Up

Contact--Suppl


spaces, punctuation

limited to periods,


pound signs. Left


.

60 2394 Follow-Up

Contact--Name

.


10 2410 Institution Referred

From

Right justified and

zero filled

10-digit number

.

10 2415 NPI--Inst Referred

From



digit), blank

R

10 2420 Institution Referred To

Right justified and zero filled

10-digit number

.

10 2425 NPI--Inst Referred

To



digit), blank

R

2430 Last Follow-Up

Hospital

Retired

10 2440 Following Registry Right justified and zero filled

10-digit number

.

10 2445 NPI--Following

Registry



digit), blank

.


8 2460 Physician-- Managing

Left justified .

10 2465 NPI--Physician--

Managing



digit), blank

.

8 2470 Physician--Follow-

Up

Left justified .


Follow-Up

10-digit NPI codes (9-digit


digit), blank

.

8 2480 Physician--Primary Surg

Left justified .


Primary Surg



digit), blank

R

8 2490 Physician 3 Left justified .

10 2495 NPI--Physician 3 10-digit NPI code (9-digit NPI integer plus 1 check digit), blank

R























Page 32 of 102





Required

10 2505 NPI--Physician 4 10-digit NPI code (9-digit


digit), blank

R

1000 2508 EHR Reporting Free text

.


1000 2520 Text--DX Proc--PE Free text Neither carriage return nor


allowed

.

1000 2530 Text--DX Proc--X-

ray/Scan



allowed

.

1000 2540 Text--DX Proc--

Scopes



allowed

.


Lab Tests



allowed

.

1000 2560 Text--DX Proc--Op Free text Neither carriage return nor line feed characters allowed

.


Path



allowed

.

100 2580 Text--Primary Site

Title



allowed

.

100 2590 Text--Histology

Title



allowed

.

1000 2600 Text--Staging Free text Neither carriage return nor


allowed

.

1000 2610 RX Text--Surgery Free text Neither carriage return nor


allowed

.

1000 2620 RX Text--

Radiation (Beam)



allowed

.

1000 2630 RX Text--

Radiation Other



allowed

.

1000 2640 RX Text--Chemo Free text Neither carriage return nor


allowed

.

1000 2650 RX Text--Hormone Free text Neither carriage return nor


allowed

.

1000 2660 RX Text--BRM Free text Neither carriage return nor


allowed

.




















Page 33 of 102





Required

1000 2670 RX Text--Other Free text Neither carriage return nor


allowed

.

1000 2680 Text--Remarks Free text Neither carriage return nor


allowed

.

60 2690 Text--Place of

Diagnosis



allowed

.


2730 CS PreRx Tumor

Size

Retired

2735 CS PreRx

Extension

Retired

2740 CS PreRx Tum

Sz/Ext Eval

Retired

2750 CS PreRx Lymph

Nodes

Retired

2755 CS PreRx Reg

Nodes Eval

Retired

2760 CS PreRx Mets at

DX

Retired

2765 CS PreRx Mets

Eval

Retired

2770 CS PostRx Tumor

Size

Retired

2775 CS PostRx

Extension

Retired

2780 CS PostRx Lymph

Nodes

Retired

2785 CS PostRx Mets at DX

Retired

3 2800 CS Tumor Size Right justified, zero

filled


RH

3 2810 CS Extension Right justified, zero

filled


RH

1 2820 CS Tumor Size/Ext

Eval

0-9 (site-specific)

RH

3 2830 CS Lymph Nodes Right justified, zero

filled


RH

1 2840 CS Lymph Nodes

Eval

0-9 (site-specific)

RH

2 2850 CS Mets at DX Right justified, zero

filled


RH

1 2851 CS Mets at Dx-

Bone

0, 1, 8, 9

RH


Brain

0, 1, 8, 9

RH

























Page 34 of 102





Required


Liver

0, 1, 8, 9

RH


Lung

0, 1, 8, 9

RH

1 2860 CS Mets Eval 0-9 (site-specific)

RH

3 2861 CS Site-Specific

Factor 7


filled


RH


Factor 8


filled


RH

3 2863 CS Site-Specific Factor 9



RH


Factor10


filled


RH


Factor11


filled


RH


Factor12


filled


RH


Factor13


filled


RH


Factor14


filled


RH


Factor15


filled


RH


Factor16


filled


RH


Factor17


filled


RH


Factor18


filled


RH


Factor19


filled


RH


Factor20


filled


RH


Factor21


filled


RH

3 2876 CS Site-Specific Factor22



RH


Factor23


filled


RH


Factor24


filled


RH


Factor25


filled


RH


Factor 1


filled


RH


Factor 2


filled


RH


























Page 35 of 102





Required


Factor 3


filled


RH


Factor 4


filled


RH


Factor 5


filled


RH


Factor 6


filled


RH

6 2935 CS Version Input

Original

6-digit number Valid 6-digit CS version

number

RH

6 2936 CS Version Derived


number

DH


Current


number

RH

2 2940 Derived AJCC-6 T Site-specific (derived from

Collaborative Stage fields),

blank

DH

1 2950 Derived AJCC-6 T Descript

c, p, a, y, N, and blank

(derived from Collaborative Stage fields)

DH

2 2960 Derived AJCC-6 N Site-specific (derived from


blank

DH

1 2970 Derived AJCC-6 N

Descript


(derived from

Collaborative Stage fields)

DH

2 2980 Derived AJCC-6 M Site-specific (derived from


blank

DH

1 2990 Derived AJCC-6 M

Descript


(derived from


DH

2 3000 Derived AJCC-6

Stage Grp

Site-specific (derived from


DH

1 3010 Derived SS1977 0-5, 7, 8, 9 (derived from


DH



DH

1 3030 Derived AJCC--

Flag

1, 2, blank

DH

1 3040 Derived SS1977--

Flag

1, 2, blank

DH

1 3050 Derived SS2000--

Flag

1, 2, blank

DH

10 3100 Archive FIN Right justified, zero

filled

10-digit number

R






















Page 36 of 102





Required

10 3105 NPI--Archive FIN



digit), blank

R

5 3110 Comorbid/Complic

ation 1

Left justified, zero

filled

00000, 00100-13980,

24000-99990, E8700-

E8799, E9300-E9499,

V0720-V0739, V1000-

V1590, V2220-V2310,

V2540, V4400-V4589,

V5041-V5049

RH


ation 2


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH

5 3130 Comorbid/Complic ation 3

Left justified, zero filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 4


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 5


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 6


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 7


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041-

V5049, Blank

RH










Page 37 of 102





Required


ation 8


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 9


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 10


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH

1 3165 ICD Revision

Comorbid

0, 1, 9, blank

.

8 3170 RX Date Mst Defn

Srg


R


Srg Flag

10-20, blank

.

8 3180 RX Date Surg

Disch


R

2 3181 RX Date Surg

Disch Flag

10-20, blank

.

1 3190 Readm Same Hosp

30 Days

0-3, 9

R

2 3200 Rad--Boost RX

Modality


filled 00, 20-32, 40-43, 50-55,

60-62, 98, 99

.

5 3210 Rad--Boost Dose

cGy


filled

00000-99999

.

8 3220 RX Date Rad

Ended


R

2 3221 RX Date Rad Ended Flag

10-20, blank

.

8 3230 RX Date Systemic YYYYMMDD Valid dates

R

2 3231 RX Date Systemic

Flag

10-20, blank

.

2 3250 RX Summ--

Transplnt/Endocr


filled 00, 10-12, 20, 30, 40, 82, 85-88, 99

R

3260 Pain Assessment Retired

1 3270 RX Summ--

Palliative Proc

0-7, 9

R




















Page 38 of 102





Required

1 3280 RX Hosp--

Palliative Proc

0-7, 9

R

2 3300 RuralUrban

Continuum 1993


filled

00-09, 98, 99, blank

.

2 3310 RuralUrban

Continuum 2003


filled

01-09, 98, 99, blank

.

2 3312 RuralUrban

Continuum 2013

Right justified, zero-

filled

01-09, 98, 99, blank

Revised .

3 3400 Derived AJCC-7 T Right justified, zero

filled

000-999

DH


c, p, a, y, N, blank

DH

3 3410 Derived AJCC-7 N Right justified, zero

filled

000-999

DH


Descript


DH

3 3420 Derived AJCC-7 M Right justified, zero

filled

000-999

DH


Descript


DH


Stage Grp


filled

000-999

DH

3 3440 Derived PreRx-7 T Right justified, zero

filled

000-999

.

1 3442 Derived PreRx-7 T

Descrip

c, N, blank

.

3 3450 Derived PreRx-7 N Right justified, zero

filled

000-999

.

1 3452 Derived PreRx-7 N

Descrip

c, N, blank

.

3 3460 Derived PreRx-7

M


filled

000-999

.


M Descrip

c, N, blank

.


Stage Grp


filled

000-999

.

3 3480 Derived PostRx-7 T


000-999

.

3 3482 Derived PostRx-7

N


filled

000-999

.


M


filled

00-99

.


Stge Grp


filled

000-999

.

1 3600 Derived Neoadjuv

Rx Flag

0,1,9

.

























Page 39 of 102





Required

5 3605 Derived SEER

Path Stg Grp

Upper-case

alphanumeric, left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1,

3C2, 4, 4A, 4A1, 4A2, 4B, 4C, OC, 88, 99, Blank

.

5 3610 Derived SEER Clin

Stg Grp

Upper-case

alphanumeric, left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1,

3C2, 4, 4A, 4A1, 4A2, 4B, 4C, OC, 88, 99, Blank

.

5 3614 Derived SEER

Cmb Stg Grp

Upper-case

alphanumeric, Left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1, 3C2, 4, 4A, 4A1, 4A2, 4B,

4C, OC, 88, 99, Blank

.

5 3616 Derived SEER

Combined T

Upper-case

alphanumeric, left



Manual and FORDS


.

5 3618 Derived SEER

Combined N

Upper-case

alphanumeric, left



Manual and FORDS


.

5 3620 Derived SEER

Combined M

Upper-case

alphanumeric, left



Manual and FORDS Manual; also 88, blank

.

1 3622 Derived SEER

Cmb T Src

1, 2, 3, 9

.

1 3624 Derived SEER

Cmb N Src

1, 2, 3, 9

.

1 3626 Derived SEER

Cmb M Src

1, 2, 3, 9

.

15 3645 NPCR Derived

AJCC 8 TNM Clin

Stg Grp

Left justified Codes published in the

AJCC Cancer Staging

Manual, 88, 99, Blank

.












Page 40 of 102





Required


AJCC 8 TNM Path

Stg Grp


AJCC Cancer Staging


.


AJCC 8 TNM Post

Therapy Stg Grp


AJCC Cancer Staging Manual, 88, 99, Blank

.

4 3650 NPCR Derived

Clin Stg Grp

Upper case,

alphanumeric. Convert AJCC Roman numerals to Arabic

numerals. Left

justified, blank filled.

See the FORDS Manual

for valid codes; also 88, 99

and blank

.

4 3655 NPCR Derived

Path Stg Grp

Upper case,


AJCC Roman

numerals to Arabic

numerals. Left




and Blank

.

1 3700 SEER Site-Specific

Fact 1

0-9, blank

.


Fact 2

0-9, blank

.


Fact 3

0-9, blank

.


Fact 4

0-9, blank

.


Fact 5

0-9, blank

.


Fact 6

0-9, blank

.

75 3720 NPCR Specific

Field

To be determined for each

site where needed. NPCR

provides appropriate

detailed information as the

need for this data

collection arises.

.

1 3750 Over-ride CS 1 1, blank RH




































Page 41 of 102





Required









7 3780 Secondary

Diagnosis 1

Left justified, starting

with a character, there

will be a presumed

decimal point between

the third and fourth

characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3782 Secondary Diagnosis 2



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3784 Secondary

Diagnosis 3



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3786 Secondary

Diagnosis 4



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 - T50.996, Y62.0 - Y84.9, Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3788 Secondary

Diagnosis 5



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R















Page 42 of 102





Required

7 3790 Secondary

Diagnosis 6



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3792 Secondary

Diagnosis 7



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 - Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R




will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3796 Secondary

Diagnosis 9



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3798 Secondary

Diagnosis 10



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 - T50.996, Y62.0 - Y84.9, Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

5 3800 Schema ID See the NAACCR Site-

Specific Data Item

webpage for codes

D

1 3801 Chromosome 1p:

Loss of Heterozygosity (LOH)

0, 1, 6-9

RS

1 3802 Chromosome 19q:


0, 1, 6-9

RS

5 3803 Adenoid Cystic

Basaloid Pattern

Right justified 0.0-100.0, XXX.5, XXX.8,

XXX.9

RS











Page 43 of 102





Required

1 3804 Adenopathy

0, 1, 9

RS

7 3805 AFP Post-

Orchiectomy Lab

Value

Right justified 0.0, 0.1-99999.9,

XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3806 AFP Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

7 3807 AFP Pre-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3808 AFP Pre-

Orchiectomy

Range

0-4, 7-9

RS

1 3809 AFP Pretreatment

Interpretation

0-2, 7-9

RS


Lab Value

Right justified 0.0, 0.1-9999.9, XXXX.1,

XXXX.2, XXXX.8,

XXXX.9

RS

1 3811 Anemia

0, 1, 6, 7, 9

RS

1 3812 B symptoms

0, 1, 8, 9

RS

5 3813 Bilirubin

Pretreatment Total

Lab Value

Right justified

0.0, 0.1-999.9, XXX.1,

XXX.7, XXX.8, XXX.9

RS

1 3814 Bilirubin

Pretreatment Unit

of Measure

1, 2, 7-9

RS

1 3815 Bone Invasion

0, 1, 8, 9

RS

2 3816 Brain Molecular

Markers

01-09, 85-88, 99

.

4 3817 Breslow Tumor

Thickness

Right justified 0.0, 0.1-99.9, XX.1, A.01-

A9.9, AX.0, XX.8, XX.9

RS

1 3818 CA-125

Pretreatment

Interpretation

0-2, 7-9

RS

1 3819 CEA Pretreatment

Interpretation

0-3, 7-9

RS

6 3820 CEA Pretreatment Lab Value

Right justified 0.0, 0.1-9999.9, XXXX.1, XXXX.7, XXXX.8, XXXX.9

RS

1 3821 Chromosome 3 Status

0-3, 7-9

RS

1 3822 Chromosome 8q

Status

0, 1, 7-9

RS





















Page 44 of 102





Required

4 3823 Circumferential

Resection Margin

(CRM)

Right justified 0.0, 0.1-99.9, XX.1, XX.2,

XX.3, XX.4, XX.5, XX.6,

XX.7, XX.8, XX.9

RS

4 3824 Creatinine

Pretreatment Lab

Value

Right justified

00, 0.1-99.9, XX.1, XX.7,

XX.8, XX.9

RS

1 3825 Creatinine

Pretreatment Unit

of Measure

1, 2, 7-9

RS

3 3826 Estrogen Receptor

Percent Positive or

Range

000-100, R10, R20, R30,

R40, R50, R60, R70, R80,

R90, R99, XX7, XX8,

XX9

Revised

RS


Summary

0, 1, 7, 9

RS


Total Allred Score

00-08, X8, X9

RS

1 3829 Esophagus and

EGJ Tumor

Epicenter

0-2, 9

RS

1 3830 Extranodal

Extension Clin

(non-Head and

Neck)

0-2, 4, 7-9

Revised

RS

1 3831 Extranodal

Extension Head

and Neck Clinical

0-2, 4, 7-9

Revised

RS

3 3832 Extranodal

Extension Head

and Neck

Pathological

0.0, 0.1-9.9, X.1, X.2, X.3,

X.4, X.7, X.8, X.9

RS

1 3833 Extranodal

Extension Path

(non-Head and

Neck)

0, 1, 7-9

RS

1 3834 Extravascular

Matrix Patterns

0, 1, 8, 9

RS

1 3835 Fibrosis Score

0, 1, 7-9

RS

5 3836 FIGO Stage Left justified Valid alphanumeric codes

for FIGO stages; 98, 99

Revised

RS

2 3837 Gestational

Trophoblastic

Prognostic Scoring

Index

00-25, X9

RS

2 3838 Gleason Patterns

Clinical

11-15, 19, 21-25, 29, 31-

35, 39, 41-45, 49, 51-55, 59, X6, X7, X8, X9

RS


















Page 45 of 102





Required


Pathological

11-15, 19, 21-25, 29, 31-

35, 39, 41-45, 49, 51-55, 59, X6, X7, X8, X9

RS

2 3840 Gleason Score

Clinical

02-10, X7, X8, X9

RS


Pathological

02-10, X7, X8, X9

RS

2 3842 Gleason Tertiary

Pattern

10, 20, 30, 40, 50, X7, X8,

X9

RS

1 3843 Grade Clinical 1-5, 8, 9, A, B, C, D, E, L, H, M, S

R

1 3844 Grade Pathological 1-5, 8, 9, A, B, C, D, E, L,

H, M, S

R

1 3845 Grade Post

Therapy Path (yp)

1-5, 8, 9, A, B, C, D, E, L, H, M, S, Blank

Revised

R

7 3846 hCG Post-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3847 hCG Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

7 3848 hCG Pre-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.8,

XXXXX.9

RS

1 3849 hCG Pre-

Orchiectomy Range

0-4, 7-9

RS

1 3850 HER2 IHC

Summary

0-4, 7-9

.

4 3851 HER2 ISH Dual

Probe Copy

Number

Right justified

0.0-99.9, XX.1, XX.7,

XX.8, XX.9

.


Probe Ratio

Right justified 0.0-99.9, XX.2, XX.3,

XX.7, XX.8, XX.9

.

4 3853 HER2 ISH Single

Probe Copy

Number

Right justified

0.0-99.9, XX.1, XX.7,

XX.8, XX.9

Revised

.

1 3854 HER2 ISH

Summary

0, 2, 3, 7-9

.

1 3855 HER2 Overall

Summary

0, 1, 7, 9

RS

1 3856 Heritable Trait

0, 1, 7, 9

RS

1 3857 High Risk

Cytogenetics

0, 1, 7, 9

RS





















Page 46 of 102





Required

1 3858 High Risk

Histologic Features

0-6, 8, 9

RS

1 3859 HIV Status

0, 1, 7-9

.

3 3860 International

Normalized Ratio

Prothrombin Time

0.0-9.9, X.1, X.7, X.8, X.9

RS

1 3861 Ipsilateral Adrenal

Gland Involvement

0-4, 8, 9

RS

1 3862 JAK2

0-5, 7-9

RS

5 3863 Ki-67 Right justified 0.0-100.0, XXX.4, XXX.5,

XXX.6, XXX.7, XXX.8,

XXX.9

Revised

RS

1 3864 Invasion Beyond

Capsule

0-5, 8, 9

RS

1 3865 KIT Gene

Immunohistochemi

stry

0, 1, 7-9

RS

1 3866 KRAS

0-4, 7-9

RS

1 3867 LDH Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

1 3868 LDH Pre-

Orchiectomy

Range

0-4, 7-9

RS

1 3869 LDH Level

0, 1, 7, 9

Revised

RS

3 3870 LDH Upper Limits

of Normal

001-999, XX8, XX9

RS

1 3871 LN Assessment

Method Femoral-

Inguinal

0-2, 7-9

RS


Method Para-

Aortic

0-2, 7-9

RS


Method Pelvic

0-2, 7-9

RS

1 3874 LN Distant

Assessment

Method

0-2, 7-9

RS

1 3875 LN Distant:

Mediastinal,

Scalene

0-3, 8, 9

RS

1 3876 LN Head and Neck

Levels I-III

0-9

RS





















Page 47 of 102





Required


Levels IV-V

0-3, 8, 9

RS


Levels VI-VII

0-3, 8, 9

RS


Other

0-9

RS

1 3880 LN Isolated Tumor

Cells (ITC)

0, 1, 8, 9

RS

1 3881 LN Laterality

0-3, 8, 9

RS

2 3882 LN Positive

Axillary Level I-II

00-99, X1, X5, X6, X8, X9

RS

4 3883 LN Size Right justified 0.0, 0.1-99.9, XX.1, XX.2,

XX.3, XX.4, XX.5, XX.6,

XX.7, XX.8, XX.9

RS

1 3884 LN Status

Femoral-Inguinal,

Para-Aortic, Pelvic

0-9

RS

1 3885 Lymphocytosis

0, 1, 6, 7, 9

RS

1 3886 Major Vein

Involvement

0-4, 8, 9

RS

4 3887 Measured Basal

Diameter


XX.2, XX.3, XX.4, XX.5,

XX.6, XX.8, XX.9

RS

4 3888 Measured

Thickness


XX.2, XX.3, XX.4, XX.5,

XX.6, XX.8, XX.9

RS

1 3889 Methylation of O6-

Methylguanine-

Methyltransferase

0-3, 6-9

RS

1 3890 Microsatellite

Instability (MSI)

0-2, 8, 9

RS

2 3891 Microvascular

Density

00-99, X1, X2, X3, X4,

X5, X7, X8, X9

RS

4 3892 Mitotic Count

Uveal Melanoma


XX.3, XX.4, XX.7, XX.8,

XX.9

RS

2 3893 Mitotic Rate

Melanoma

00-99, X1, X2, X3, X4,

X7, X8, X9

RS

1 3894 Multigene

Signature Method

1-9

RS

2 3895 Multigene

Signature Results

00-99, X1, X2, X3, X4,

X7, X8, X9

RS





















Page 48 of 102





Required

2 3896 NCCN

International

Prognostic Index

(IPI)

00-08, X1, X2, X3, X4,

X8, X9

RS

2 3897 Number of Cores

Examined

01-99, X1, X6, X7, X8, X9

RS


Positive

00, 01-99, X1, X6, X7, X8,

X9

RS

2 3899 Number of

Examined Para-

Aortic Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS

2 3900 Number of

Examined Pelvic

Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS

2 3901 Number of Positive

Para-Aortic Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS


Pelvic Nodes

00, 01-99, X1, X2, X6, X8, X9

RS

3 3903 Oncotype Dx

Recurrence Score-

DCIS


filled

0-100, XX6, XX7, XX8,

XX9

RS

3 3904 Oncotype Dx

Recurrence Score-

Invasive


filled

0-100, XX4, XX5, XX6,

XX7, XX9

RS

1 3905 Oncotype Dx Risk

Level-DCIS

0-2, 6-9

RS


Level-Invasive

0-2, 6-9

RS

1 3907 Organomegaly

0, 1, 9

RS

5 3908 Percent Necrosis

Post Neoadjuvant

Right justified 0.0, 0.1-100.0, XXX.2,

XXX.8, XXX.9

RS

1 3909 Perineural Invasion

0, 1, 8, 9

RS

1 3910 Peripheral Blood Involvement

0-7, 9

RS

1 3911 Peritoneal

Cytology

0-3, 7-9

RS

1 3913 Pleural Effusion

0-4, 8, 9

RS

3 3914 Progesterone

Receptor Percent

Positive or Range

000, 001-100, R10, R20,

R30, R40, R50, R60, R70,

R80, R90, R99, XX7, XX8, XX9

Revised

RS




















Page 49 of 102





Required

1 3915 Progesterone

Receptor Summary

0, 1, 7, 9

RS

2 3916 Progesterone

Receptor Total

Allred Score

00-08, X8, X9

RS

1 3917 Primary Sclerosing

Cholangitis

0, 1, 8, 9

RS

1 3918 Profound Immune

Suppression

0-6, 8, 9

RS

3 3919 EOD Prostate

Pathologic

Extension

000-999

Revised

.

5 3920 PSA (Prostatic

Specific Antigen)

Lab Value

Right justified

0.1, 0.2-999.9, XXX.1,

XXX.7, XXX.9

RS

2 3921 Residual Tumor

Volume Post

Cytoreduction

00, 50, 60, 70, 80, 97-99

Revised

RS

1 3922 Response to

Neoadjuvant Therapy

0-4, 8, 9

RS

1 3923 S Category Clinical

0-3, 9

RS

1 3924 S Category

Pathological

0-3, 5, 9

Revised

RS

3 3925 Sarcomatoid

Features

000, 001-100, R01, R02,

R03, R04, R05, XX6,

XX7, XX8, XX9

RS

1 3926 Schema

Discriminator 1

RS

1 3927 Schema

Discriminator 2

RS

1 3928 Schema

Discriminator 3

RS

1 3929 Separate Tumor

Nodules

0-4, 7-9

RS

1 3930 Serum Albumin

Pretreatment Level

0, 1, 7, 9

RS

1 3931 Serum Beta-2

Microglobulin

Pretreatment Level

0-2, 7, 9

RS

7 3932 LDH Lab Value Right justified 0.0, 0.1-99999.9,

XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

Revised

RS

1 3933 Thrombocytopenia

0, 1, 6, 7, 9

RS





















Page 50 of 102





Required

2 3934 Tumor Deposits

00, 01-99, X1, X2, X8, X9

RS

1 3935 Tumor Growth

Pattern

1-3, 8, 9

RS

1 3936 Ulceration

0, 1, 8, 9

RS

1 3937 Visceral and

Parietal Pleural

Invasion

0, 4-6, 8, 9

Revised

RS

1 3938 ALK

Rearrangement

0-2, 4, 7-9

New

RS

1 3939 EGFR Mutational

Analysis

0-2, 4, 7-9

New

RS

1 3940 BRAF Mutational

Analysis

0-2, 4, 7-9

New

RS

1 3941 NRAS Mutational

Analysis

0-2, 4, 7-9

New

RS

6 3942 CA 19-9 PreTX

Lab Value


XXXX.7, XXXX.8,

XXXX.9

New

RS

1 3943 NCDB--

SARSCoV2--Test

numeric

0, 1, 9

New

R*

1 3944 NCDB--

SARSCoV2--Pos

numeric

0, 1, 9

New

R*

8 3945 NCDB--

SARSCoV2--Pos Date

YYYYMMDD

Valid dates, Blank

New

R*

1 3946 NCDB--

COVID19--Tx Impact

numeric

1-5, 9

New

R*

25 7010 Path Reporting Fac ID 1

Left justified, alphanumeric

.

25 7011 Path Reporting Fac

ID 2

Left justified,

alphanumeric

.


ID 3

Left justified,

alphanumeric

.


ID 4

Left justified,

alphanumeric

.


ID 5

Left justified,

alphanumeric

.

20 7090 Path Report

Number 1

Left justified,

alphanumeric

.

20 7091 Path Report

Number 2

Left justified,

alphanumeric

.

20 7092 Path Report

Number 3

Left justified,

alphanumeric

.























Page 51 of 102





Required

20 7093 Path Report

Number 4

Left justified,

alphanumeric

.

20 7094 Path Report

Number 5

Left justified,

alphanumeric

.

20 7100 Path Order Phys

Lic No 1

Left justified,

alphanumeric, no

embedded blanks

.


Lic No 2

Left justified,

alphanumeric, no

embedded blanks

.


Lic No 3

Left justified,

alphanumeric, no

embedded blanks

.


Lic No 4

left justified,

alphanumeric, no

embedded blanks

.


Lic No 5

left justified,

alphanumeric, no

embedded blanks

.

25 7190 Path Ordering Fac No 1


blank

.

25 7191 Path Ordering Fac

No 2

Left justified,

alphanumeric

blank

.


No 3

Left justified,

alphanumeric

blank

.


No 4

Left justified,

alphanumeric

blank

.


No 5

Left justified,

alphanumeric

blank

.

14 7320 Path Date Spec

Collect 1

YYYYMMDDhhmms

s

Valid dates

.


Collect 2

YYYYMMDDhhmms

s

Valid dates

.


Collect 3

YYYYMMDDhhmms

s

Valid dates

.


Collect 4

YYYYMMDDhhmms

s

Valid dates

.


Collect 5

YYYYMMDDhhmms

s

Valid dates

.

2 7480 Path Report Type 1 Right justified, zero

filled

01-11, 98, 99

.

2 7481 Path Report Type 2 Right justified, zero filled

01-11, 98, 99

.


filled

01-11, 98, 99

.

2 7483 Path Report Type 4 Right justified, zero filled

01-11, 98, 99

.


filled

01-11, 98, 99

.
























Page 52 of 102





Required

1 10 Record Type I, C, A, U, M, L .

8 20 Patient ID Number Right justified, zero

filled

.

8 21 Patient System ID-

Hosp


filled

.

1 30 Registry Type 1-3 .

35 FIN Coding System

Retired


40 Registry ID Right justified, zero

filled

10-digit number. Reference

to EDITS table

REGID.DBF in Appendix

B

.

10 45 NPI--Registry ID 10-digit NPI code (9-digit


blank

.

3 50 NAACCR Record

Version

120, 121, 122, 130, 140, 150, 160, 180, 210

Revised .

2 60 Tumor Record

Number


filled 01-99

.

50 70 Addr at DX--City Mixed case letters,


as allowed by USPS,

embedded spaces


blank filled


R

2 80 Addr at DX--State Upper case Refer to EDITS table


B; CD, US, XX, YY, ZZ

R

2 81 State at DX

Geocode

1970/80/90

01-95, Blank

.

2 82 State at DX

Geocode 2000

01-95, Blank

.

2 83 State at DX

Geocode 2010

01-95, Blank

.

2 84 State at DX

Geocode 2020

01-95, Blank

.

3 89 County at DX

Analysis

001-997, 998, 999

.

3 90 County at DX

Reported


filled

001-999

R

3 94 County at DX

Geocode

1970/80/90

000-999

.

3 95 County at DX

Geocode2000

001-999

.






















Page 53 of 102





Required

3 96 County at DX

Geocode2010

000-999

.

3 97 County at DX

Geocode2020

001-999

.

9 100 Addr at DX--Postal

Code


letters. No special

characters or

embedded spaces


blank filled


codes; 6-character



other countries,

888888888, 999999999, 88888+4 blanks (U.S.),


R

3 102 Addr at DX--

Country





ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL

R

6 110 Census Tract

1970/80/90


filled Valid FIPS Codes:

000100-999998, 000000, 999999, Blank

.

1 120 Census Cod Sys

1970/80/90

0-3, blank

.


filled Census Tract Codes

000100-999998, 000000, 999999, Blank

.


filled

Valid FIPS Codes:

000100-999998, 000000, 999999, blank

.


filled

Census Tract Codes

000100-999998, 000000, 999999, blank

.

140 Census Tract Cod

Sys--Alt

Retired

1 145 Census Tr Poverty

Indictr

1-4, 9

.

1 150 Marital Status at

DX

1-6, 9

.


filled 01-08, 10-17, 20-22, 25- 28, 30-32, 96-99

R


filled 01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.
















Page 54 of 102





Required


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.


filled

01-08, 10-17, 20-22, 25- 28, 30-32, 88, 96-99, blank

.

1 170 Race Coding Sys--

Current

1-7, 9

.

1 180 Race Coding Sys-- Original

1-7, 9

.

1 190 Spanish/Hispanic

Origin

0-8, 9

R

1 191 NHIA Derived

Hisp Origin

0-8, blank

.

1 192 IHS Link 0, 1, blank .

2 193 Race—NAPIIA

(derived API) Right justified, zero

filled

01-08, 10-17, 20-22, 25- 28, 30-32, 96, 99, blank

.

1 194 HIS Purchased/

Referred Care

Delivery Area

0, 1, 9

New

.

1 200 Computed Ethnicity

0-7, blank

.

1 210 Computed

Ethnicity Source

0-9, blank

.

1 220 Sex 1-6, 9 R

3 230 Age at Diagnosis Right justified, zero

filled

000-120, 999

R

8 240 Date of Birth YYYYMMDD Valid date R

2 241 Date of Birth Flag 10-20, blank .

3 250 Birthplace Right justified, zero

filled Reference to EDITS table

BPLACE.DBF in Appendix B

.

2 252 Birthplace--State Upper case USPS abbreviations and

CanadaPost abbreviations;

also a few local codes to

capture legacy definitions,

including unknowns,

consistent with the codes

allowable for Addr at Dx--

State [80].

R




















Page 55 of 102





Required

3 254 Birthplace--

Country




Codes; custom codes:

ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL. See

Appendix B for complete

list of country names and

corresponding three


R

260 Religion Retired

3 270 Census Occ Code 1970-2000



Occupation Coding for Death Certificates

.


2010 CDC


filled Valid 4 digit numbers,

Blank

.


1970-2000


filled


Occupation Coding for

Death Certificates

.

4 282 Census Occ Code

2010 CDC


filled

Valid 4-digit numbers,

Blank

.

1 284 Urban Indian

Health

Organization

(UIHO)

0, 1, 9

New

.

2 285 UIHO City

Numeric

00-52

New

.

1 290 Occupation Source 0-3, 7-9, blank .

1 300 Industry Source 0-3, 7-9, blank .

100 310 Text--Usual

Occupation



allowed

.

100 320 Text--Usual

Industry



allowed

.

1 330 Census Occ/Ind

Sys 70-00

1-5, 7, 9, blank

.

1 339 RUCA 2000 1, 2, 9 .

340 Tobacco History Retired

1 341 RUCA 2010 1, 2, 9 .

1

344

Tobacco Use

Smoking Status

0-3, 9

New

R*

1 345 URIC 2000 1-4, 9 .





















Page 56 of 102





Required

1 346 URIC 2010 1-4, 9 .

350 Alcohol History Retired


1970/80/90

.


2000

.


2010

.


2020

.

360 Family History of

Cancer

Retired

1 361 Census Block

Group 2020

0-9, Blank

.

1 362 Census Block

Group 2000

0-9, blank

.

1 363 Census Block

Group 2010

0-9, blank

.

1 364 Census Tr Cert

1970/80/90

1-6, 9, blank

.

1 365 Census Tr

Certainty 2000

1-6, 9, blank

.

2 366 GIS Coordinate

Quality


filled

00-12, 98, 99, blank

.

1 367 Census Tr Certainty 2010

1-6, 9, blank

.

1 368 Census Block Grp

1970/80/90

0-9, blank

.

1 369 Census Tract

Certainty 2020

1-6, 9, Blank

.



-Central


filled

00-59, 60-87, 88, 98, 99

.

8 390 Date of Diagnosis YYYYMMDD Valid date R

2 391 Date of Diagnosis

Flag

10-20, blank

.

4 400 Primary Site C followed by 3 digits,

no special characters,

no embedded blanks

Refer to ICD-O-3

(decimals are dropped)

R

1 410 Laterality 0-5, 9 R

5 419 Morph--

Type&Behav ICD-

O-2

Reference to ICD-0-2

.

4 420 Histology (92-00)

ICD-O-2

8000-9989, Refer to ICD- 0-2

RH

1 430 Behavior (92-00) ICD-O-2

0-3, Refer to ICD-0-2

RH



























Page 57 of 102





Required

2 439 Date of Mult Tumors

Flag

10-20, blank

RH

1 440 Grade 1-9 RH

1 441 Grade Path Value 1-4, blank RH

1 442 Ambiguous

Terminology DX

0-2, 9

RH

8 443 Date Conclusive DX YYYYMMDD

Valid date

RH

2 444 Mult Tum Rpt as

One Prim


filled 00, 10-12, 20, 30-32, 40, 80, 88, 99

RH

8 445 Date of Mult

Tumors YYYYMMDD

Valid date

RH

2 446 Multiplicity

Counter


filled

00-89, 99, blank

RH

447 Number of

Tumors/Hist

Retired


DX Flag

10-20, blank

RH

1 449 Grade Path System 2-4, blank RH

1 450 Site Coding Sys-- Current

1-6, 9

.

1 460 Site Coding Sys--

Original

1-6, 9

.

1 470 Morph Coding

Sys--Current

1-9, A, B

Revised .

1 480 Morph Coding

Sys--Originl

1-9, A, B

Revised .

1 490 Diagnostic

Confirmation

1-9 R

1 500 Type of Reporting

Source

1-8 .

2 501 Casefinding Source 10, 20-30, 40, 50, 60, 70, 75, 80, 85, 90, 95, 99

.

510 Screening Date Retired

520 Screening Result Retired

5 521 Morph--

Type&Behav ICD-

O-3

Refer to ICD-O-3

.

4 522 Histologic Type

ICD-O-3

8000-9989, Refer to ICD-

O-3

R

1 523 Behavior Code

ICD-O-3

0-3, Refer to ICD-O-3

R


8

530

EDP MDE Link Date

YYYYMMDD Fixed-

length, left-justified,

space filled.

Valid Dates

New

.

1 531 EDP MDE Link

0, 1, Blank

New .




























Page 58 of 102





Required

538 Reporting Hospital

FAN

Retired

10 540 Reporting Facility Right justified, zero

filled

10-digit number

R

10 545 NPI--Reporting

Facility



digit), blank

R

9 550 Accession Number--

Hosp

9-digit number

R


-Hospital


filled

00-59, 60-87, 88, 99

R

3 570 Abstracted By No special characters Letters and numbers R

8 580 Date of 1st Contact YYYYMMDD Valid dates R

2 581 Date of 1st Contact

Flag

10-20, blank

R

8 590 Date of Inpt Adm YYYYMMDD Valid dates .

2 591 Date of Inpt Adm

Flag

10-20, blank

.

8 600 Date of Inpt Disch YYYYMMDD Valid dates .

2 601 Date of Inpt Disch

Flag

10-20, blank

.

1 605 Inpatient Status 0,1,9, blank .

2 610 Class of Case Right justified, zero

filled 00, 10-14, 20-22, 30-38, 40-43, 49, 99

R

620 Year First Seen

This CA

Retired

2 630 Primary Payer at

DX


filled 01, 02, 10, 20, 21, 31, 35, 60-68, 99

R

640 Inpatient/Outpt

Status

Retired

650 Presentation at CA

Conf

Retired

660 Date of CA

Conference

Retired

665 RX Hosp--ASA Class

Retired

1 668 RX Hosp--Surg

App 2010

0-5, 9

R

2 670 RX Hosp--Surg

Prim Site


filled 00, 10-80, 90, 98, 99 (site- specific)

R


Reg LN Sur

0-7, 9

R

1 674 RX Hosp--Surg Oth Reg/Dis

0-5, 9

R

2 676 RX Hosp--Reg LN

Removed


filled

00-90, 95-99

RH

678 RX Hosp--Surg

Timing

Retired






























Page 59 of 102





Required

8 682 Date Regional

Lymph Node

Dissection

YYYYMMDD Valid dates R

2 683 Date Regional

Lymph Node

Dissection Flag

10-12, Blank

.

1 690 RX Hosp-- Radiation

0-5, 9

.

2 700 RX Hosp--Chemo Right justified, zero

filled

00-03, 82, 85-88, 99

R

2 710 RX Hosp-- Hormone Right justified, zero

filled

00, 01, 82, 85-88, 99

R

2 720 RX Hosp--BRM Right justified, zero

filled

00, 01, 82, 85-88, 99

R

1 730 RX Hosp--Other 0-3, 6-9 R

2 740 RX Hosp--DX/Stg

Proc


filled

00-07, 09

R

742 RX Hosp--

Screen/BX Proc1

Retired

743 RX Hosp--

Screen/BX Proc2

Retired

744 RX Hosp--

Screen/BX Proc3

Retired

745 RX Hosp--

Screen/BX Proc4

Retired

2 746 RX Hosp--Surg

Site 98-02


filled 00, 10-90, 99 (site- specific), blank

RH


Reg 98-02


RH

1 748 RX Hosp--Surg

Oth 98-02


RH


3 752 Tumor Size

Clinical

000-990, 998, 999

.

3 754 Tumor Size

Pathologic

000-990, 998, 999

.

3 756 Tumor Size

Summary

000-990, 998, 999

R

1 759 SEER Summary

Stage 2000

0-5, 7, 8, 9

RH

1 760 SEER Summary

Stage 1977

0-5, 7, 8, 9

RH

1 762 Derived Summary

Stage 2018

0-4, 7-9

.

1 764 Summary Stage

2018

0-4, 7-9

.

770 Loc/Reg/Distant

Stage

Retired


























Page 60 of 102





Required

3 772 EOD Primary Tumor Valid schema-specific

codes; also 000, 800, 999

.

3 774 EOD Regional

Nodes

Valid schema-specific codes; also 000, 800, 888,

999

.

2 776 EOD Mets Valid schema-specific codes;

also 00, 88, 99

.

12 779 Extent of Disease 10-

Dig

.

3 780 EOD--Tumor Size Right justified, zero

filled

See respective source

references

RH

15 785 Derived EOD 2018 T

.

2 790 EOD--Extension Right justified, zero

filled


Disease manual

.


M

.

2 800 EOD--Extension

Prost Path


filled


Disease manual

.

1 810 EOD--Lymph

Node Involv


Disease manual

.


N

.


Stage Group

.


Positive


filled

00-90, 95, 97-99

R


Examined


filled

00-90, 95-99

R


Lymph Node

Biopsy

YYYYMMDD

Valid dates

RS


Lymph Node

Biopsy Flag

10-12, Blank

.


Nodes Examined


filled

00-90, 95, 98, 99

RS


Nodes Positive


filled

00-90, 95, 97-99

RS

13 840 EOD--Old 13 Digit Numeric and special

characters

.

2 850 EOD--Old 2 Digit Numeric plus special

characters "&" and "dash" ("-")

.

4 860 EOD--Old 4 Digit .

1 870 Coding System for

EOD

0-4, Blank

.

4 880 TNM Path T Upper case,

alphanumeric, left



Manual and FORDS


RH

























Page 61 of 102





Required

4 890 TNM Path N Upper case,

alphanumeric, left



Manual and FORDS


RH

4 900 TNM Path M Upper case,

alphanumeric, left



Manual and FORDS


RH

4 910 TNM Path Stage

Group

Upper case,


AJCC Roman numerals

to Arabic numerals.

Left justified, blank

filled


Manual and FORDS

Manual; also 88, 99

RH

1 920 TNM Path

Descriptor

0-6, 9, blank

RH

2 930 TNM Path Staged By 00, 10-15, 20, 30, 40, 50,

60, 88, 99

RH

4 940 TNM Clin T Upper case,

alphanumeric, left



Manual and FORDS


RH

4 950 TNM Clin N Upper case,

alphanumeric, left



Manual and FORDS


RH

4 960 TNM Clin M Upper case,

alphanumeric, left



Manual and FORDS


RH

4 970 TNM Clin Stage

Group

Upper case,


AJCC Roman

numerals to Arabic

numerals. Left



Manual and FORDS

Manual; also 88, 99

RH

1 980 TNM Clin

Descriptor

0-3, 5, 9, blank

RH

2 990 TNM Clin Staged By

00, 10-15, 20, 30, 40, 50, 60, 88, 99

RH

4 995 AJCC ID D

1000 TNM Other T Retired

15 1001 AJCC TNM Clin T Left justified See the AJCC Cancer



R

15 1002 AJCC TNM Clin N Left justified See the AJCC Cancer



R


M




R


Stage Group



codes; also 88, 99

R



















Page 62 of 102





Required

1010 TNM Other N Retired

15 1011 AJCC TNM Path T Left justified See the AJCC Cancer



R

15 1012 AJCC TNM Path N Left justified See the AJCC Cancer



R

15 1013 AJCC TNM Path M Left justified See the AJCC Cancer



R


Stage Group



codes; also 88, 99

R

1020 TNM Other M Retired


Therapy Path (yp) T




Revised

R


Therapy Path (yp)

N




Revised

R


Therapy Path (yp)

M




Revised

R


Therapy Path (yp)

Stage Group



codes; also 88, 99

Revised

R

1030 TNM Other Stage

Group

Retired

4 1031 AJCC TNM Clin T

Suffix



codes; also (m), (s), blank

R

4 1032 AJCC TNM Path T

Suffix



codes; also (m), (s), Blank

R


Therapy Path (yp)

T Suffix



codes; also (m),(s), Blank

Revised

R

4 1034 AJCC TNM Clin N

Suffix



codes; also (sn), (f), Blank

R

4 1035 AJCC TNM Path N

Suffix

Left justified (sn), (f), Blank

Revised R


Therapy Path (yp) N Suffix

Left justified

(sn), (f), Blank

Revised

R

1040 TNM Other Staged

By

Retired




















Page 63 of 102





Required

1050 TNM Other

Descriptor

Retired

2 1060 TNM Edition

Number


filled

00-09, 88, 99

Revised R


Therapy Clin (yc) T

Those published in the AJCC

Cancer Staging Manual, 88,

blank

New

R


Therapy Clin (yc) T

Suffix

(m), (s), blank

New

R


Therapy Clin (yc) N

In addition to those

published in the AJCC

Cancer Staging Manual: 88,

Blank

New

R


Therapy Clin (yc) N

Suffix

(sn), (f), Blank

New

R


Therapy Clin (yc) M

Those published in the AJCC

Cancer Staging Manual, 88,

Blank

New

R


Therapy Clin (yc)

Stage Group


AJCC Cancer Staging

Manual, 88, Blank

New

.

1 1068 Grade Post

Therapy Clin (yc)

Refer to the most recent

version of the SSDI, Blank

New

R

1070 Other Staging System

Retired

1080 Date of 1st Positive

BX

Retired


1

Retired


2

Retired


3

Retired

1 1112 Mets at DX-Bone 0, 1, 8, 9

R

1 1113 Mets at DX-Brain 0, 1, 8, 9

R

1 1114 Mets at Dx-Distant

LN

0, 1, 8, 9

R

1 1115 Mets at DX-Liver 0, 1, 8, 9

R

1 1116 Mets at DX-Lung 0, 1, 8, 9

R

1 1117 Mets at DX-Other 0, 1, 2, 8, 9

R






















Page 64 of 102





Required

2 1120 Pediatric Stage Alphanumeric Refer to ROADS Manual

.

2 1130 Pediatric Staging

System


filled

00-15, 88, 97, 99

.

1 1140 Pediatric Staged By 0-9

.

1 1150 Tumor Marker 1 0-6, 8, 9

RH

1 1160 Tumor Marker 2 0-6, 8, 9

RH

1 1170 Tumor Marker 3 0-6, 8, 9

RH


1 1182 Lymphovascular

Invasion

0-4,8,9

R


8 1200 RX Date Surgery YYYYMMDD Valid dates

R

2 1201 RX Date Surgery

Flag

10-20, blank

R

8 1210 RX Date Radiation YYYYMMDD Valid dates

R

2 1211 RX Date Radiation

Flag

10-20, blank

.

8 1220 RX Date Chemo YYYYMMDD Valid dates

R

2 1221 RX Date Chemo

Flag

10-20, blank

.

8 1230 RX Date Hormone YYYYMMDD Valid dates

R

2 1231 RX Date Hormone

Flag

10-20, blank

R

8 1240 RX Date BRM YYYYMMDD Valid dates

R

2 1241 RX Date BRM

Flag

10-20, blank

R

8 1250 RX Date Other YYYYMMDD Valid dates

R

2 1251 RX Date Other

Flag

10-12, 15, blank

.


SEER


.


SEER Flag

10-20, blank

.


CoC


R


























Page 65 of 102





Required


CoC Flag

10-20, blank

.


Proc


R


Proc Flag

10-20, blank

R

1 1285 RX Summ--

Treatment Status

0-2, 9

R


Prim Site


filled 00, 10-80, 90, 98, 99 (site-

specific)

R


Reg LN Sur

0-7, 9

R

1 1294 RX Summ--Surg Oth

Reg/Dis

0-5, 9

R

2 1296 RX Summ--Reg LN

Examined


filled

00-90, 95-99

RH


1 1310 RX Summ--

Surgical Approch

0-9 (site-specific)

RH

1 1320 RX Summ--

Surgical Margins

0-3, 7-9

R

1 1330 RX Summ--

Reconstruct 1st

0-9 (site-specific)

RH


Surgery

0-2, 5-9

R

2 1350 RX Summ--

DX/Stg Proc


filled

00-07, 09

R

1 1360 RX Summ--

Radiation

0-9

.

1 1370 RX Summ--Rad to CNS

0, 1, 7-9

.

1 1380 RX Summ--

Surg/Rad Seq

0, 2-7, 9

R

2 1390 RX Summ--Chemo Right justified, zero

filled

00-03, 82, 85-88, 99

R

2 1400 RX Summ--

Hormone


filled

00, 01, 82, 85-88, 99

R

2 1410 RX Summ--BRM Right justified, zero

filled

00, 01, 82, 85-88, 99

R

1 1420 RX Summ--Other 0-3, 6-9

R


Radiation

0-2, 5-9

R

1440 Reason for No

Chemo

Retired

1450 Reason for No

Hormone

Retired


























Page 66 of 102





Required

2 1460 RX Coding System-

-Current


filled

00-08, 99

.

1470 Protocol Eligibility

Stat

Retired

1480 Protocol

Participation

Retired

1490 Referral to Support

Serv

Retired

1500 First Course Calc

Method

Retired

5 1501 Phase I Dose per

Fraction

Right Justified, zero

filled

00000-99999

R


External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1503 Phase I Number of

Fractions


filled

000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73,

80-86, 88, 90-99

R


to Draining Lymph

Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1507 Phase I Total Dose Right Justified, zero

filled

000000-999999

R

5 1510 Rad--Regional

Dose: cGy


filled

00000-99999

.

5 1511 Phase II Dose per

Fraction

00000-99999

R


External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1513 Phase II Number of

Fractions


filled

000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73, 80-86, 88, 90-99

R


to Draining Lymph

Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1517 Phase II Total Dose Right justified, zero filled

000000-999999

R

3 1520 Rad--No of

Treatment Vol


filled

000-999

.























Page 67 of 102





Required

5 1521 Phase III Dose per

Fraction

00000-99999

R


External Beam

Planning Tech

00-10, 88, 98, 99

R

3 1523 Phase III Number

of Fractions

Right-justified, zero-

filled 000-999

R


Primary Treatment

Volume

00-07, 09-14, 20-26, 29-

32, 39-42, 50-68, 70-73,

80-86, 88, 90-96, 98-99

R

2 1525 Phase III Radiation to Draining Lymph

Nodes

00-08, 88, 99

R


Treatment

Modality

00-16, 98, 99

Revised

R

6 1527 Phase III Total

Dose

right justified, zero filled 000000-999999

R

1530 Rad--Elapsed RX

Days

Retired

2 1531 Radiation

Treatment

Discontinued Early

00-07, 99

R

2 1532 Number of Phases

of Rad Treatment

to this Volume

right justified, zero-

filled

00, 01, 02, 03, 04, 99

R

6 1533 Total Dose right justified, zero

filled

000000-999999

R

2 1540 Rad--Treatment

Volume


filled

00-41, 50, 60, 98, 99

.

1 1550 Rad--Location of

RX

0-4, 8, 9

R

1560 Rad--Intent of

Treatment

Retired

2 1570 Rad--Regional RX

Modality


filled 00, 20-32, 40-43, 50-55,

60-62, 80, 85, 98, 99

.

1580 Rad--RX

Completion Status

Retired

1590 Rad--Local Control

Status

Retired

1600 Chemotherapy

Field 1

Retired

1610 Chemotherapy

Field 2

Retired

1620 Chemotherapy Field 3

Retired






















Page 68 of 102





Required

1630 Chemotherapy Field

4

Retired

1 1632 Neoadjuvant

Therapy

0-3, 9

New .

1 1633 Neoadjuvant

Therapy-Clinical

Response

0-9

New

.

1 1634 Neoadjuvant

Therapy-Treatment

Effect

0-4, 6, 7, 9

New

.

1 1639 RX Summ--

Systemic/Sur Seq

0, 2-7, 9

R

2 1640 RX Summ-- Surgery

Type


filled


.

1642 RX Summ--

Screen/BX Proc1

Retired

1643 RX Summ--

Screen/BX Proc2

Retired

1644 RX Summ--

Screen/BX Proc3

Retired

1645 RX Summ--

Screen/BX Proc4

Retired


Site 98-02


filled 00, 10-90, 99 (site-

specific), blank

RH


Reg 98-02


RH


Oth 98-02


RH


8 1660 Subsq RX 2nd

Course Date


.

2 1661 Subsq RX 2ndCrs Date Flag

10-20, blank

.

11 1670 Subsq RX 2nd

Course Codes

.

2 1671 Subsq RX 2nd

Course Surg


filled

00, 10-90, 99

.

1 1672 Subsq RX 2nd

Course Rad

0-5, 9

.

1 1673 Subsq RX 2nd

Course Chemo

0-3, 9

.

1 1674 Subsq RX 2nd

Course Horm

0-3, 9

.

1 1675 Subsq RX 2nd

Course BRM

0-9

.

1 1676 Subsq RX 2nd

Course Oth

0-3, 6-9

.

























Page 69 of 102





Required


Scope LN SU

0-9

.

1 1678 Subsq RX 2nd-- Surg

Oth

0-9

.

2 1679 Subsq RX 2nd-- Reg

LN Rem


filled

00-90, 95-99

.

8 1680 Subsq RX 3rd

Course Date


.

2 1681 Subsq RX 3rdCrs

Date Flag

10-20, blank

.

11 1690 Subsq RX 3rd

Course Codes

.

2 1691 Subsq RX 3rd

Course Surg


filled

00, 10-90, 99

.

1 1692 Subsq RX 3rd

Course Rad

0-5, 9

.

1 1693 Subsq RX 3rd

Course Chemo

0-3, 9

.

1 1694 Subsq RX 3rd

Course Horm

0-3, 9

.

1 1695 Subsq RX 3rd

Course BRM

0-9

.

1 1696 Subsq RX 3rd

Course Oth

0-3, 6-9

.


Scope LN Su

0-9

.


Surg Oth

0-9

.


Reg LN Rem


filled

00-90, 95-99

.

8 1700 Subsq RX 4th

Course Date


.

2 1701 Subsq RX 4thCrs Date Flag

10-20, blank

.

11 1710 Subsq RX 4th

Course Codes

.

2 1711 Subsq RX 4th

Course Surg


filled

00, 10-90, 99

.

1 1712 Subsq RX 4th

Course Rad

0-5, 9

.

1 1713 Subsq RX 4th

Course Chemo

0-3, 9

.

1 1714 Subsq RX 4th

Course Horm

0-3, 9

.

1 1715 Subsq RX 4th

Course BRM

0-9

.

























Page 70 of 102





Required

1 1716 Subsq RX 4th

Course Oth

0-3, 6-9

.


Scope LN Su

0-9

.

1 1718 Subsq RX 4th-- Surg

Oth

0-9

.

2 1719 Subsq RX 4th--Reg

LN Rem


filled

00-90, 95-99

.

1720 Subsq RX 5th

Course Date

Retired

1730 Subsq RX 5th

Course Codes

Retired

1731 Subsq RX 5th

Course Surg

Retired

1732 Subsq RX 5th

Course Rad

Retired

1733 Subsq RX 5th

Course Chemo

Retired

1734 Subsq RX 5th

Course Horm

Retired

1735 Subsq RX 5th

Course BRM

Retired

1736 Subsq RX 5th

Course Oth

Retired

1737 Subsq RX 5th--

Scope LN Su

Retired

1738 Subsq RX 5th--

Surg Oth

Retired

1739 Subsq RX 5th--Reg

LN Rem

Retired


1 1741 Subsq RX--

Reconstruct Del

Site-specific

.

8 1750 Date of Last

Contact


R

2 1751 Date of Last

Contact Flag

10-20, blank

.

8 1755 Date of Death-- Canada


.

2 1756 Date of Death--

CanadaFlag

10-20, blank

.

1 1760 Vital Status 0, 1

R

1 1762 Vital Status

Recode

0, 1

.

1 1770 Cancer Status 1, 2, 9

R

8 1772 Date of Last

Cancer (tumor)

Status

YYYYMMDD

Valid dates

R



























Page 71 of 102





Required

2 1773 Date of Last Cancer

(tumor) Status Flag

12, Blank

.

2 1775 Record Number

Recode

01-99 .

1 1780 Quality of Survival 0-4, 8, 9

.

8 1782 Surv-Date Active

Followup


.

1 1783 Surv-Flag Active

Followup

0-3, 8,9, blank

.

4 1784 Surv-Mos Active

Followup


filled

0000-9999, blank

.

8 1785 Surv-Date Presumed

Alive


.

1 1786 Surv-Flag Presumed

Alive

0-3, 8,9, blank

.

4 1787 Surv-Mos Presumed

Alive


filled

0000-9999, blank

.

8 1788 Surv-Date DX

Recode


.

1 1790 Follow-Up Source 0-5, 7-9

R

2 1791 Follow-up Source

Central


filled 00-12, 29-35, 39-43, 48-

51, 59-65, 98, 99

.

1 1800 Next Follow-Up

Source

0-5, 8, 9

R

50 1810 Addr Current--City Mixed case letters,


as allowed by USPS,

embedded spaces


blank filled


.


State

See EDITS table

STATE.DBF in

Appendix B; CD, US,

XX, YY, ZZ

.


Postal Code


letters. No special

characters or

embedded spaces


blank filled.


codes; 6- character



other countries,

888888888, 999999999,

88888+4 blanks (U.S.),


.


















Page 72 of 102





Required


Country





ZZN, ZZC, ZZS, ZZP,

ZZE, ZZF, ZZA, ZZX,

ZZU, XNI, XCB, XEN,

XSC, XGR, XSL, CSK,

YUG, XUM, XNF, XSD,

XWF, XSF, XEF, XIF,

XET, XAP, XIS, XCR,

XOR, XSE, XMS, XCH,

XML, XMC, XPL

.


3 1840 County--Current Right justified, zero filled

See Appendix A for

standard FIPS county codes. See EDITS table BPLACE.DBF in

Appendix B for geocodes

used by CoC for non-U.S.

residents. Also 998, 999

.

50 1842 Follow-Up

Contact--City

Mixed case letters,


as allowed by USPS,

embedded spaces


blank filled


.

2 1844 Follow-Up

Contact--State

Upper case See EDITS table


B

.

9 1846 Follow-Up

Contact--Postal


letters. No special

characters or

embedded spaces


blank filled


codes; 6- character



other countries,

888888888, 999999999,

88888+4 blanks (U.S.),


.








Page 73 of 102





Required

3 1847 FollowUp Contact-

-Country

Upper case Use the International

Standards Organization

(ISO) 3166-1 Country

Three Character Codes,

augmented by custom

codes: ZZN, ZZC, ZZS,

ZZP, ZZE, ZZF, ZZA,

ZZX, ZZU, XNI, XCB,

XEN, XSC, XGR, XSL,

CSK, YUG, XUM, XNF,

XSD, XWF, XSF, XEF,

XIF, XET, XAP, XIS,

XCR, XOR, XSE, XMS,

XCH, XML, XMC, XPL.

See Appendix B for

complete list of country names and corresponding

three character alpha codes.

.

2 1850 Unusual Follow- Up

Method

00-99

.


1st


R


1st Flag

10-20, blank

.


Sites

Retired


Site 1

Retired


Site 2

Retired


Site 3

Retired

2 1880 Recurrence Type--

1st


filled

00, 04, 06, 10, 13-17, 20-

22, 25-27, 30, 36, 40, 46,

51-60, 62, 70, 88, 99

R

1890 Recurrence Type--

1st--Oth

Retired


4 1910 Cause of Death 4 digits (for ICD-7, 8,

9); for ICD-10, upper

case letter followed by

3 digits or upper case

letter followed by 2

digits plus blank

Valid ICD-7, ICD-8, ICD-

9, and ICD-10 codes; also

0000, 7777, 7797

.

1 1914 SEER Cause

Specific COD

0, 1, 8, 9

.

1 1915 SEER Other COD 0, 1, 8, 9

.
















Page 74 of 102





Required

1 1920 ICD Revision

Number

0, 1, 7, 8, 9

.

1 1930 Autopsy 0-2, 9

.

3 1940 Place of Death Right justified, zero

filled

Reference SEER Manual

.


State

Upper case

USPS or CanadaPost 2-

character codes; CD, US,

XX, YY, ZZ, Blank

.


Country




Codes augmented by

custom codes: ZZN, ZZC,

ZZS, ZZP, ZZE, ZZF,

ZZA, ZZX, ZZU, XNI,

XCB, XEN, XSC, XGR,

XSL, CSK, YUG, XUM,

XNF, XSD, XWF, XSF,

XEF, XIF, XET, XAP,

XIS, XCR, XOR, XSE,

XMS, XCH, XML, XMC,

XPL, Blank. See Appendix

B for complete list of

country names and

corresponding three


.

4 1960 Site (73-91) ICD- O-

1

Four digits, first digit

equals 1. Reference

ICD-O-1 for valid

entries

1400-1999

.

6 1970 Morph (73-91) ICD-

O-1

Reference ICD-O-1 for valid

entries

.

4 1971 Histology (73-91)

ICD-O-1


valid entries

8000-9970

.

1 1972 Behavior (73-91)

ICD-O-1


entries

.

1 1973 Grade (73-91) ICD-

O-1


entries

.

1 1980 ICD-O-2

Conversion Flag

0-6, blank

.

1 1981 Over-ride

SS/NodesPos

1 or blank

.

1 1982 Over-ride

SS/TNM-N

1 or blank

.

1 1983 Over-ride

SS/TNM-M

1 or blank

.

1984 Over-ride

SS/DisMet1

Retired

















Page 75 of 102





Required

1 1985 Over-ride

Acsn/Class/Seq

1 or blank

.

1 1986 Over-ride

HospSeq/DxConf

1 or blank

.

1 1987 Over-ride CoC-

Site/Type

1 or blank

.

1 1988 Over-ride

HospSeq/Site

1 or blank

.

1 1989 Over-ride

Site/TNM-StgGrp

1 or blank

.

1 1990 Over-ride

Age/Site/Morph

1-3 or blank

.

1 1992 Over-ride

TNM Stage

1, Blank

.

1 1993 Over-ride

TNM Tis

1, Blank

.

1 1994 Over-ride

TNM 3

1, Blank

.

1 2000 Over-ride

SeqNo/DxCo

nf

1 or blank

.

1 2010 Over-ride

Site/Lat/Seq

No

1 or blank

.

1 2020 Over-ride

Surg/DxConf

1 or blank

.

1 2030 Over-ride

Site/Type

1 or blank

.

1 2040 Over-ride

Histology

1-3 or blank

.

1 2050 Over-ride

Report Source

1 or blank

.

1 2060 Over-ride Ill-

define Site

1 or blank

.

1 2070 Over-ride

Leuk,

Lymphoma

1 or blank

.

1 2071 Over-ride

Site/Behavior

1 or blank

.

1 2072 Over-ride

Site/EOD/D

X Dt

1 or blank

.

1 2073 Over-ride

Site/Lat/EOD

1 or blank

.

1 2074 Over-ride

Site/Lat/Morph

1 or blank

.

1 2078 Over-ride

Name/Sex

1, Blank

.
























Page 76 of 102





Required


10 2081 CRC CHECKSUM Calculated or blank

.

8 2085 Date Case Initiated YYYYMMDD Valid date

.

8 2090 Date Case

Completed

YYYYMMDD Valid date

.

8 2092 Date Case

Completed--CoC

YYYYMMDD Valid date

D

8 2100 Date Case Last

Changed

YYYYMMDD Valid date

D


Exported

YYYYMMDD Valid date

.


Received

YYYYMMDD Valid date

.


Loaded

YYYYMMDD Valid date

.

8 2113 Date Tumor Record

Availbl

YYYYMMDD Valid date

.

2114 Future Use

Timeliness 1

Retired

2115 Future Use

Timeliness 2

Retired

1 2116 ICD-O-3

Conversion Flag

Blank, 0, 1, 3

.


Current

1.0-99.99

New D


Original

1.0-99.99

New D


-Current

Alphanumeric

.


-Original

Alphanumeric

.


Current


filled

00-09, 99

.


Original


filled

00-09, 99

.

1 2152 CoC Accredited Flag 0, 1, 2, Blank

.

1 2155 RQRS NCDB

Submission Flag

1, 2

.


Current

Characters may be

alphanumeric and

include decimal

points.


New

D
























Page 77 of 102





Required


Original

Characters may be

alphanumeric and

include decimal points.

Values of the form

XX.YY.ZZ, Blank

New

D

13 2158 AJCC Cancer

Surveillance API

Version Current

N[N].N[N].N[N].N[N

NN] Four groups of

one or more digits


The first group

identifies the

underlying AJCC

edition number. The

second a major


minor revision. The



08.01.05.0025 would

represent the 8th

edition, 1st major

revision, 5th minor


build of the API.


New

D

13 2159 AJCC Cancer

Surveillance API

Version Original

N[N].N[N].N[N].N[N

NN] Four groups of

one or more digits


The first group

identifies the

underlying AJCC

edition number. The

second a major


minor revision. The



08.01.05.0025 would

represent the 8th

edition, 1st major

revision, 5th minor


build of the API.


New

D

2160 Subsq Report for

Primary

Retired




10 2170 Vendor Name R

1 2180 SEER Type of

Follow-Up

1-4 .











Page 78 of 102





Required

2 2190 SEER Record

Number


filled

01-99 .

2 2200 Diagnostic Proc 73-

87

.


1000 2220 State/Requestor

Items

.

40 2230 Name--Last Mixed case, left

justified. Truncate name

if more than 40

characters long.

Spaces, hyphens and

apostrophes are allowed. Do

not use other punctuation.

Revised

.

40 2232 Name--Birth

Surname

Mixed case; Left-

justified, and blank-

filled.

Embedded spaces, hyphens,

apostrophes. No other

special characters are

allowed.

New

.

40 2240 Name--First Mixed case, left


if more than 40

characters long.

Blanks, spaces, hyphens and



Revised

.

40 2250 Name--Middle Mixed case, left


if more than 40

characters long.

Blanks, spaces, hyphens and



Revised

.

3 2260 Name--Prefix .

3 2270 Name--Suffix .

40 2280 Name--Alias Truncate name if more

than 40 characters long;

this field may be

updated if the name

changes.


apostrophes are allowed; do


Revised

.

60 2290 Name--

Spouse/Parent

.

15 2300 Medical Record

Number

Right justified, space

filled

Alphanumeric

Revised .

2 2310 Military Record No

Suffix


filled

01-20, 30-69, 98, 99, blank

.

11 2315 Medicare

Beneficiary Identifier

Alphanumeric, Blank

.

9 2320 Social Security

Number

9 digits, no dashes 001010001-899999999,

999999999. Invalid values

in this range exist.

.


















Page 79 of 102





Required


No & Street Mixed case, embedded

spaces, punctuation limited to periods, slashes, hyphens, and

pound signs. Left


Valid address or UNKNOWN

.


Supplementl


spaces, punctuation

limited to periods,


pound signs. Left


Valid address or blank

.


No & Street


spaces, punctuation

limited to periods,


pound signs. Left


Valid address or UNKNOWN

.

10 2352 Latitude Right justified Numbers, decimal point,

negative sign

.

11 2354 Longitude Right justified Numbers, decimal point,

negative sign

.


Supplementl


spaces, punctuation

limited to periods,


pound signs. Left


.

2370 DC State Retired

12 2380 DC State File

Number

Any characters or blank

.










Page 80 of 102





Required

40 2390 Name--Maiden Truncate name if more

than 40 characters

long.


apostrophes are allowed; do

not use other punctuation

Revised

.

60 2392 Follow-Up

Contact--

No&St


spaces, punctuation

limited to periods,


pound signs. Left


.

60 2394 Follow-Up

Contact--

Name

.


10 2410 Institution

Referred From

Right justified and zero

filled 10-digit number

.

10 2415 NPI--Inst

Referred From

10-digit NPI code (9-digit NPI


blank

R

10 2420 Institution

Referred To



.

10 2425 NPI--Inst

Referred To



blank

R

2430 Last Follow-

Up Hospital

Retired











Page 81 of 102





Required

10 2440 Following

Registry



.

10 2445 NPI--

Following

Registry



blank

.


8 2460 Physician--

Managing

Left justified .

10 2465 NPI--

Physician--

Managing



blank

.

8 2470 Physician--

Follow- Up

Left justified .

10 2475 NPI--

Physician--

Follow-Up

10-digit NPI codes (9-digit


digit), blank

.

8 2480 Physician--

Primary Surg

Left justified .

10 2485 NPI--

Physician--

Primary Surg



blank

R


10 2495 NPI--

Physician 3

10-digit NPI code (9-digit NPI integer plus 1 check

digit), blank

R 8 2500 Physician 4 Left justified

.














Page 82 of 102





Required

10 2505 NPI--Physician 4 10-digit NPI code (9-digit


digit), blank

R

1000 2508 EHR Reporting Free text

.


1000 2520 Text--DX Proc--PE Free text Neither carriage return nor


allowed

.

1000 2530 Text--DX Proc--X-

ray/Scan



allowed

.


Scopes



allowed

.


Lab Tests



allowed

.

1000 2560 Text--DX Proc--Op Free text Neither carriage return nor line feed characters allowed

.


Path


line feed characters allowed

.

100 2580 Text--Primary Site

Title



allowed

.

100 2590 Text--Histology

Title



allowed

.

1000 2600 Text--Staging Free text Neither carriage return nor


allowed

.

1000 2610 RX Text--Surgery Free text Neither carriage return nor


allowed

.

1000 2620 RX Text--

Radiation (Beam)



allowed

.

1000 2630 RX Text--

Radiation Other



allowed

.

1000 2640 RX Text--Chemo Free text Neither carriage return nor


allowed

.

1000 2650 RX Text--Hormone Free text Neither carriage return nor


allowed

.

1000 2660 RX Text--BRM Free text Neither carriage return nor


allowed

.




















Page 83 of 102





Required

1000 2670 RX Text--Other Free text Neither carriage return nor


allowed

.

1000 2680 Text--Remarks Free text Neither carriage return nor


allowed

.

60 2690 Text--Place of

Diagnosis



allowed

.


2730 CS PreRx Tumor

Size

Retired

2735 CS PreRx

Extension

Retired

2740 CS PreRx Tum

Sz/Ext Eval

Retired

2750 CS PreRx Lymph

Nodes

Retired

2755 CS PreRx Reg

Nodes Eval

Retired

2760 CS PreRx Mets at

DX

Retired

2765 CS PreRx Mets

Eval

Retired

2770 CS PostRx Tumor

Size

Retired

2775 CS PostRx

Extension

Retired

2780 CS PostRx Lymph

Nodes

Retired

2785 CS PostRx Mets at DX

Retired

3 2800 CS Tumor Size Right justified, zero

filled


RH

3 2810 CS Extension Right justified, zero

filled


RH

1 2820 CS Tumor Size/Ext

Eval

0-9 (site-specific)

RH

3 2830 CS Lymph Nodes Right justified, zero

filled


RH

1 2840 CS Lymph Nodes

Eval

0-9 (site-specific)

RH

2 2850 CS Mets at DX Right justified, zero

filled


RH


Bone

0, 1, 8, 9

RH


Brain

0, 1, 8, 9

RH

























Page 84 of 102





Required


Liver

0, 1, 8, 9

RH


Lung

0, 1, 8, 9

RH

1 2860 CS Mets Eval 0-9 (site-specific)

RH


Factor 7


filled


RH


Factor 8


filled


RH

3 2863 CS Site-Specific Factor 9



RH


Factor10


filled


RH


Factor11


filled


RH


Factor12


filled


RH


Factor13


filled


RH


Factor14


filled


RH


Factor15


filled


RH


Factor16


filled


RH


Factor17


filled


RH


Factor18


filled


RH


Factor19


filled


RH


Factor20


filled


RH


Factor21


filled


RH

3 2876 CS Site-Specific Factor22



RH


Factor23


filled


RH


Factor24


filled


RH


Factor25


filled


RH


Factor 1


filled


RH


Factor 2


filled


RH


























Page 85 of 102





Required


Factor 3


filled


RH


Factor 4


filled


RH


Factor 5


filled


RH


Factor 6


filled


RH


Original


number

RH

6 2936 CS Version Derived


number

DH


Current


number

RH

2 2940 Derived AJCC-6 T Site-specific (derived from


blank

DH



(derived from Collaborative Stage fields)

DH

2 2960 Derived AJCC-6 N Site-specific (derived from


blank

DH


Descript


(derived from


DH

2 2980 Derived AJCC-6 M Site-specific (derived from


blank

DH


Descript


(derived from


DH


Stage Grp

Site-specific (derived from


DH



DH



DH

1 3030 Derived AJCC--

Flag

1, 2, blank

DH

1 3040 Derived SS1977--

Flag

1, 2, blank

DH

1 3050 Derived SS2000--

Flag

1, 2, blank

DH

10 3100 Archive FIN Right justified, zero

filled

10-digit number

R






















Page 86 of 102





Required

10 3105 NPI--Archive FIN



digit), blank

R


ation 1


filled

00000, 00100-13980,

24000-99990, E8700-

E8799, E9300-E9499,

V0720-V0739, V1000-

V1590, V2220-V2310,

V2540, V4400-V4589,

V5041-V5049

RH


ation 2


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH

5 3130 Comorbid/Complic ation 3

Left justified, zero filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 4


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 5


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 6


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 7


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041-

V5049, Blank

RH










Page 87 of 102





Required


ation 8


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 9


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH


ation 10


filled

00100-13980, 24000-

99990, E8700-E8799,

E9300-E9499, V0720-

V0739, V1000-V1590,

V2220-V2310, V2540,

V4400-V4589, V5041- V5049, Blank

RH

1 3165 ICD Revision

Comorbid

0, 1, 9, blank

.


Srg


R


Srg Flag

10-20, blank

.

8 3180 RX Date Surg

Disch


R

2 3181 RX Date Surg

Disch Flag

10-20, blank

.

1 3190 Readm Same Hosp

30 Days

0-3, 9

R

2 3200 Rad--Boost RX

Modality


filled 00, 20-32, 40-43, 50-55,

60-62, 98, 99

.

5 3210 Rad--Boost Dose

cGy


filled

00000-99999

.

8 3220 RX Date Rad

Ended


R

2 3221 RX Date Rad Ended Flag

10-20, blank

.

8 3230 RX Date Systemic YYYYMMDD Valid dates

R

2 3231 RX Date Systemic

Flag

10-20, blank

.

2 3250 RX Summ--

Transplnt/Endocr


filled 00, 10-12, 20, 30, 40, 82, 85-88, 99

R

3260 Pain Assessment Retired

1 3270 RX Summ--

Palliative Proc

0-7, 9

R




















Page 88 of 102





Required

1 3280 RX Hosp--

Palliative Proc

0-7, 9

R

2 3300 RuralUrban

Continuum 1993


filled

00-09, 98, 99, blank

.

2 3310 RuralUrban

Continuum 2003


filled

01-09, 98, 99, blank

.

2 3312 RuralUrban

Continuum 2013


filled

01-09, 98, 99, blank

Revised .

3 3400 Derived AJCC-7 T Right justified, zero

filled

000-999

DH



DH

3 3410 Derived AJCC-7 N Right justified, zero

filled

000-999

DH


Descript


DH

3 3420 Derived AJCC-7 M Right justified, zero

filled

000-999

DH


Descript


DH


Stage Grp


filled

000-999

DH

3 3440 Derived PreRx-7 T Right justified, zero

filled

000-999

.

1 3442 Derived PreRx-7 T

Descrip

c, N, blank

.

3 3450 Derived PreRx-7 N Right justified, zero

filled

000-999

.

1 3452 Derived PreRx-7 N

Descrip

c, N, blank

.


M


filled

000-999

.


M Descrip

c, N, blank

.


Stage Grp


filled

000-999

.

3 3480 Derived PostRx-7 T


000-999

.


N


filled

000-999

.


M


filled

00-99

.


Stge Grp


filled

000-999

.

1 3600 Derived Neoadjuv

Rx Flag

0,1,9

.

























Page 89 of 102





Required

5 3605 Derived SEER

Path Stg Grp

Upper-case

alphanumeric, left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1,

3C2, 4, 4A, 4A1, 4A2, 4B, 4C, OC, 88, 99, Blank

.

5 3610 Derived SEER Clin

Stg Grp

Upper-case

alphanumeric, left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1,

3C2, 4, 4A, 4A1, 4A2, 4B, 4C, OC, 88, 99, Blank

.

5 3614 Derived SEER

Cmb Stg Grp

Upper-case

alphanumeric, Left

justified

0, 0A, 0IS, 1,1A, 1A1,

1A2, 1B, 1B1, 1B2, 1C,

1S, 2, 2A, 2A1, 2A2, 2B,

2C, 3, 3A, 3B, 3C, 3C1, 3C2, 4, 4A, 4A1, 4A2, 4B,

4C, OC, 88, 99, Blank

.

5 3616 Derived SEER

Combined T

Upper-case

alphanumeric, left



Manual and FORDS


.

5 3618 Derived SEER

Combined N

Upper-case

alphanumeric, left



Manual and FORDS


.

5 3620 Derived SEER

Combined M

Upper-case

alphanumeric, left



Manual and FORDS Manual; also 88, blank

.

1 3622 Derived SEER

Cmb T Src

1, 2, 3, 9

.

1 3624 Derived SEER

Cmb N Src

1, 2, 3, 9

.

1 3626 Derived SEER

Cmb M Src

1, 2, 3, 9

.


AJCC 8 TNM Clin

Stg Grp


AJCC Cancer Staging


.












Page 90 of 102





Required


AJCC 8 TNM Path

Stg Grp


AJCC Cancer Staging


.


AJCC 8 TNM Post

Therapy Stg Grp


AJCC Cancer Staging Manual, 88, 99, Blank

.

4 3650 NPCR Derived

Clin Stg Grp

Upper case,

alphanumeric. Convert AJCC Roman numerals to Arabic

numerals. Left




and blank

.

4 3655 NPCR Derived

Path Stg Grp

Upper case,


AJCC Roman

numerals to Arabic

numerals. Left




and Blank

.


Fact 1

0-9, blank

.


Fact 2

0-9, blank

.


Fact 3

0-9, blank

.


Fact 4

0-9, blank

.


Fact 5

0-9, blank

.


Fact 6

0-9, blank

.

75 3720 NPCR Specific

Field

To be determined for each

site where needed. NPCR

provides appropriate

detailed information as the

need for this data

collection arises.

.





































Page 91 of 102





Required









7 3780 Secondary

Diagnosis 1



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R




will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3784 Secondary

Diagnosis 3



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3786 Secondary

Diagnosis 4



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 - T50.996, Y62.0 - Y84.9, Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3788 Secondary

Diagnosis 5



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R















Page 92 of 102





Required

7 3790 Secondary

Diagnosis 6



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3792 Secondary

Diagnosis 7



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 - Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R




will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3796 Secondary

Diagnosis 9



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 -

T50.996, Y62.0 - Y84.9,

Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

7 3798 Secondary

Diagnosis 10



will be a presumed



characters in the

reported value

A00.0 - B99.9, E00.0 -

E89.89, G00.0 - P96.9,

R00.0 - S99.929, T36.0 - T50.996, Y62.0 - Y84.9, Z14.0 - Z22.9, Z68.1 -

Z68.54, Z80.0 - Z80.9,

Z85.0 - Z86.03, Z86.1 -

Z99.89

R

5 3800 Schema ID See the NAACCR Site-

Specific Data Item

webpage for codes

D

1 3801 Chromosome 1p:


0, 1, 6-9

RS

1 3802 Chromosome 19q:


0, 1, 6-9

RS

5 3803 Adenoid Cystic

Basaloid Pattern

Right justified 0.0-100.0, XXX.5, XXX.8,

XXX.9

RS











Page 93 of 102





Required

1 3804 Adenopathy

0, 1, 9

RS

7 3805 AFP Post-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3806 AFP Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

7 3807 AFP Pre-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3808 AFP Pre-

Orchiectomy

Range

0-4, 7-9

RS


Interpretation

0-2, 7-9

RS


Lab Value


XXXX.2, XXXX.8,

XXXX.9

RS

1 3811 Anemia

0, 1, 6, 7, 9

RS

1 3812 B symptoms

0, 1, 8, 9

RS

5 3813 Bilirubin

Pretreatment Total

Lab Value

Right justified

0.0, 0.1-999.9, XXX.1,

XXX.7, XXX.8, XXX.9

RS

1 3814 Bilirubin

Pretreatment Unit

of Measure

1, 2, 7-9

RS

1 3815 Bone Invasion

0, 1, 8, 9

RS

2 3816 Brain Molecular

Markers

01-09, 85-88, 99

.

4 3817 Breslow Tumor

Thickness

Right justified 0.0, 0.1-99.9, XX.1, A.01-

A9.9, AX.0, XX.8, XX.9

RS

1 3818 CA-125

Pretreatment

Interpretation

0-2, 7-9

RS

1 3819 CEA Pretreatment

Interpretation

0-3, 7-9

RS

6 3820 CEA Pretreatment Lab Value

Right justified 0.0, 0.1-9999.9, XXXX.1, XXXX.7, XXXX.8, XXXX.9

RS

1 3821 Chromosome 3 Status

0-3, 7-9

RS

1 3822 Chromosome 8q

Status

0, 1, 7-9

RS





















Page 94 of 102





Required

4 3823 Circumferential

Resection Margin

(CRM)


XX.3, XX.4, XX.5, XX.6,

XX.7, XX.8, XX.9

RS

4 3824 Creatinine

Pretreatment Lab

Value

Right justified

00, 0.1-99.9, XX.1, XX.7,

XX.8, XX.9

RS

1 3825 Creatinine

Pretreatment Unit

of Measure

1, 2, 7-9

RS


Percent Positive or

Range

000-100, R10, R20, R30,

R40, R50, R60, R70, R80,

R90, R99, XX7, XX8,

XX9

Revised

RS


Summary

0, 1, 7, 9

RS


Total Allred Score

00-08, X8, X9

RS

1 3829 Esophagus and

EGJ Tumor

Epicenter

0-2, 9

RS

1 3830 Extranodal

Extension Clin

(non-Head and

Neck)

0-2, 4, 7-9

Revised

RS

1 3831 Extranodal

Extension Head

and Neck Clinical

0-2, 4, 7-9

Revised

RS

3 3832 Extranodal

Extension Head

and Neck

Pathological

0.0, 0.1-9.9, X.1, X.2, X.3,

X.4, X.7, X.8, X.9

RS

1 3833 Extranodal

Extension Path

(non-Head and

Neck)

0, 1, 7-9

RS

1 3834 Extravascular

Matrix Patterns

0, 1, 8, 9

RS

1 3835 Fibrosis Score

0, 1, 7-9

RS

5 3836 FIGO Stage Left justified Valid alphanumeric codes

for FIGO stages; 98, 99

Revised

RS

2 3837 Gestational

Trophoblastic

Prognostic Scoring

Index

00-25, X9

RS


Clinical

11-15, 19, 21-25, 29, 31-

35, 39, 41-45, 49, 51-55, 59, X6, X7, X8, X9

RS


















Page 95 of 102





Required


Pathological

11-15, 19, 21-25, 29, 31-

35, 39, 41-45, 49, 51-55, 59, X6, X7, X8, X9

RS


Clinical

02-10, X7, X8, X9

RS


Pathological

02-10, X7, X8, X9

RS

2 3842 Gleason Tertiary

Pattern

10, 20, 30, 40, 50, X7, X8,

X9

RS

1 3843 Grade Clinical 1-5, 8, 9, A, B, C, D, E, L, H, M, S

R

1 3844 Grade Pathological 1-5, 8, 9, A, B, C, D, E, L,

H, M, S

R

1 3845 Grade Post

Therapy Path (yp)

1-5, 8, 9, A, B, C, D, E, L, H, M, S, Blank

Revised

R

7 3846 hCG Post-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

RS

1 3847 hCG Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

7 3848 hCG Pre-

Orchiectomy Lab

Value


XXXXX.1, XXXXX.8,

XXXXX.9

RS

1 3849 hCG Pre-

Orchiectomy Range

0-4, 7-9

RS

1 3850 HER2 IHC

Summary

0-4, 7-9

.


Probe Copy

Number

Right justified

0.0-99.9, XX.1, XX.7,

XX.8, XX.9

.


Probe Ratio


XX.7, XX.8, XX.9

.

4 3853 HER2 ISH Single

Probe Copy

Number

Right justified

0.0-99.9, XX.1, XX.7,

XX.8, XX.9

Revised

.

1 3854 HER2 ISH

Summary

0, 2, 3, 7-9

.

1 3855 HER2 Overall

Summary

0, 1, 7, 9

RS

1 3856 Heritable Trait

0, 1, 7, 9

RS

1 3857 High Risk

Cytogenetics

0, 1, 7, 9

RS





















Page 96 of 102





Required

1 3858 High Risk

Histologic Features

0-6, 8, 9

RS

1 3859 HIV Status

0, 1, 7-9

.

3 3860 International

Normalized Ratio

Prothrombin Time

0.0-9.9, X.1, X.7, X.8, X.9

RS

1 3861 Ipsilateral Adrenal

Gland Involvement

0-4, 8, 9

RS

1 3862 JAK2

0-5, 7-9

RS

5 3863 Ki-67 Right justified 0.0-100.0, XXX.4, XXX.5,

XXX.6, XXX.7, XXX.8,

XXX.9

Revised

RS

1 3864 Invasion Beyond

Capsule

0-5, 8, 9

RS

1 3865 KIT Gene

Immunohistochemi

stry

0, 1, 7-9

RS

1 3866 KRAS

0-4, 7-9

RS

1 3867 LDH Post-

Orchiectomy

Range

0-5, 7-9

Revised

RS

1 3868 LDH Pre-

Orchiectomy

Range

0-4, 7-9

RS

1 3869 LDH Level

0, 1, 7, 9

Revised

RS

3 3870 LDH Upper Limits

of Normal

001-999, XX8, XX9

RS


Method Femoral-

Inguinal

0-2, 7-9

RS


Method Para-

Aortic

0-2, 7-9

RS


Method Pelvic

0-2, 7-9

RS

1 3874 LN Distant

Assessment

Method

0-2, 7-9

RS

1 3875 LN Distant:

Mediastinal,

Scalene

0-3, 8, 9

RS


Levels I-III

0-9

RS





















Page 97 of 102





Required


Levels IV-V

0-3, 8, 9

RS


Levels VI-VII

0-3, 8, 9

RS


Other

0-9

RS

1 3880 LN Isolated Tumor

Cells (ITC)

0, 1, 8, 9

RS

1 3881 LN Laterality

0-3, 8, 9

RS

2 3882 LN Positive

Axillary Level I-II

00-99, X1, X5, X6, X8, X9

RS

4 3883 LN Size Right justified 0.0, 0.1-99.9, XX.1, XX.2,

XX.3, XX.4, XX.5, XX.6,

XX.7, XX.8, XX.9

RS

1 3884 LN Status

Femoral-Inguinal,

Para-Aortic, Pelvic

0-9

RS

1 3885 Lymphocytosis

0, 1, 6, 7, 9

RS

1 3886 Major Vein

Involvement

0-4, 8, 9

RS

4 3887 Measured Basal

Diameter


XX.2, XX.3, XX.4, XX.5,

XX.6, XX.8, XX.9

RS

4 3888 Measured

Thickness


XX.2, XX.3, XX.4, XX.5,

XX.6, XX.8, XX.9

RS

1 3889 Methylation of O6-

Methylguanine-

Methyltransferase

0-3, 6-9

RS

1 3890 Microsatellite

Instability (MSI)

0-2, 8, 9

RS

2 3891 Microvascular

Density

00-99, X1, X2, X3, X4,

X5, X7, X8, X9

RS

4 3892 Mitotic Count

Uveal Melanoma


XX.3, XX.4, XX.7, XX.8,

XX.9

RS

2 3893 Mitotic Rate

Melanoma

00-99, X1, X2, X3, X4,

X7, X8, X9

RS

1 3894 Multigene

Signature Method

1-9

RS

2 3895 Multigene

Signature Results

00-99, X1, X2, X3, X4,

X7, X8, X9

RS





















Page 98 of 102





Required

2 3896 NCCN

International

Prognostic Index

(IPI)

00-08, X1, X2, X3, X4,

X8, X9

RS


Examined

01-99, X1, X6, X7, X8, X9

RS


Positive

00, 01-99, X1, X6, X7, X8,

X9

RS

2 3899 Number of

Examined Para-

Aortic Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS

2 3900 Number of

Examined Pelvic

Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS


Para-Aortic Nodes

00, 01-99, X1, X2, X6, X8,

X9

RS


Pelvic Nodes

00, 01-99, X1, X2, X6, X8, X9

RS

3 3903 Oncotype Dx

Recurrence Score-

DCIS


filled

0-100, XX6, XX7, XX8,

XX9

RS

3 3904 Oncotype Dx

Recurrence Score-

Invasive


filled

0-100, XX4, XX5, XX6,

XX7, XX9

RS


Level-DCIS

0-2, 6-9

RS


Level-Invasive

0-2, 6-9

RS

1 3907 Organomegaly

0, 1, 9

RS

5 3908 Percent Necrosis

Post Neoadjuvant

Right justified 0.0, 0.1-100.0, XXX.2,

XXX.8, XXX.9

RS

1 3909 Perineural Invasion

0, 1, 8, 9

RS

1 3910 Peripheral Blood Involvement

0-7, 9

RS

1 3911 Peritoneal

Cytology

0-3, 7-9

RS

1 3913 Pleural Effusion

0-4, 8, 9

RS

3 3914 Progesterone

Receptor Percent

Positive or Range

000, 001-100, R10, R20,

R30, R40, R50, R60, R70,

R80, R90, R99, XX7, XX8, XX9

Revised

RS




















Page 99 of 102





Required

1 3915 Progesterone

Receptor Summary

0, 1, 7, 9

RS

2 3916 Progesterone

Receptor Total

Allred Score

00-08, X8, X9

RS

1 3917 Primary Sclerosing

Cholangitis

0, 1, 8, 9

RS

1 3918 Profound Immune

Suppression

0-6, 8, 9

RS

3 3919 EOD Prostate

Pathologic

Extension

000-999

Revised

.

5 3920 PSA (Prostatic

Specific Antigen)

Lab Value

Right justified

0.1, 0.2-999.9, XXX.1,

XXX.7, XXX.9

RS

2 3921 Residual Tumor

Volume Post

Cytoreduction

00, 50, 60, 70, 80, 97-99

Revised

RS

1 3922 Response to

Neoadjuvant Therapy

0-4, 8, 9

RS

1 3923 S Category Clinical

0-3, 9

RS

1 3924 S Category

Pathological

0-3, 5, 9

Revised

RS

3 3925 Sarcomatoid

Features

000, 001-100, R01, R02,

R03, R04, R05, XX6,

XX7, XX8, XX9

RS

1 3926 Schema

Discriminator 1

RS

1 3927 Schema

Discriminator 2

RS

1 3928 Schema

Discriminator 3

RS

1 3929 Separate Tumor

Nodules

0-4, 7-9

RS

1 3930 Serum Albumin

Pretreatment Level

0, 1, 7, 9

RS

1 3931 Serum Beta-2

Microglobulin

Pretreatment Level

0-2, 7, 9

RS

7 3932 LDH Lab Value Right justified 0.0, 0.1-99999.9,

XXXXX.1, XXXXX.7,

XXXXX.8, XXXXX.9

Revised

RS

1 3933 Thrombocytopenia

0, 1, 6, 7, 9

RS





















Page 100 of 102





Required

2 3934 Tumor Deposits

00, 01-99, X1, X2, X8, X9

RS

1 3935 Tumor Growth

Pattern

1-3, 8, 9

RS

1 3936 Ulceration

0, 1, 8, 9

RS

1 3937 Visceral and

Parietal Pleural

Invasion

0, 4-6, 8, 9

Revised

RS

1 3938 ALK

Rearrangement

0-2, 4, 7-9

New

RS

1 3939 EGFR Mutational

Analysis

0-2, 4, 7-9

New

RS

1 3940 BRAF Mutational

Analysis

0-2, 4, 7-9

New

RS

1 3941 NRAS Mutational

Analysis

0-2, 4, 7-9

New

RS

6 3942 CA 19-9 PreTX

Lab Value


XXXX.7, XXXX.8,

XXXX.9

New

RS

1 3943 NCDB--

SARSCoV2--Test

numeric

0, 1, 9

New

R*

1 3944 NCDB--

SARSCoV2--Pos

numeric

0, 1, 9

New

R*

8 3945 NCDB--

SARSCoV2--Pos Date

YYYYMMDD

Valid dates, Blank

New

R*

1 3946 NCDB--

COVID19--Tx Impact

numeric

1-5, 9

New

R*

2 3950 Macroscopic

Evaluation of

Mesorectum

00, 10, 20, 30, 40, 99, Blank

New

R

1 3955 Derived Rai Stage

0-4, 8, 9

New

.

1 3956 p16

0, 1, 8, 9, blank

New RS

1 3957 LN Status

Pelvic

0, 1, 8, 9

New

RS

1 3958 LN Status Para-Aortic

0, 1, 8, 9

New

RS

1 3959 LN Status Femoral-

Inguinal

0, 1, 8, 9

New

RS





















Page 101 of 102





Required

20 7093 Path Report Number

4

Left justified,

alphanumeric

.

20 7094 Path Report Number

5

Left justified,

alphanumeric

.

20 7100 Path Order Phys Lic

No 1

Left justified,

alphanumeric, no

embedded blanks

.

20 7101 Path Order Phys Lic

No 2

Left justified,

alphanumeric, no

embedded blanks

.

20 7102 Path Order

Phys Lic No

3

Left justified,

alphanumeric,

no embedded

blanks

.

20 7103 Path Order

Phys Lic No

4

left justified,

alphanumeric,

no embedded

blanks

.


Lic No 5

left justified,

alphanumeric, no

embedded blanks

.

25 7190 Path Ordering

Fac No 1

Left justified,

alphanumeric blank

.


Fac No 2

Left justified,

alphanumeric blank

.


Fac No 3

Left justified,

alphanumeric blank

.


Fac No 4

Left justified,

alphanumeric blank

.

25 7194 Path Ordering Fac No 5


blank

.


Collect 1

YYYYMMDD

hhmms s

Valid dates

.


Collect 2

YYYYMMDD

hhmms s

Valid dates

.


Collect 3

YYYYMMDD

hhmms s

Valid dates

.


Collect 4

YYYYMMDD

hhmms s

Valid dates

.


Collect 5

YYYYMMDDhhmms s Valid dates

.

2 7480 Path Report

Type 1


filled

01-11, 98, 99

.

2 7481 Path Report

Type 2


filled

01-11, 98, 99

.

2 7482 Path Report

Type 3


filled

01-11, 98, 99

.

2 7483 Path Report

Type 4


filled

01-11, 98, 99

.


filled

01-11, 98, 99

.
























Page 102 of 102

4 10104

Rx Hosp—Surg

Breast

B000, B200-B990, Alphanumeric, Blank

New

R

4 10105 Rx Summ-- Surg

Breast

B000, B200-B990, Alphanumeric, Blank

New

R

4 10106 Rx Hosp-- Recon

Breast

A000, A100-A640, A900-A980, A990, Alphanumeric, Blank

New

R

4 10107 Rx Summ-- Recon

Breast

A000, A100-A640, A900-A980, A990, Alphanumeric, Blank

New

R

CoC Required Status Table Legend:

. No recommendation

D Derived

D* Derived, when available

R Required

R# Required; central registries may code available data using either SEER or CoC data items and associated rules

R* Required, when available

R^ Required, these text requirements may be met with one or several text Blocks fields

RC Collected by SEER from CoC-accredited hospitals

RH Historically collected and currently transmitted

RH* Historically collected and currently transmitted when available

RS Required, site specific

RS* Required, site specific; when available

S Supplementary/recommended

Documents

Data Items and Record Layout for Submissions to NCDB …