no

Not required. It is optional for the facility to submit this data item value to the central registry.

yes

Required. The facility must submit this data item value to the central registry.

yes*

Required if available. If the information can be obtained, the facility must submit it to the central registry. If not available or not applicable, may be left blank.

conditional

Required on selected cases dependent on one or more conditions being true, such as the case’s diagnosis date being before or after a certain date.

gen

Required, but the facility’s registry software must generate the data item value based on a standard algorithm, rather than a user manually entering the data item value.

Item Name

Manual

RX Ctr

Hosp> CCR

Abstractor

III.1.1

yes

yes

Accession Number (Hosp)

II.2.3

yes

yes

ACoS Approved Flag

III.1.6

yes

yes

Address at Diagnosis City

III.2.5

yes

yes

Address at Diagnosis No. & Street

III.2.5

yes

yes

Address at Diagnosis No. & Street - Supplemental

III.2.5

yes*

yes*

Address at Diagnosis - State

III.2.5

yes

yes

Address at Diagnosis - Zip Code

III.2.5

yes

yes

Address at Diagnosis - Country

III.2.5.8

yes

yes

Age at Diagnosis

III.2.11

gen

gen

Alias First Name

III.2.1.6

yes*

yes*

Alias Last Name

III.2.1.5

yes*

yes*

Ambiguous Terminology DX

II.1.6.3

no

no

Birthplace

III.2.12

no

no

Birthplace - Country

III.2.12.1

yes

yes

Birthplace - State

III.2.12.2

yes

yes

Casefinding Source

III.3.8

yes

yes

Cause of Death

VII.2.14

no

no

Chemotherapy at This Hospital

VI.4

yes

yes

Chemotherapy Summary

VI.4

yes

yes

Class of Case

III.3.5

yes

yes

Coding Procedure

III.1.5

gen

yes

Comorbidity Complications 1 - 10

III.3.13

yes*

yes*

Contact City

VII.3

yes*

yes*

Contact Country

VII.3

yes*

yes*

Contact Name

VII.3

yes*

yes*

Contact State

VII.3

yes*

yes*

Contact Street

VII.3

yes*

yes*

Contact Street - Supplemental

VII.3

yes*

yes*

Contact Zip

VII.3

yes*

yes*

County of Residence at Diagnosis

III.2.5

yes

yes

CS Tumor Size

V.4.2

yes

yes

CS Extension

V.4.2

yes

yes

CS Tumor Size/Extension Evaluation

V.4.2

yes

yes

CS Lymph Nodes

V.4.2

yes

yes

CS Lymph Nodes Evaluation

V.4.2

yes

yes

CS Metastasis at Diagnosis

V.4.2

yes

yes

CS Metastasis at Diagnosis Bone

V.4.2.1

yes

yes

CS Metastasis at Diagnosis Brain

V.4.2.2

yes

yes

CS Metastasis at Diagnosis Liver

V.4.2.3

yes

yes

CS Metastasis at Diagnosis Lung

V.4.2.4

yes

yes

CS Metastasis Evaluation

V.4.2

yes

yes

CS Site Specific Factor 1 - 25

V.4.2

yes

yes

CS Version Input Current

V.4.2

yes

yes

CS Version Latest

V.4.2

yes

yes

Date of Birth

III.2.10

yes

yes

Date of Birth Flag

III.2.10.1

yes

yes

Date Case Initiated

Vol. 2

gen

gen

Date of Conclusive DX

V.1.7.2

no

no

Date of Conclusive DX Flag

V.1.7.2.1

no

no

Date of Chemotherapy

VI.1.3.2

conditional

yes*

Date of Chemotherapy  Flag

VI.4.3.1

yes

yes*

Date of Diagnosis

III.3.1

yes

yes

Date of Diagnosis Flag

III.3.3.4

yes

yes

Date of First Admission

III.3.1

yes

yes

Date of First Contact Flag

III.3.1.1

yes

yes

Date of Inpatient Admission

III.3.2

no

yes*

Date of Inpatient Admission Flag

III.3.2.1

yes

yes

Date of Inpatient Discharge

III.3.2

no

yes*

Date of Inpatient Discharge Flag

III.3.2.2

yes

yes

Date of Hormone Therapy

VI.1.3.2

conditional

yes*

Date of Hormone Therapy Flag

VI.5.5.1

yes

yes*

Date of Immunotherapy

VI.1.3.2

conditional

yes*

Date of Immunotherapy Flag

VI.6.3.1

yes

yes

Date of Last Patient Contact or Death

VII.2.1

yes

yes

Date of Last Patient Contact or Death Flag

VII.2.1.1

yes

yes

Date of Last Tumor Status

VII.2.3

yes

yes

Date of Last Contact Flag

VII.2.2.1

yes

yes

Date of Most Definitive Surgery of the Primary Site

VI.2.5

gen

yes*

Date of Most Definitive Surgery of the Primary Site Flag

VI.2.5

yes

yes

Date of Multiple Tumors

V.1.7.4

no

no

Date of Multiple Tumors Flag

V.1.7.4.1

no

no

Date of Other Therapy

VI.1.3.2

conditional

yes*

Date of Other Therapy Flag

VI.8.2.1

yes

yes*

Date of Radiation

VI.1.3.2

conditional

yes*

Date of Radiation Flag

VI.3.5.1

yes

yes*

Date of Systemic Therapy

VI.1.3.2

gen

yes*

Date of Systemic Therapy Flag

VI.1.3.2

yes

yes*

Date of Surgery

VI.1.3.2

gen

yes*

Date of Surgery Flag

VI.2.5.1

yes

yes*

Date of Surgery Diagnostic or Staging Procedures

VI.2.12

conditional

yes*

Date of Surgery Diagnostic or Staging Procedures Flag

V1.2.11.1

yes

yes

Date of Surgery Procedures 1-3

VI.2.5

conditional

yes

Date of Surgery Procedures 1-3 Flag

VI.2.5

yes

yes

Date of Therapy

Vol III

no

no

Date of Transplant/Endocrine Procedures

VI.7.2

conditional

yes

Date of Transplant/Endocrine Procedures Flag

VI.7.2.1

yes

yes

Death File Number

VII.2.14

no

no

Derived AJCC-7 T

V.4.2

yes

yes

Derived AJCC-7 T Descriptor

V.4.2

yes*

yes*

Derived AJCC-7 N

V.4.2

yes

yes

Derived AJCC-7 N Descriptor

V.4.2

yes*

yes*

Derived AJCC-7 M

V.4.2

yes

yes

Derived AJCC-7 M Descriptor

V.4.2

yes*

yes*

Derived AJCC-7 Stage Group

V.4.2

yes

yes

Derived SS2000

V.4.2

yes

yes

Derived SS1977

V.4.2

yes

yes

Derived AJCC - Flag

V.4.2

yes

yes

Derived SS2000 - Flag

V.4.2

yes

yes

Derived SS1977 - Flag

V.4.2

yes

yes

Diagnostic Confirmation

IV.2

yes

yes

Discovered by Screening

III.3.15

no

no

EOD Extension

V.4

yes

yes

EOD Extension (Path)

V.4

yes

yes

EOD - Lymph Node Involvement

V.4

yes

yes

First Name

III.2.1.2

yes

yes

Follow up Contact Address Other

VII.3

yes*

yes

Follow up Contact Address Other - Supplemental

VII.3

yes*

yes*

Follow up Contact City Other

VII.3

yes*

yes

Follow up Contact Country

VII.3

yes

yes

Follow up Contact Name Other

VII.3

yes*

yes

Follow up Contact State Other

VII.3

yes*

yes

Follow up Contact Zip Other

VII.3

yes*

yes

Follow up Last Type (Patient)

VII.2.6.2

yes

yes

Follow up Last Type (Tumor)

VII.2.6.1

yes

yes

Follow up Next Type

VII.2.8

yes*

yes*

Follow up Hospital (Next)

VII.2.9

no

no

Follow up Hospital (Last)

VII.2.7

yes

yes

Grade Path Value

V.3.5.11

yes

yes

Grade Path System

V.3.5.12

yes

yes

Height

III.2.15

yes*

yes*

Histology Text

IV.1.7

yes

yes

Histology Behavior (ICD-O-2)

V.3.4

yes

yes

Histology Behavior (ICD-O-3)

V.3.4

yes

yes

Histology Grade/ Differentiation (pre 2014)

V.3.5

yes

yes

Histology Grade/ Differentiation (post 2014)

V.3.7

yes

yes

Histology Type (ICD-O-2)

V.3

yes

yes

Histology Type (ICD-O-3)

V.3

yes

yes

Hormone Therapy at This Hospital

VI.5

yes

yes

Hormone Therapy Summary

VI.5

yes

yes

Hospital Number (Reporting)

III.1.4

yes

yes

Hospital Patient Number

Vol. 2

gen

yes

Hospital Referred From

III.3.10

yes

yes

Hospital Referred To

III.3.11

yes

yes

ICD Revision Comorbidities

III.3.14

yes

yes

ICD-O-3 Conversion Flag

Vol. 2

gen

yes

Immunotherapy at This Hospital

VI.6

yes

yes

Immunotherapy Summary

VI.6

yes

yes

Industry Text

III.2.13.2

no

yes

Last Name

III.2.1.1

yes

yes

Laterality

V.2

yes

yes

Lymph-Vascular Invasion

V.5.14

conditional

conditional

Maiden Name

III.2.1.4

yes*

yes*

Marital Status

III.2.6

yes

yes

Medical Record Number

III.2.2

yes*

yes*

Middle Name

III.2.1.3

yes*

yes*

Mothers First Name

III.2.1.9

yes*

yes*

Multiple Tumors Reported as One Primary

II.1.3.9.3

no

no

Multiplicity Counter

II.1.3.9.1

no

no

Name Suffix

III.2.1.8

yes*

yes*

Number of Regional Lymph Nodes Examined Surgery Summary

VI.2.2

gen

conditional

Number of Regional Lymph Nodes Examined Procedures 1-3

VI.2.3

yes

no

NPI Reporting Facility

III.1.4

yes*

yes*

NPI Hospital Referred From

III.3.10

yes*

yes*

NPI Hospital Referred To

III.3.11

yes*

yes*

NPI Following Registry

Appendix X

yes*

yes*

NPI Physician-Managing

III.3.12

yes*

yes*

NPI Physician-Primary Surgeon

III.3.12

yes*

yes*

NPI Physician-Follow-up

VII.2.10

yes*

yes*

NPI Physician 3

III.3.12

yes*

yes*

NPI Physician 4

III.3.12

yes*

yes*

NPI Physician Other 1

III.3.12

yes*

yes*

NPI Physician Other 2

III.3.12

yes*

yes*

NPI Archive FIN

Appendix X

no

no

Occupation Text

III.2.13.1

yes

yes

Other Therapy at This Hospital

VI.7

yes

yes

Other Therapy Summary

VI.7

yes

yes

Over-ride Flags

See Vendor

yes

yes

Path Date Specimen Collected 1-5

IV.4.3

yes*

yes*

Path Report Numbers 1-5

IV.4.2

yes*

yes*

Path Report Type 1-5

IV.4.4

yes*

yes*

Path Reporting Facility ID 1-5

IV4.1

yes*

yes*

Patient No Research Contact Flag

III.2.14

yes

yes

Payment Source (Primary)

III.3.9

yes

yes

Payment Source (Secondary)

III.3.9

yes*

yes*

Payment Source Text

III.3.9

yes

yes

Pediatric Stage

V.7.8

yes*

yes*

Pediatric Stage Coder

V.7.10

yes*

yes*

Pediatric Stage System

V.7.9

yes*

yes*

Phone Number (Patient)

III.2.4

yes*

yes*

Physician (Managing)

III.3.12

yes

yes

Physician (Following)

VII.2.10

yes*

yes*

Physician (Medical Oncologist)

III.3.12

yes*

yes*

Physician (Other)

III.3.12

yes*

yes*

Physician (Other)

III.3.12

yes*

yes*

Physician (Radiation Oncologist)

III.3.12

yes*

yes*

Physician (Referring)

III.3.12

yes*

yes*

Physician (Surgeon)

III.3.12

yes*

yes*

Place of Death

VII.2.14

no

no

Place of Death - Country

VII.2.13.1

yes

yes

Place of Death - State

VII.2.13.2

yes

yes

Place of Diagnosis

III.3.4

yes*

yes*

Protocol Participation

VI.9

yes*

yes*

Quality of Survival

VII.2.5

no

no

Race 1 - 5

III.2.9

yes

yes

Radiation at This Hospital

VI.3

no

no

Radiation - Boost RX Modality

VI.3.4

yes

yes

Radiation - Location of Treatment

VI.3.8

yes

yes

Radiation - Regional RX Modality

VI.3.3

yes

yes

Radiation Summary

VI.3

yes

yes

Radiation/Surgery Sequence

VI.3.4

yes

yes

Reason for No Radiation

VI.3.3

yes

yes

Reason for No Surgery

VI.2.10

yes

yes

Recurrence Date

VII.2.13.1

no

no

Recurrence Sites

VII.2.13.3

no

no

Recurrence Type

VII.2.12.2

no

no

Regional Data

--

no

yes*

EOD- Regional Nodes Examined

V.4

yes

yes

EOD- Regional Nodes Positive

V.4

yes

yes

Religion

III.2.8

yes

yes

Scope of Regional Lymph Node Surgery 98-02 Summary

VI.2.2

gen

conditional

Scope of Regional Lymph Node Surgery Summary

VI.2.2

gen

yes

Scope of Regional Lymph Node Surgery Procedures 1-3

V.7.12

yes

yes

Secondary Diagnosis 1 - 10

III.3.16

yes*

yes*

Sequence Number

II.2.4

yes

yes

Sex

III.2.7

yes

yes

Site Text

IV.1

yes

yes

Site, Primary

V.1.1

yes

yes

Social Security Number

III.2.3

yes*

yes*

Social Security Number Suffix

III.2.3

yes*

yes*

Source Comorbidity

III.2.18

yes*

yes

Spanish/Hispanic Origin

III.2.9.2

yes

yes

Stage-Alternate

V.5.6

yes*

yes*

Staging Text

IV.3.5

yes

yes

Summary Stage 1977

V.5

conditional

conditional

Summary Stage 2000

V.5

conditional

conditional

Surgery at This Hospital Diagnostic or Staging Procedure

VI.2.11

yes

yes

Surgery at This Hospital Reconstructive

VI.2.8

no

no

Surgery at This Hospital

VI.2.1

gen

no

Surgery of Primary Site 9802 Summary

VI.2.1

gen

conditional

Surgery of Primary Site Summary

VI.2.1

gen

yes

Surgery of Primary Site Procedures 1-3

VI.2.1

yes

yes

Surgery of Other Site Summary 98-02

VI.2.4

gen

conditional

Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s)Summary

VI.2.4

gen

yes

Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s) Procedures  1-3

VI.2.4

yes

yes

Surgery Summary Diagnostic or Staging Procedure

VI.2.11

yes

yes

Surgery Summary Reconstructive

VI.2.8

yes

yes

Surgical Margins Procedures 1-3

VI.2.7

no

no

Surgical Margins Summary

VI.2.7

gen

no

Systemic/Surgery Sequence

VI.2.14

yes

yes

Text RX Chemotherapy

VI.4

yes*

yes*

Text RX Hormone Therapy

VI.5

yes*

yes*

Text RX Immunotherapy

VI.6

yes*

yes*

Text RX Other Therapy

VI.7

yes*

yes*

Text RX Radiation (Beam)

VI.3

yes*

yes*

Text RX Radiation (Other)

VI.3

yes*

yes*

Text RX Radiation Boost RX Modality

VI.3

yes*

yes*

Text RX Radiation Regional RX Modality

VI.3

yes*

yes*

Text RX Surgery

VI.2

yes*

yes*

Text DxProc Lab Tests

IV.1.5

yes*

yes*

Text DxProc Operative

IV.1.6

yes*

yes*

Text DxProc Pathological

IV.1.7

yes*

yes*

Text DxProc PE

IV.1.2

yes*

yes*

Text DxProc Scopes

IV.1.4

yes*

yes*

Text DxProc Xray

IV.1.3

yes*

yes*

Text Remarks

VIII.1

yes*

yes*

TNM Coder (Clinical)

V.7.6

yes*

yes*

TNM Coder (Path)

V.7.6

yes*

yes*

TNM Edition

V.7.7

yes*

yes*

TNM Stage (Clinical)

V.7.5

yes*

yes*

TNM Stage (Path)

V.7.5

yes*

yes*

TNM M Code (Clinical)

V.7.4

yes*

yes*

TNM M Code (Path)

V.7.4

yes*

yes*

TNM N Code (Clinical)

V.7.4

yes*

yes*

TNM N Code (Path)

V.7.4

yes*

yes*

TNM T Code (Clinical)

V.7.4

yes*

yes*

TNM T Code (Path)

V.7.4

yes*

yes*

Tobacco Use Cigarette

III.2.17

yes*

yes*

Tobacco Use Other Smoke

III.2.17

yes*

yes*

Tobacco Use Smokeless

III.2.17

yes*

yes*

Tobacco Use, NOS

III.2.17

yes*

yes*

Transplant/Endocrine Procedures At This Hospital

VI.7.1

yes

yes

Transplant/Endocrine Procedures Summary

VI.7.1

yes

yes

Treatment Hospital Number-Procedure 1-3

VI.2.6

yes

yes

Treatment Status

VI.9

yes

yes

Tumor Markers 1-3

V.6

conditional

conditional

Tumor Marker-CA-1

V.6.4

conditional

conditional

Tumor Size

V.4

yes

yes

Tumor Status

VII.2.4

yes

yes

Type of Admission

III.3.7

yes

yes

Type of Reporting Source

III.3.6

yes

yes

Vendor Version

Vol. 2

yes

gen

Vital Status

VII.2.2

yes

yes

Weight

III.2.16

yes*

yes*

Year First Seen

II.2.1

no

yes