California Cancer Reporting System Standards, Volume III

 

RX Summ--Surg/Rad Seq

IDENTIFIERS

CCR ID

NAACCR ID

E1343

1380

DESCRIPTION

A code indicating the sequence of radiation therapy given with surgery (pre-op, post-op, etc.) during first course of treatment.

LEVELS

Tumor

Admission

LENGTH

1

ALLOWABLE VALUES

er106 RX Summ--Surg-Rad Seq

Codes
0 Not applicable
2 Radiation before surgery
3 Radiation after surgery
4 Radiation before and after surgery
5 Intraoperative
6 Intraoperative radiation with other radiation given before and/or after surgery
7 Surgery both before and after radiation.
9 Both given but sequence unknown

SOURCE

If transmitted value is numeric, load transmitted value. Otherwise, convert to 0.

UPDATE

Tumor Level

New Case Consolidation

1. Consolidate RX Summ--Surg/Rad Seq using the following table:

If the admissions's RX Summ-Surg/Rad Seq is And the tumor's RX Summ-Surg/Rad Seq is Then the tumor's RX Summ-=Surg/Rad Seq becomes

0

0-9

4

2-6

0,9

6

2

3,4

4

2

5,6

6

4

2,3

4

4

5,6

6

5

2,3,4,6

6

6

0-9

6

9

0

9

9

2-6

Unchanged

 

2.If all of the following conditions are true:

the admission’s RX Summ—Surg/Rad Seq is 0

the tumor’s RX Summ—Surg/Rad Seq is 0

Either of the following conditions are true showing the patient had both surgery and radiation

All of the following conditions are true:

Any of the following conditions are true:

the admission’s RX Summ—Surg Prim Site is 10-90

the admission’s RX Summ—Scope Reg LN Sur is 1-7

the admission’s RX Summ—Surg Oth Reg-Dis is 1-5

the tumor’s RX Summ-Radiation is 1-6

All of the following conditions are true:

Any of the following conditions are true:

the tumor’s RX Summ—Surg Prim Site is 10-90

the tumor’s RX Summ—Scope Reg LN Sur is 1-7

the tumor’s RX Summ—Surg Oth Reg-Dis is 1-5

the admission’s RX Summ-Radiation is 1-6

   Then reset RX Summ—Surg/Rad Seq:

A. Consolidate RX Date--Surgery and consolidate RX Date—Radiation.

B. If any of the following conditions are true:

RX Date--Surgery Flag is 12

RX Date--Radiation Flag is 12

all of the following conditions are true:

RX Date--Surgery year = RX Date--Radiation year

RX Date—Surgery year is a known year (1800-9998)

Either month is blank

all of the following conditions are true:

RX Date--Surgery year/month = RX Date--Radiation year/month

RX Date—Surgery year is a known year (1800-9998)

RX Date—Surgery month is a known month (01-12)

Either day is blank

Then reset the tumor’s RX Summ—Surg/Rad Seq to 9.

C. If RX Date--Surgery is later* than RX Date--Radiation

Then reset the tumor’s RX Summ—Surg/Rad Seq to 2.

D. If RX Date--Surgery is earlier** than RX Date--Radiation

Then reset the tumor’s RX Summ—Surg/Rad Seq to 3.

E. Then reset the tumor’s RX Summ—Surg/Rad Seq to 5

 

Manual changes to related fields

If one or more manual changes are made to the following related fields, and any of these conditions are now true:

All of the following conditions are true:

the tumor’s RX Summ—Surg Prim Site is 00, 98, or 99

the tumor’s RX Summ—Scope Reg LN Sur is 0 or 9

the tumor’s RX Summ—Surg Oth Reg-Dis is 0 or 9

RX Summ—Radiation is 0 or 9

Then change RX Summ—Surg/Rad to 0

Manual Change

Admission Level

Manual Change(s) or Correction(s) Applied to related fields

Same requirement as tumor level for manual changes to related fields

Manual Change or Correction Applied

 

* With year, month, and/or day potentially blank, a completely known date could appear to be later because it is a larger number than a partial later date. Thus, to test for the latest date among known full or partial dates, use these tests in this order:

  1. If one of the known dates’ years is later than (greater than) the other date’s year being compared or if it is the only known year/date, then that date is the latest known date

  2. If multiple known dates have the same latest year, but only one of them has a latest known month, then that is the latest known date

  3. If multiple known dates have the same latest year & month, but only one of them has a latest known day, then that is the latest known date

 

**

With year, month and/or day potentially blank, a date with a partial but later date could appear to be earlier because it is a smaller number than a full earlier date.  Thus, to test for the earliest among known dates, use these tests in this order:

  1. If one of the known dates’ years is earlier than (less than) the other date’s  year or if it is the only known year/date,  then that date is the earliest known date

  2. If multiple known dates have the same earliest year, but only one of them has an earliest known month, then that is the earliest known date

  3. If multiple known dates have the same earliest year & month, but only one of them has an earliest known day, then that is the earliest known date

 

CONSOLIDATED DATA EXTRACT

Yes

INTERFIELD EDITS

IF356 Rad/Surg Seq, Date Surg, Date Rad

IF366 Death Certificate, RX Summ--Surg-Rad Seq

IF899 Date of Initial RX, Ca Dir RX 2003

IF900 Date of Initial RX, Ca Dir RX 98-02

HISTORICAL CHANGES

3/16/98 Generate new RAD-SEQ if RAD-SUM was changed by RAD-CNS-SUM conversion
3/3/04 Changed Interfield edit 1) and 2) to edit RX Summ—Surg/Rad Seq against the Surgery summary fields instead of Reason_No_Surg.
1/19/05 Rewrote IF #356 to edit RX Summ—Surg/Rad Seq based on diagnosis year and edit against 98-02 surgery fields because of conversion issues.
2/20/08 Added update logic so Rad Seq will automatically update to 0 (no rad given) when surgery codes are coded to no surgery given.
2010 Date Changes: CCR name (Rad-Seq) changed to NAACCR name. Rewrote Update logic.
2012 Date Changes: Added Code 7, Intraoperative radiation with other radiation given before and/or after surgery