California Cancer Reporting System Standards, Volume III

RX Summ--Systemic Sur Seq

IDENTIFIERS

OWNER

CoC

DESCRIPTION

Records the sequencing of systemic therapy (RX Summ-Chemo [NAACCR #1390], RX Summ-Hormone [NAACCR #1400], RX Summ-BRM [NAACCR #1410], and RX Summ-Transplnt/Endocr [NAACCR #3250] and surgical procedures given as part of the first course of treatment. For cases with a 2006+ diagnosis date.

LEVELS

Admissions, Tumors

LENGTH

1

ALLOWABLE VALUES

er283 RX Summ-Systemic Sur Seq

SOURCE

Upload with no conversion

UPDATE

Tumor Level

New Case Consolidation

If only one of the admission and tumor RX Summ—Systemic Sur Seq values is blank

Then list for review.

If neither of the admission and tumor RX Summ—Systemic Sur Seq values is blank, then consolidate RX Summ—Systemic Sur Seq according to the following table:

If all of the following conditions are true:

1. • The admission’s RX Summ--Systemic Sur Seq is 0

   • The tumor’s RX Summ--Systemic Sur Seq is 0

   • Either of the following conditions are true showing the patient had both surgery and systemic therapy:

1. • All of the following conditions are true:

1. 1. • 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

      • Any of the following conditions are true:

      • • the tumor’s RX Summ—BRM is 01

        • the tumor’s RX Summ—Chemo is 01-03

        • the tumor’s RX Summ—Hormone is 01

        • the tumor’s RX Summ—Transplnt/Endocr is 10, 11, 12, 20, 30, or 40

1. • 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

     • Any of the following conditions are true:

     • • the admission’s RX Summ—BRM is 01

       • the admission’s RX Summ—Chemo is 01-03

       • the admission’s RX Summ—Hormone is 01

       • the admission’s RX Summ—Transplnt/Endocr is 10, 11, 12, 20, 30, or 40

Then reset  RX Summ—Surg/Rad Seq:

(1) Consolidate RX Date--Surgery and consolidate RX Date—Systemic.

(2) If any of the following conditions are true:

1. • RX Date--Surgery Flag is 12

   • RX Date--Systemic Flag is 12

   • all of the following conditions are true:

   • • RX Date--Surgery year = RX Date--Systemic 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--Systemic 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—Systemic Sur Seq to 9.

(3) If RX Date--Surgery is later* than RX Date--Systemic, then reset the tumor’s RX Summ—Systemic Sur Seq to 2.

(4) If RX Date--Surgery is earlier** than RX Date--Systemic, then reset the tumor’s RX Summ—Systemic Sur Seq to 3.

(5) If RX Date--Surgery is the same as RX Date--Systemic, then reset the tumor’s RX Summ—Systemic Sur 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:

1. • 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

1. • All of the following conditions are true:

   • • the tumor’s RX Summ—BRM is 00 or 82-99

     • the tumor’s RX Summ—Chemo is 00 or 82-99

     • the tumor’s RX Summ—Hormone is 00 or 82-99

     • the tumor’s RX Summ—Transplnt/Endocr is 00 or 82-99

Then change RX Summ—Systemic Sur Seq 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:

• 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

• 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

• 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:

• 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

• 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

• 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

IF735 RX Summ--Systemic Sur Seq, Date Dx

IF419 CS SSF 21, SurgRad Seq, SurSys Seq, Breast (CS) (NAACCR12-1-A)

IF737 DCO, RX Summ--Systemic Surg Seq

IF799 Systemic RX, Surgery, Systemic Sur Seq

HISTORICAL CHANGES