California Cancer Reporting System Standards, Volume III

Rad Boost RX Modality

CCR ID	NAACCR ID
E1357	3200

DESCRIPTION

Identifies the volume or anatomic target of the most clinically significant regional radiation therapy delivered to the patient during the first course of treatment. See also Rad--Regional RX Modality.

LEVELS

Tumors, Admissions

LENGTH

ALLOWABLE VALUES

IF322 Type of Reporting Source 6 & 7, Date of Initial RX, Reason for No Surgery

Codes

00	None, diagnosed at autopsy
20	External Beam NOS
21	Orthovoltage
22	Cobalt-60, Cesium-137
23	Photons (2-5 MV)
24	Photons (6-10 MV)
25	Photons (11-19 MV)
26	Photons (>19 MV)
27	Photons (mixed energies)
28	Electrons
29	Photons and electrons mixed
30	Neutrons with or without photons/electrons
31	IMRT
32	Conformal or 3-D therapy
40	Protons
41	Stereotactic radiosurgery NOS
42	Linac radiosurgery
43	Gamma Knife
50	Brachytherapy NOS
51	Brachytherapy, Intracavitary, LDR
52	Brachytherapy, Intracavitary, HDR
53	Brachytherapy, Interstitial, LDR
54	Brachytherapy, Interstitial, HDR
55	Radium
60	Radioisotopes NOS
61	Strontium-89
62	Strontium-90
98	Other NOS (Radiation therapy administered, but the treatment modality is not specified or is unknown)
99	Unknown, Death certificate only
Blank	Cases diagnosed prior to 1/01/2003

SOURCE

If the new case record version is A or later,

Then load from Rad Boost RX Modality, right-justify, and zero-fill.

UPDATE

Tumor Level

New Case Consolidation

If both of the following conditions are true:

- the admission and tumor’s Rad Boost RX Modality codes are different
- any of the combinations listed in the following table are found:

Admission level value =	Tumor level value =
20- 62	00, 98, 99, blank
21- 40	20
31 or 32	21 - 30
42- 43	41
51- 55	50
61- 62	60
98	00, 99, blank
00	99 or blank
99	blank

Then automatically update the tumor’s Rad Boost RX Modality code with the admission’s corresponding code.

Otherwise, if both of the following conditions are true:

- the admission and tumor’s Rad Boost RX Modality codes are different
- Any combination listed in the following table are found:

Admission level value =	Tumor level value =
20, 41, 50 or 60	20, 41, 50 or 60
21 – 40, 42 – 43, 51 – 55 or 61 – 62	21 – 40, 42 – 43, 51 – 55 or 61 –62
42 – 43, 51 – 55, 61 – 62	20
21 – 40, 51 – 55, 61 – 62	41
21 – 40, 42 – 43, 61 – 62	50
21 – 40, 42 – 43, 51 – 55	60
41	21 - 40, 51 – 55, 61 – 62
50	21 – 40, 42 – 43, 61 – 62
60	21 – 40, 42 – 43, 51 – 55

Then list for review

Manual Change - May require regeneration of RX Summ--Radiation

Admission Level

Manual Change or Correction Applied - May require regeneration of RX Summ--Radiation

CONSOLIDATED DATA EXTRACT

Yes

INTERFIELD EDITS

None

HISTORICAL CHANGES

3/26/03:	New data item requirement for cases diagnosed January 1, 2003 and forward. Fill with 00s for cases diagnosed prior to January 1, 2003.
8/27/03:	Removed codes 80 & 85 from Allowable values.
3/03/04:	Added autopsy cases text to code 00 for clarity. Removed conversion instructions from SOURCE for Version 9 records. See Use Case 22.
11/26/07:	Added blank as an Allowable Value on the data item page and added to Update logic.
2/7/11:	Update logic revised.
8/22/11	Revised SOURCE logic. Eliminated C/N #F03454 from the SOURCE logic and replaced it with the data item name as follows: Then load from Rad Boost RX Modality, right-justify, and zero-fill.