California Cancer Reporting System Standards, Volume III

 

Eureka Edits

IF312: Age, Primary Site, Morph ICDO3--Adult

Was previously named: "Age at Diagnosis, Behavior Code ICD-O-3, Histologic Type ICD-O-3, Over-ride Age-Site-Morph, Primary Site,  --Adult"

Edit Sets:

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

Fields:

Age at Diagnosis  [NAACCR #230]

Primary Site  [NAACCR #400]

Behavior Code ICD-O-3  [NAACCR #523]

Histologic Type ICD-O-3  [NAACCR #522]

Over-ride Age-Site-Morph  [NAACCR #1990]

Message:

IF 312:  Conflict among Age at Diagnosis [value], Primary Site [value], Histologic Type ICD-O-3 [value], Behavior Code ICD-O-3 [value], and Over-ride Age Site Morph [value]

Specification:

This edit is skipped if any of the following statements are true:

Age at Diagnosis is less than 15.

Morph--Type&Behav ICD-O-3 is blank

Date of Diagnosis < 2001

Over-ride Age/Site/Morph contains a '1' (review completed and case accepted as coded), no further checking is done.

For each specified age group in the following table, the Primary Site/Morphology combinations require review.

014 < Age < 020
Esophagus C150-C159 Any morphology
Small intestine C170-C179 Any morphology
Colon C180-C189 Any other than carcinoid 8240-8245
Rectosigmoid C199 Any morphology
Rectum C209 Any morphology
Anus, anal canal C210-C218 Any morphology
Gallbladder C239 Any morphology
Other biliary tract C240-C249 Any morphology
Pancreas C250-C259 Any morphology
Trachea C339 Any other than carcinoid 8240-8245
Lung and bronchus C340-C349 Any other than carcinoid 8240-8245
Pleura C384 Any morphology
Breast C500-C509 Any morphology
Uterus, NOS C559 Any morphology
Cervix uteri C530-C539 Any Histologic Type ICD-O-3 with Behavior ICD-O-3 of 3 (malignant)
Corpus uteri C540-C549 Any morphology
014 < Age < 030
Any site Multiple Myeloma 9732
Any site Chronic myeloid leukemia 9863,9875,9876,9945
Any site Chronic lymphocytic leukemia 9823
Penus C619 Any morphology
Age > 14
Eye C690-C699 Retinobastoma 9510-9514
Any site Wilms tumor 8960
Any site Juvenile myelomonocytic leukemia 9946
Age > 45
Placenta C589 Choriocarcinoma 9100

 

Additional Information:

Some cancers occur almost exclusively in certain age groups. For example, retinoblastoma is a tumor of young children, while prostate cancer occurs in older men.  This edit checks that selected cancers are reported only for patients of specific ages at diagnosis. The expected ages are listed for each edited site/morphology combination in the "Description" field of the edit documentation.

First check that the primary site and histologic type are coded correctly and that the age, date of birth, and date of diagnosis are correct. These two dates are not actually used in the edit; however, they may have been used to calculate the age at diagnosis, which is used in this edit. Correction of errors may require inspection of the abstracted text, either online or as recorded on a paper abstract. Review of the original medical record may also be required.

If upon review, all items are correct as coded, an over-ride flag may be set so that the case will not be considered in error when the edit is run again. Enter a 1 in the field Over-ride Age/Site/Morph to indicate that the coding is correct.

Example
Age 35
Site Prostate C61.9
Histology/Behavior 8140/3, ADENOCARCINOMA
Date of Diagnosis 2/13/95
Date of Birth 1/10/60

 

The edit identifies prostate cancers occurring before age 45. On review, the birth date in this case is in error and should be 1/10/06. Enter the correct birth date. The age will recalculate to 89, and the case will no longer be in error.

Historical Changes:

2/20/08 This edit was rewritten to match the edit Age, Primary Site, Morphology ICDO3--Adult (SEER) in NAACCR 11.2.  The CCR edit logic includes all dx year cases.  NAACCR 11.2 notes this difference "This edit and the edit Age, Primary Site, Morphology ICDO3--Pediatric (NPCR) replace the edit Age, Primary Site, Morphology ICDO3 (SEER IF15) for cases diagnosed on or after 01/01/2001.  There is no overlap in the two edits."  The edit Age, Primary Site, Morphology ICDO3--Pediatric (NPCR) is for ages 000 - 014 and this edit (Age, Primary Site, Morphology ICDO3--Adult (SEER)) is for ages 015 and older.  The field Over-ride Age/Site/Morph is shared by both edits and contains a "1" when the case has been reviewed and accepted as is.
2009 Data Changes: NAACCR 11.3A file update: SEER Edit changed to require review if age is less than 040 [instead of less than 045] and site is prostate (C619) and histology is Adenocarcinoma, NOS (8140).
2010 Data Changes: CCR names (Hist Behavior 3; Hist Type 3; OR Age Site) changed to NAACCR names. Edit logic updated from metafile.
12/2/11

Changed name to match NAACCR Edits Manual 12.1B.

Name was: Age at Diagnosis, Behavior Code ICD-O-3, Histologic Type ICD-O-3, Over-ride Age-Site-Morph, Primary Site,  --Adult

Name is: Age, Primary Site, Morph ICDO3--Adult