California Cancer Reporting System Standards, Volume III
California Hospital Transmit
Eureka Admission Level
Eureka Surgery Procedures
Eureka Tumor Level
Date of Diagnosis [NAACCR #390]
RX Date Surgery [NAACCR #1200]
RX Summ—Scope Reg 98-02 [NAACCR #1647]
RX Summ--Scope Reg LN Sur [NAACCR #1292]
RX Summ--Surg Oth Reg-Dis [NAACCR #1294]
RX Summ--Surg Oth 98-02 [NAACCR #1648]
RX Summ--Surg Prim Site [NAACCR #1290]
RX Summ--Surg Site 98-02 [NAACCR #1646]
IF 382: If surg prfmd & RX Date Surgery is blank, if year of Date of Diagnosis < 2012, RX Date Surgery Flag must = 10 or 12.
IF 382: If surg prfmd & RX Date Surgery is blank, if year of Date of Diagnosis > 2011, RX Date Surgery Flag must = 12.
IF 382: If RX Summ—Surg Prim Site = [] and RX Summ—Scope Reg LN Sur = [], & RX Summ—Surg Oth Reg/Dis = [], RX Date Surgery Flag must = 11.
This edit is skipped if any of the following conditions are true:
1. Date of Diagnosis is blank
2. Histologic Type ICD-O-3 is blank
3. Both RX Date--Surgery and RX Date--Surgery Flag are blank, indicating the date was intentionally not collected.
4. RX Summ--Surg Prim Site is blank
5. RX Summ--Scope Reg LN Sur is blank
6. RX Summ--Surg Oth Reg/Dis is blank
This edit compares the three surgery code fields (RX Summ--Surg Prim Site, RX Summ--Scope Reg LN Sur, RX Summ--Surg Oth Reg/Dis) against the date of first surgical procedure (RX Date Surgery) and corresponding date flag (RX Date Surgery Flag). If any of the three surgery code fields indicate that surgery was performed, then the flag may = either 10 (unknown if any surgical procedure was performed) or 12 (surgical procedure performed, but date is unknown) for pre-2012 cases or 12 for 2012+ cases. (Note: Date flag codes 10 and 12 were sometimes used interchangeably for pre-2012 cases due to conversion limitations. For cases diagnosed 2012 and later, the codes must be used correctly.) If all of the three fields show that no surgery was performed, then the flag must = 11 (no surgical procedure performed).
The edit works as follows:
1. If surgery was performed and RX Date Surgery is blank, then RX Date Surgery Flag field must indicate why the date is blank.
If year of Date of Diagnosis is < 2012, then RX DateSurgery Flag may = 10 or 12
If year of Date of Diagnosis is 2012 or later, then RX Date Surgery Flag must = 12.
Surgery is considered "performed" if any of the following three conditions are true:
RX Summ--Surg Prim Site = 10-90
RX Summ--Scope Reg LN Sur = 1-7 for cases diagnosed prior to 2012
o This edit is skipped if any of the following conditions are true:
1. Date of Diagnosis is blank
2. Histologic Type ICD-O-3 is blank
3. Both RX Date Surgery and RX Date Surgery Flag are blank, indicating the date was intentionally not collected.
4. RX Summ--Surg Prim Site is blank
5. RX Summ--Scope Reg LN Sur is blank
6. RX Summ--Surg Oth Reg/Dis is blank
This edit compares the three surgery code fields (RX Summ--Surg Prim Site, RX Summ--Scope Reg LN Sur, RX Summ--Surg Oth Reg/Dis) against the date of first surgical procedure (RX Date Surgery) and corresponding date flag (RX Date Surgery Flag). If any of the three surgery code fields indicate that surgery was performed, then the flag may = either 10 (unknown if any surgical procedure was performed) or 12 (surgical procedure performed, but date is unknown) for pre-2012 cases or 12 for 2012+ cases. (Note: Date flag codes 10 and 12 were sometimes used interchangeably for pre-2012 cases due to conversion limitations. For cases diagnosed 2012 and later, the codes must be used correctly.) If all of the three fields show that no surgery was performed, then the flag must = 11 (no surgical procedure performed).
The edit works as follows:
1. If surgery was performed and RX Date Surgery is blank, then RX Date Surgery Flag field must indicate why the date is blank.
If year of Date of Diagnosis is < 2012, then RX Date Surgery Flag may = 10 or 12
If year of Date of Diagnosis is 2012 or later, then RX Date Surgery Flag must = 12.
Surgery is considered "performed" if any of the following three conditions are true:
1. RX Summ--Surg Prim Site = 10-90
2. RX Summ--Scope Reg LN Sur = 1-7 for cases diagnosed prior to 2012
For cases diagnosed 2012 or later:
RX Summ--Scope Reg LN Sur = 1
2 (only if Regional Nodes Examined = 01-98)
3-7
RX Summ--Surg Oth Reg/Dis = 1-5
2. If surgery was not performed, then RX Date Surgery Flag must = 11. Surgery is considered "not performed" if all of the following three conditions are true:
1. RX Summ--Surg Prim Site = 00 (none) or 98 (not applicable)
2. RX Summ--Scope Reg LN Sur = 9 (not applicable) for the following:
a. Primaries of the meninges, brain, spinal cord, cranial
nerves, and other parts of the central nervous system
(Primary Site = C700-C729)
b. If year of Date of Diagnosis < 2010:
Lymphomas (Histologic Type ICD-O-3 = 9590-9699,
9702-9729) with a lymph node primary site (Primary Site =
C770-C779)
c. If year of Date of Diagnosis is 2010 or later:
Lymphomas (Histologic Type ICD-O-3 = 9590-9726, 9728-9732,
9734-9740, 9750-9762, 9811-9831, 9940, 9948, 9971) with
a lymph node primary site (Primary Site = C770-C779)
d. If year of Date of Diagnosis < 2010:
Hematopoietic, reticuloendothelial, immunoproliferative,
and myeloproliferative neoplasms (Primary Site = C420,
C421, C423, or C424 and/or Histologic Type ICD-O-3 =
9750, 9760-9764, 9800-9820, 9826, 9831-9920, 9931-9964,
9980-9989)
e. If year of Date of Diagnosis is 2010 or later:
Hematopoietic, reticuloendothelial, immunoproliferative,
and myeloproliferative neoplasms (Primary Site = C420,
C421, C423, or C424 and/or Histologic Type ICD-O-3 =
9727, 9733, 9741-9742, 9764-9809, 9832, 9840-9931,
9945-9946,9950-9967, 9975-9992)
f. Unknown or ill-defined primary site (Primary Site codes
C760-C765, C767, C768, C809)
RX Summ--Scope Reg LN Sur = 2 (if diagnosed 2012 or later
and Regional Nodes Examined = 00 or 99)
RX Summ--Scope Reg LN Sur = 0 (none) for all other cases
3. RX Summ--Surg Oth Reg/Dis = 0 (none)
2010 Data Item Changes: CCR names (Date DX; Date Surg; Surg Other Sum; Surg Other Sum 98 02; Surg Prim Sum; Scope Reg LN Sum; Surg Prim Sum 98 02) changed to NAACCR names.
12/5/11 Name changed to match NAACCR v12.1B Edits manual and to make the edit more searchable in the metafile.
2012 Data Changes: NAACCR v12.2
- Edit modified to only allow specific date flag codes for cases diagnosed 2012 and later.
January 2013 NAACCR v12.2C - Modified so that definition of "surgery performed" for RX Summ--Scope Reg LN Sur is 1-7 for cases diagnosed pre-2012, and 1, 2 (only if Regional Nodes Examined = 01-98), 3-7 for cases diagnosed 2012 and later. This is because code 2, as of 2012, can mean that a SLNBx was attempted but the patient failed to map and no nodes were removed.
- When determining whether surgery was "not performed", RX Summ--Scope Reg LN Sur code 2 (for cases diagnosed 2012 and later with Reg Nodes Examined = 01 or 99) added to conditions considered "no regional lymph node surgery".
- Codes indicating surgery of other regional or distant sites corrected: changed from 1-8 to 1-5.
May 2013:
Data item name changed from RX Date--Surgery to RX Date Surgery.
Corrected logic: added C760-C768 to list of primary site codes for which scope of regional lymph node surgery is coded to 9.