California Cancer Reporting System Standards, Volume III

 

Eureka Edits

IF516:  CS SSF 17, MerkelCell Schemas (CS)

Edit Sets:

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

Fields:

Primary Site  [NAACCR #400]

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

Behavior Code ICD-O-3  [NAACCR #523]

CS Site-Specific Factor 17  [NAACCR #2871]

CS Lymph Nodes [NAACCR# 2830]

RX Summ--Scope Reg LN Sur [NAACCR# 1292]

CS Site-Specific Factor25  [NAACCR #2879]

Message:

IF 516: Conflict among schema, CS Site-Specific Factor 17 (value) and CS Lymph Nodes (value)

IF 516: Conflict among schema, CS Site-Specific Factor 17 (value) and RX Summ--Scope Reg LN Sur (value)

Specification:

This edit verifies that for cases coded using the MerkelCellPenis, MerkelCellScrotum, MerkelCellSkin, and MerkelCellVulva schemas, CS Site-Specific Factor 17 [Isolated Tumor Cells (ITCs) in Regional Lymph Node(s)], RX Summ--Scope Reg LN Sur, and CS Lymph Nodes are coded consistently.

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

  1. CS Site-Specific Factor 17 is blank or 988

  2. CS Lymph Nodes is blank

  3. RX Summ--Scope Reg LN Sur is blank

  4. Regional Nodes Positive is blank

  5. Behavior Code ICD-O-3 = 0 (benign) or 1 (borderline)

  6. CS schema is invalid

This edit first determines the CS schema by doing a function call to the CS Dynamic Link Library (dll). The function call passes Primary Site, Histologic Type ICD-O-3, and CS Site-Specific Factor25 (schema discriminator) to the dll and the CS schema name is returned.

 

If CS schema is MerkelCellPenis, MerkelCellScrotum, MerkelCellSkin, or MerkelCellVulva:

 

1. If CS Site-Specific Factor17 = 000 (no lymph nodes involved)

then

A. Regional Nodes Positive must = 00 (all nodes examined negative) or 98 (no nodes examined).

 

B. If CS schema is MerkelCellPenis:

CS Lymph Nodes must be one of the following:

000 (no regional lymph node involvement)

420 (in-transit metastasis WITHOUT regional lymph node involvement)

999 (unknown)

 

If CS schema is MerkelCellScrotum:

CS Lymph Nodes must be one of the following:

000 (no regional lymph node involvement)

400 (in-transit metastasis WITHOUT regional lymph node involvement)

999 (unknown)

 

If CS schema is MerkelCellVulva:

CS Lymph Nodes must be one of the following:

000 (no regional lymph node involvement)

520 (in-transit metastasis WITHOUT regional lymph node involvement)

999 (unknown)

 

If CS schema is MerkelCellSkin:

CS Lymph Nodes must be one of the following:

000 (no regional lymph node involvement)

400 (in-transit metastasis WITHOUT regional lymph node involvement)

480 (stated as N2 [NOS] with no other information on regional lymphnodes

999 (unknown)

 

2. If CS Site-Specific Factor17 = 010, 040, or 070, indicating nodes assessedpathologically, then

RX Summ--Scope Reg LN Sur must not = 0 (none) or 9 (unknown or not applicable).

 

3. If CS Site-Specific Factor17 = 030, 060, or 090, indicating nodes not assessed pathologically, then RX Summ--Scope Reg LN Sur must = 0 (none).

3. If CS Tumor Size/Ext Eval not = 2 or 8 then:

If RX Summ--Scope Reg LN Sur = 0, then CS Site-Specific Factor17 must = 000, 020, 030, 050, 060, 080, 090, 999, indicating nodes may not have been assessed pathologically.

Historical Changes:

In the SEER*Edits software, the title of this edit is: IF322.

2011

 Data Item Changes: New Edit added per NAACCR v12.1.
10/20/11

Per NAACCR v12.1B.

  1. Updated to skip if CS SSF 17 is 988.

  2. Updated to also allow codes indicating "in-transit metastasis without regional lymph node involvement", "stated as N2 [NOS] with no other information on regional lymph nodes", and "unknown", when checking CS Lymph Nodes for "no lymph nodes involved".

That is, for CS SSF 17 of 000:

If schema is MerkelCellPenis, CS Lymph Nodes must = 000, 420, or 999.

If schema is MerkelCellScrotum, CS Lymph Nodes must = 000, 400, or 999.

If schema is MerkelCellVulva, CS Lymph Nodes must = 000, 520, or 999.

If schema is MerkelCellSkin, CS Lymph Nodes must = 000, 400, 480, or 999.

  1. Deleted logic that requires CS SSF 17 to be 988 or 999 if CS lymph Nodes is 999.
01/2013

NAACCR v12.2C - Sequence of edit logic changed in condition #3 and additional codes added when checking CS SSF 17 for codes indicating nodes not assessed pathologically: instead of checking if CS SSF 17 = 030, 060, 090, then Scope of Reg LN Surg must = 0, the edit now checks if Scope of Regional LN Surg = 0, then CS SSF 17 must = 000, 020, 030, 050, 060, 080, 090, 999.
2013 Data Item Changes

If CS Tumor Size/Ext Eval = 2 or 8 (codes indicating autopsy), the following logic is skipped:  If RX Summ--Scope Reg LN Sur = 0, then CS Site-Specific Factor17 must = 000, 020, 030, 050, 060, 080, 090, or 999.
04/2014

Function call to the CS Dynamic Link Library updated to call "CStage0205.dll" instead of "CStage.dll."