California Cancer Reporting System Standards, Volume III

IF993: CS Schema, Grade Path System, Grade

OWNER

CS

Edit Sets

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

Fields

Behavior Code ICD-O-3 [NAACCR 423]

CS Extension [NAACCR 2810]

CS Lymph Nodes [NAACCR 2830]

CS Mets at Dx [NAACCR 2850]

CS Site-Specific Factor 25 [NAACCR 2879]

Date of Diagnosis [NAACCR 390]

Histologic Type ICD-O-3 [NAACCR 522]

Primary Site [NAACCR 400]

Grade Path System [NAACCR 449]

Grade [NAACCR 440]

Message

  1. IF 993: A known grade/differentiation [440] is required for CS staging. 

Specification

The purpose of this edit is to verify that Grade/Differentiation [440] is coded for several schemas that use Grade to derive stage.  Beginning with the 2012 FORDS, when special grades are collected as part of the Collaborative Stage Data Collection System, or grade is recorded using Grade Path System [449] and Grade Path Value [441], Grade/Differentiation may be coded to 9.  However, for several schemas, Grade/Differentiation is used to derive one or more CS stage fields. Grade/Differentiation must be coded for these cases, even if a special grade or Grade Path System and Grade Path Value are also coded.

 

This edit applies only to schemas for which Grade/Differentiation [440] is used for calculating derived CS stage items:

    Bone

    Esophagus

    EsophagusGEJunction

    HeartMediastinum

    Penis

    Peritoneum

    Prostate

    Retroperitoneum

    SoftTissue

    Thyroid

 

This edit applies only to the above schemas for cases diagnosed 2012 and later, with Grade Path System [449] coded to 3 (three-grade system) or 4 (four-grade system) and Grade [440] coded to 9 (unknown).

 

An error will be generated if any of the following conditions are true:

 

Schema = Bone

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = Esophagus

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  CS Extension = 000-450

    AND CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = EsophagusGEJunction

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  CS Extension = 000-480

    AND CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = HeartMediastinum, Peritoneum, Retroperitoneum, SoftTissue:

  Grade Path System = 3 or 4

  Grade/Differentiation [440] = 9

  CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = Penis

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  CS Extension = 100-320

    AND CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = Prostate

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  CS Extension = 130

    AND CS Lymph Nodes = 000

    AND CS Mets at DX = 00 or 99

 

Schema = Thyroid

  Grade Path System = 4

  Grade/Differentiation [440] = 9

  All cases

 

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

  1. Year of Date of Diagnosis is blank or less than 2012

  2. Grade Path System [449] is not = 3 or 4

  3. Grade [440] is not = 9 (unknown)

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

  5. Schema is not Bone, Esophagus, EsophagusGEJunction, HeartMediastinum, Penis, Peritoneum, Prostate, Retroperitoneum, SoftTissue, or Thyroid

 

This edit first determines the correct 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.

 

Suggestions for resolving this edit:

  1. If Grade Path System [449] = 4, then copy Grade Path Value [441] into Grade/Differentiation [440].

  2. If Schema is HeartMediastinum, Peritoneum, Retroperitoneum, or SoftTissue and Grade Path System [449] = 3, then convert Grade Path Value [441] into Grade/Differentiation [440] as follows:

    1. If Grade Path Value [441] = 1, Grade/Differentiation [440] = 2

    2. If Grade Path Value [441] = 2, Grade/Differentiation [440] = 3

    3. If Grade Path Value [441] = 3, Grade/Differentiation [440] = 4

Historical Changes

01/2013

NAACCR v12.2C – New edit.

04/2014

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