California Cancer Reporting System Standards, Volume III
TNM Clin T [NAACCR #940]
TNM Clin N [NAACCR #950]
TNM Clin M [NAACCR #960]
TNM Clin Stage Group [NAACCR #970]
TNM Clin Descriptor [NAACCR #980]
TNM Clin Staged By [NAACCR #990]
TNM Edition Number [NAACCR #1060]
Tumor Level
Multi-Document Consolidation Process
Relevant Source Documents
All active (not deleted or merged) admissions with a Year of Diagnosis 2015 and later with TNM Edition Number = 07. Admission is linked to the current tumor that also has a Year of Diagnosis 2015 and later.
Definitions
Known TNM Clin fields: does not meet the definitions defined below for unknown TNM Clin Stage Group with criteria met and unknown TNM Clin fields with criteria not met.
Unknown TNM Clin Stage Group with criteria met:
TNM Clin T: cX or c0
TNM Clin N: cX or c0
TNM Clin M: c0
TNM Clin Stage Group: 99
Unknown TNM Clin fields with criteria not met:
Year of Diagnosis 2016-998:
TNM Clin T: Blank
TNM Clin N: Blank
TNM Clin M: Blank
TNM Clin Stage Group: 99 or Blank
Year of Diagnosis 2015
TNM Clin T: Blank
TNM Clin N: Blank
TNM Clin M: c0 or blank
TNM Clin Stage Group: 99 or Blank
Triggers
The set of relevant source documents linked to the tumor changed
Year of Diagnosis, one or more TNM Clin fields, or Class of Case are changed in a relevant source document
Special global re-consolidation processes
Process
The system follows the hierarchies below to determine which single admission should be utilized to consolidate all TNM Clin fields. Prior to each step, the system will also check to see if all TNM Clin fields match in the admissions. If all TNM Clin fields match, stop here.
Year of Diagnosis 2016-9998
Year of Diagnosis 2015
If the system is unable to determine which single admission has the highest hierarchy using the Year of Diagnosis ranges, then attempt to break the tie by using the admissions’ TNM fields known and unknown definitions. Use the hierarchy below:
Known TNM Clin fields
Unknown TNM Clin Stage Group with criteria met
Unknown TNM Clin fields with criteria not met
If the system is unable to determine which single admission has the highest hierarchy using the known and unknown definitions, then attempt to break the tie using the admissions’ Class of Case values. Use the Class of Case hierarchy below:
12
13
11
10
14
22
21
20
00
34
36
42
40
41
30
31
32
43
38
33
99
35
37
49
If the system is unable to determine which single admission has the highest hierarchy using Class of Case, then attempt to break the tie using the admissions’ TNM Clin Staged By. Use the TNM Clin Staged By hierarchy below:
88
13
12
11
10
14
30
20
15
50
40
60
99
00
If the system is unable to determine which single admission has the highest hierarchy using TNM Clin Staged By, then attempt to break the tie using the admissions’ TNM Clin Stage group, giving hierarchy to known values over unknown. Use the hierarchy below:
88
All values excluding 88, 99, blank
99
Blank
If the system is unable to determine which single admission has the highest hierarchy using known over unknown TNM Clin Stage Group values, then attempt to break the tie using TNM Clin Stage Group, giving hierarchy to the highest known values. Use the hierarchy below:
88
4S, 4E
4C
4B
4A2
4A1
4A
4
3S, 3E
3C2
3C1
3C
3B
3A
3
2S, 2E
2C
2B
2A2
2A1
2A
2
1S, 1E
1C
B2
B1
1B2
1B2
1B
A2
A1
1A2
1A1
1A
1
0IS
0S
0A
0
OC
99
Blank
If the system is unable to determine which single admission has the highest hierarchy using TNM Clin Stage Group, then attempt to break the tie using the admissions’ TNM Clin T, giving hierarchy to known values over unknown. Use the hierarchy below:
88
All values excluding 88, cX, blank
cX
Blank
If the system is unable to determine which single admission has the highest hierarchy using known over unknown TNM Clin T values, then attempt to break the tie using TNM Clin T, giving hierarchy to the highest known values. Use the hierarchy below:
88
c4E
c4D
c4C
c4B
c4A
c4
c3D
c3C
c3B
c3A
c3
c2D
c2C
c2B
c2A2
c2A1
c2A
c2
c1D
c1C
c1B2
c1B1
c1B
c1A2
c1A1
c1A
c1
c1MI
pISD
pISU
pIS
pA
c0
cX
Blank
If the system is unable to determine which single admission has the highest hierarchy using TNM Clin T, then attempt to break the tie using the admissions’ TNM Clin N, giving hierarchy to known values over unknown. Use the hierarchy below:
88
All values excluding 88, cX, blank
cX
Blank
If the system is unable to determine which single admission has the highest hierarchy using known over unknown TNM Clin N values, then attempt to break the tie using TNM Clin N, giving hierarchy to the highest known values. Use the hierarchy below:
88
c4
c3C
c3B
c3A
c3
c2C
c2B
c2A
c2
c1C
c1B
c1A
c1
c0B
c0A
c0
cX
Blank
If the system is unable to determine which single admission has the highest hierarchy using TNM Clin N, then attempt to break the tie using the admissions’ TNM Clin M, giving hierarchy to known values over unknown. Use the hierarchy below:
88
All values excluding 88, cX, blank
cX, blank
If the system is unable to determine which single admission has the highest hierarchy using known over unknown TNM Clin M values, then attempt to break the tie using TNM Clin M, giving hierarchy to the highest known values. Use the hierarchy below:
88
p1E
p1D
p1C
p1B
p1A
p1
c1E
c1D
c1C
c1B
c1A
c1
c0I+
c0
cX
If the system is unable to determine which single admission
has the highest hierarchy using TNM Clin M, then break the
final tie using Admission ID (lowest number is highest in
the sub-hierarchy).
Then set:
TNM Clin T, TNM Clin N, TNM Clin M, TNM Clin Stage Group, TNM Clin Descriptor, and TNM Clin Staged By fields with all codes that are different from current consolidated codes from the single admission determined to be highest in the relevant source document hierarchy
TNM Edition Number to 07
And stop here.
Manual Change
Not allowed
08/2016 |
New Multi-Document Update Logic implemented. |