S02 D.10 STANDARDS FOR ONCOLOGY REGISTRY ENTRY.pdf
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STORE 2021
January 1, 2021
Attachment D.10 36C25522Q0114
STORE
STandards for Oncology Registry Entry Released 2021
(Incorporates all updates to Commission on Cancer, National Cancer Database
Data standards since FORDS was revised in 2016, STORE 2018)
Effective for cases diagnosed January 1, 2021
© 2018 AMERICAN COLLEGE OF SURGEONS
All Rights Reserved
STORE 2021 Table of Contents
Table of Contents
Table of Contents
Foreword
FROM “FORDS” TO “STORE”
Summary of Changes 2021
2021 Source References
Section One: Case Eligibility and Overview of Coding Principles
Case Eligibility
Tumors Required by the CoC to be Accessioned, Abstracted, Followed and Submitted to the National Cancer Database (NCDB)
Reportable-by-Agreement Cases
Ambiguous Terms at Diagnosis
Ambiguous Terminology Lists: References of Last Resort
Class of Case
Analytic Cases
Nonanalytic Cases
Modifications to Class of Case in 2010
Date of First Contact
Overview of Coding Principles
Unique Patient Identifier Codes
National Provider Identifier
Coding Dates
Cancer Identification
Primary Site
Occult Cervical Lymph Node
Cutaneous Carcinoma of the Head and Neck
Hematopoietic and Lymphoid Cancers
Kaposi Sarcoma
Melanoma
Specific Tissues with Ill-Defined Sites
Laterality
Revising the Original Diagnosis
Patient Address and Residency Rules
Rules for Persons with Ambiguous Residences
Coding Country and State
In Utero Diagnosis and Treatment
Comorbidities and Complications/Secondary Diagnoses
Stage of Disease at Initial Diagnosis
AJCC Prognostic Staging
Ambiguous Terminology
Ambiguous Terms Describing Tumor Spread
First Course of Treatment
Treatment Plan
Time Periods for First Course of Treatment
Surgery
Relationships among Surgical Items
Radiation Therapy
Radiation Data Items Update
Radiation Treatment Phase-specific Data Items
Relationships among Radiation Items
Systemic Therapy
Relationships among Systemic Therapy Items
Other Treatment
Palliative Care
Treatment, Palliative, and Prophylactic Care
Embolization
Outcomes
Case Administration
Section Two: Instructions for Coding
Patient Identification
Accession Number
Description
Rationale
Coding Instructions
Examples
Sequence Number
Description
Rationale
Coding Instructions
Malignant or In Situ Primaries
Non-Malignant Primaries
Examples
City/Town at Diagnosis (City or Town)
Description
Rationale
Coding Instructions
Examples
State at Diagnosis (State)
Description
Rationale
Coding Instructions
Postal Code at Diagnosis (Zip Code)
Description
Rationale
Coding Instructions
Address at Dx--Country
Description
Rationale
Coding Instructions
Examples
County at Diagnosis
Description
Rationale
Coding Instructions
Birthplace—State
Description
Rationale
Coding Instructions
Examples
Birthplace—Country
Description
Rationale
Coding Instructions
Examples
Date of Birth
Description
Rationale
Coding Instructions
Date of Birth Flag
Description
Rationale
Coding Instructions
Age at Diagnosis
Description
Rationale
Coding Instructions
Race 1
Description
Rationale
Coding Instructions
Examples
Spanish Origin–All Sources (Spanish/Hispanic Origin)
Description
Rationale
Coding Instructions
Sex
Description
Rationale
Coding Instructions
Primary Payer at Diagnosis
Description
Rationale
Coding Instructions
Examples
Comorbidities and Complications #1 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Comorbidities and Complications #2 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #3 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #4 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #5 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #6 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #7 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #8 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #9 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Comorbidities and Complications #10 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Secondary Diagnosis #1 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #2 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #3 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #4 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #5 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #6 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #7 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #8 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #9 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
Secondary Diagnosis #10 (Secondary Diagnoses)
Description
Rationale
Coding Instructions
Examples
NCDB_SARSCoV2_Test
Description
Coding Instructions
NCDB_SARSCoV2_Pos
Description
Rationale
Coding Instructions
NCDB_SARSCoV2_Pos_Date
Description
Rationale
Coding Instructions
NCDB_COVID19_Tx_Impact
Description
Rationale
Coding Instructions
NPI–Primary Surgeon
Description
Rationale
Coding Instructions
NPI–Physician #3 (Radiation Oncologist–CoC Preferred)
Description
Rationale
Coding Instructions
NPI–Physician #4 (Medical Oncologist–CoC Preferred)
Description
Rationale
Coding Instructions
Cancer Identification
Class of Case
Description
Rationale
Coding Instructions
Examples
NPI–Institution Referred From
Description
Rationale
Coding Instructions
NPI–Institution Referred To
Description
Rationale
Coding Instructions
Date of First Contact
Description
Rationale
Coding Instructions
Examples
Date of First Contact Flag
Description
Rationale
Coding Instructions
Date of Initial Diagnosis
Description
Rationale
Coding Instructions
Examples
Primary Site
Description
Rationale
Coding Instructions
Examples
Laterality
Description
Rationale
Coding Instructions
Histology
Description
Rationale
Coding Instructions
Examples
Behavior Code
Description
Rationale
Coding Instructions
Examples
Grade Clinical
Description
Rationale
Coding Instructions
Grade Pathological
Description
Rationale
Coding Instructions
Grade Post Therapy Path (yp)
Description
Rationale
Coding Instructions
Diagnostic Confirmation
Description
Rationale
Coding Instructions – Solid Tumors (all tumors except M9590-9992)
Coding Instructions – Hematopoietic or Lymphoid Tumors (M9590-9992)
Stage of Disease at Diagnosis
Date of Surgical Diagnostic and Staging Procedure
Description
Rationale
Coding Instructions
Rx Date–Dx/Stg Proc Flag
Description
Rationale
Coding Instructions
Surgical Diagnostic and Staging Procedure
Description
Rationale
Coding Instructions
Examples
Surgical Diagnostic and Staging Procedure at This Facility
Description
Rationale
Coding Instructions
Lymphovascular Invasion
Description
Rationale
Coding Instructions
Sentinel and Regional Lymph Nodes
Date of Sentinel Lymph Node Biopsy
Description
Rationale
Coding Instructions
Sentinel Lymph Nodes Examined
Description
Rationale
Coding Instructions
Sentinel Lymph Nodes Positive
Description
Rationale
Coding Instructions
Date Regional Lymph Node Dissection
Description
Rationale
Coding Instructions
Regional Lymph Nodes Examined
Description
Rationale
Coding Instructions
Regional Lymph Nodes Positive
Description
Rationale
Coding Instructions
Tumor Size and Mets
Tumor Size Summary
Description
Rationale
Coding Instructions
Coding Rules
Mets at Diagnosis – Bone
Description
Rationale
Coding Instructions
Mets at Diagnosis – Brain
Description
Rationale
Coding Instructions
Mets at Diagnosis – Distant Lymph Nodes
Description
Rationale
Coding Instructions
Mets at Diagnosis – Liver
Description
Rationale
Coding Instructions
Mets at Diagnosis – Lung
Description
Rationale
Coding Instructions
Mets at Diagnosis – Other
Description
Rationale
Coding Instructions
AJCC TNM Clin T
Description
Rationale
Coding Instructions
AJCC TNM Clin T Suffix
Description
Rationale
Coding Instructions
AJCC TNM Clin N
Description
Rationale
Coding Instructions
AJCC TNM Clin N Suffix
Description
Rationale
Coding Instructions
AJCC TNM Clin M
Description
Rationale
Coding Instructions
AJCC TNM Clin Stage Group
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Clin T
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Clin T Suffix
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Clin N
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Clin N Suffix
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Clin M
Description
Rationale
Coding Instructions
Grade Post Therapy Clin
Description
Rationale
Coding Instructions
AJCC TNM Path T
Description
Rationale
Coding Instructions
AJCC TNM Path T Suffix
Description
Rationale
Coding Instructions
AJCC TNM Path N
Description
Rationale
Coding Instructions
AJCC TNM Path N Suffix
Description
Rationale
Coding Instructions
AJCC TNM Path M
Description
Rationale
Coding Instructions
AJCC TNM Path Stage Group
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) T
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) T Suffix
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) N
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) N Suffix
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) M
Description
Rationale
Coding Instructions
AJCC TNM Post Therapy Path (yp) Stage Group
Description
Rationale
Coding Instructions
Site-Specific Data Items
First Course of Treatment
Date of First Course of Treatment
Description
Rationale
Coding Instructions
Examples
Rx Summ – Treatment Status
Description
Rationale
Coding Instructions
Examples
Surgery Data Items
Date of First Surgical Procedure
Description
Rationale
Coding Instructions
Examples
Rx Date–Surgery Flag
Description
Rationale
Coding Instructions
Date of Most Definitive Surgical Resection of the Primary Site
Description
Rationale
Coding Instructions
Surgical Procedure of Primary Site
Description
Rationale
Coding Instructions
Surgical Procedure of Primary Site at this Facility
Description
Rationale
Coding Instructions
Approach - Surgery of the Primary Site at this Facility (RxHospSurgApp 2010)
Description
Rationale
Coding Instructions
Examples
Surgical Margins of the Primary Site
Description
Rationale
Coding Instructions
Example
Scope of Regional Lymph Node Surgery
Description
Rationale
Coding Instructions
Codes and Labels
Examples
Scope of Regional Lymph Node Surgery at this Facility
Description
Rationale
Coding Instructions
Codes and Labels
Surgical Procedure/Other Site
Description
Rationale
Coding Instructions
Examples
Surgical Procedure/Other Site at this Facility
Description
Rationale
Coding Instructions
Date of Surgical Discharge
Description
Rationale
Coding Instructions
Readmission to the Same Hospital within 30 Days of Surgical Discharge
Description
Rationale
Coding Instructions
Examples
Reason for No Surgery of Primary Site
Description
Rationale
Coding Instructions
Examples
Radiation Data Items
Date Radiation Started
Description
Rationale
Coding Instructions
Examples
Location of Radiation Treatment
Description
Rationale
Coding Instructions
Examples
Phase I-II-III Radiation Primary Treatment Volume
Description
Rationale
Coding Instructions
Examples
Phase I-II-III Radiation to Draining Lymph Nodes
Description
Rationale
Coding Instructions
Examples
Phase I-II-III Radiation Treatment Modality
Description
Rationale
Coding Instructions
Examples
Phase I-II-III External Beam Radiation Planning Technique
Description
Rationale
Coding Instructions
Examples
Phase I-II-III Dose per Fraction
Description
Rationale
Coding Instructions
Examples
Phase I-II-III Number of Fractions
Description
Rationale
Coding instructions
Examples
Phase I-II-III Total Dose
Description
Rationale
Coding instructions
Examples
Number of Phases of Radiation Treatment
Description
Rationale
Coding Instructions
Examples
Radiation Treatment Discontinued Early
Description
Rationale
Coding Instructions
Examples
Radiation Course Total Dose
Description
Rationale
Coding Instructions
Examples
Radiation/Surgery Sequence
Description
Rationale
Coding Instructions
Examples
Date Radiation Ended
Description
Rationale
Coding Instructions
Examples
Reason for No Radiation
Description
Rationale
Coding Instructions
Examples
Systemic Therapy Data Items
Date Systemic Therapy Started
Description
Rationale
Coding Instructions
Examples
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