Idaho - Minimum Dataset and Data Dictionary - 2016 › ContentFiles › IdahoMinimum... · 2017-01-18 · Idaho - Minimum Dataset and Data Dictionary - 2016 Item # Item Name CDRI

Idaho - Minimum Dataset and Data Dictionary - 2016 Item # Item Name CDRI CER NPCR COC Reference

10 Record Type R . NAACCR Record ID

20 Patient ID Number R . NAACCR Record ID

21 Patient System ID-Hosp . . NAACCR Record ID

30 Registry Type . . NAACCR Record ID

35 FIN Coding System . . Retired Version 12.2 Record ID

37 Reserved 00 Record ID

40 Registry ID R . NAACCR Record ID

45 NPI--Registry ID . . NAACCR; CMS; FORDS Record ID

50 NAACCR Record Version R . NAACCR Record ID

60 Tumor Record Number . . NAACCR Record ID

70 Addr at DX--City R R NAACCR; FORDS Demographic

80 Addr at DX--State R R NAACCR; FORDS Demographic

90 County at DX R R NAACCR; FORDS Demographic

94 County Geocode 1990 D . NAACCR Demographic



97 County Geocode 2020 . . NAACCR Demographic

100 Addr at DX--Postal Code R R NAACCR; FORDS Demographic

102 Addr at Dx - Country . R NAACCR Demographic

110 Census Tract 1970/80/90 RH* . NAACCR; U.S. Census Bureau Area Classification Demographic

120 Census Cod Sys 1970/80/90 RH* . NAACCR; Demographic

130 Census Tract 2000 RH . NAACCR; U.S. Census Bureau Area Classification Demographic

Item # Item Name CDRI CER NPCR COC Reference

135 Census Tract 2010 R . NAACCR; U.S. Census Bureau Area Classification Demographic

140 Census Tract Cod Sys--Alt Retired - V10 Demographic

145 Census tr poverty indictr R . NAACCR Demographic

150 Marital Status at DX . . NAACCR Demographic

160 Race 1 R R NAACCR; FORDS Demographic





170 Race Coding Sys--Current . R NAACCR Demographic

180 Race Coding Sys--Original . R NAACCR Demographic

190 Spanish/Hispanic Origin R R NAACCR; FORDS Demographic

191 NHIA Derived Hisp Origin D . NAACCR Demographic

192 IHS Link R* . NAACCR Demographic

193 Race--NAPIIA(derived API) R . NAACCR Demographic

200 Computed Ethnicity R . SEER Demographic

210 Computed Ethnicity Source R . SEER Demographic

220 Sex R R NAACCR; FORDS Demographic

230 Age at Diagnosis R R NAACCR; FORDS Demographic

240 Date of Birth R R NAACCR; FORDS Demographic

241 Date of Birth Flag R R NAACCR; FORDS Demographic

250 Birthplace RH* R NAACCR; FORDS Demographic

252 Birthplace - State R* R NAACCR; FORDS

254 Birthplace - Country R* R NAACCR; FORDS


260 Religion Retired - V12 Jan 2010 Demographic

270 Occupation Code--Census R* . NAACCR Demographic

272 Census Ind Code 2010 R* . NAACCR Demographic

280 Industry Code--Census R* . NAACCR Demographic

282 Census Occ Code 2010 R* . NAACCR Demographic

290 Occupation Source R* . NAACCR Demographic

300 Industry Source R* . NAACCR Demographic

310 Text--Usual Occupation R* . NAACCR Demographic

320 Text--Usual Industry R* . NAACCR Demographic

330 Occup/Ind Coding System R* . NAACCR Demographic

340 Tobacco History Retired - V12 - Jan 2010 CER

350 Alcohol History Retired - V12 - Jan 2010 CER

360 Family History of Cancer Retired - V12 Jan 2010 CER

362 Census Block Group 2000 . . NAACCR Demographic

363 Census Block Group 2010 . . NAACCR Demographic

364 Census Tr Cert 1970/80/90 RH* . NAACCR Demographic

365 Census Tr Certainty 2000 RH . NAACCR Demographic

366 GIS Coordinate Quality R* . NAACCR, Demographic

367 Census Tr Certainty 2010 R . NAACCR Demographic

368 CensusBlockGroup 70/80/90 . . NAACCR; CENSUS Demographic

370 Reserved 01 Record ID

380 Sequence Number--Central R . NAACCR Cancer Identification

390 Date of Diagnosis R R NAACCR; FORDS Cancer Identification

391 Date of Diagnosis Flag R . NAACCR; FORDS Cancer Identification


400 Primary Site R R NAACCR; FORDS; ICD-O-3 Cancer Identification

410 Laterality R R NAACCR; FORDS Cancer Identification

419 Morph--Type&Behav ICD-O-2 . . NAACCR; ICD-O-2 Cancer Identification

420 Histology (92-00) ICD-O-2 RH RH NAACCR; ICD-O-2 Cancer Identification

430 Behavior (92-00) ICD-O-2 RH RH NAACCR; ICD-O-2 Cancer Identification

439 Date of Mult Tumors Flag . RH NAACCR; FORDS Cancer Identification

440 Grade R R NAACCR; FORDS; ICD-0-3 Cancer Identification

441 Grade Path Value RH* RH NAACCR; FORDS Cancer Identification

442 Ambiguous Terminology DX . RH NAACCR; FORDS Cancer Identification

443 Date of Conclusive DX . RH NAACCR; FORDS Cancer Identification

444 Mult Tum Rpt as One Prim . RH NAACCR; FORDS Cancer Identification

445 Date of Multiple Tumors . RH NAACCR; FORDS Cancer Identification

446 Multiplicity Counter . RH NAACCR; FORDS Cancer Identification

447 Number of Tumors/Hist Retired - V11.2

448 Date Conclusive DX Flag . RH NAACCR; FORDS Cancer Identification

449 Grade Path System RH* RH NAACCR Cancer Identification

450 Site Coding Sys--Current R R NAACCR Cancer Identification

460 Site Coding Sys--Original . R NAACCR Cancer Identification

470 Morph Coding Sys--Current R R NAACCR Cancer Identification

480 Morph Coding Sys--Originl . R NAACCR Cancer Identification

490 Diagnostic Confirmation R R NAACCR; FORDS Cancer Identification

500 Type of Reporting Source R . NAACCR Cancer Identification

501 Casefinding Source R* . NAACCR Cancer Identification

510 Screening Date Retired - V12 Jan 2010 Cancer Identification


520 Screening Result Retired - V12 Jan 2010 Cancer Identification

521 Morph--Type&Behav ICD-O-3 . . NAACCR Cancer Identification

522 Histologic Type ICD-O-3 R R NAACCR; FORDS; ICD-0-3 Cancer Identification

523 Behavior Code ICD-O-3 R R NAACCR; FORDS; ICD-0-3 Cancer Identification

530 Reserved 02 Demographic

538 Reporting Hospital FAN Retired - V11 Hospital-Specific

540 Reporting Facility R R NAACCR; FORDS Hospital-Specific

545 NPI--Reporting Facility R* R NAACCR; CMS; FORDS Hospital-Specific

550 Accession Number--Hosp . R NAACCR; FORDS Hospital-Specific

560 Sequence Number--Hospital . R NAACCR; FRDS Hospital-Specific

570 Abstracted By . R NAACCR; FORDS Hospital-Specific

580 Date of 1st Contact R R NAACCR; FORDS Hospital-Specific

581 Date of 1st Contact Flag R R NAACCR Hospital-Specific

590 Date of Inpatient Adm . . NAACCR - No-longer supported by CoC Jan 2003 Hospital-Specific

591 Date of Inpt Adm Flag . . NAACCR Hospital-Specific

600 Date of Inpatient Disch . . NAACCR - No longer supported by CoC Jan 2003 Hospital-Specific

601 Date of Inpt Disch Flag . . NAACCR Hospital-Specific

605 Inpatient Status . . NAACCR Hospital-Specific

610 Class of Case R R NAACCR,; FORDS Hospital-Specific

620 Year First Seen This CA Retired - V11 Jan 2006

630 Primary Payer at DX R* R NAACCR; FORDS Hospital-Specific

640 Inpatient/Outpt Status Retired V11 Jan 2006

650 Presentation at CA Conf Retired - V11 Jan 2006

660 Date of CA Conference Retired - V11 Jan 2006


665 RX Hosp--ASA Class . . CoC requested item to be withdrawn V12

668 RX Hosp--Surg App 2010 . R NAACCR; FORDS Hospital-Specific

670 RX Hosp--Surg Prim Site . R NAACCR; FORDS Hospital-Specific

672 RX Hosp--Scope Reg LN Sur . R NAACCR; FORDS Hospital-Specific

674 RX Hosp--Surg Oth Reg/Dis . R NAACCR; FORDS Hospital-Specific

676 RX Hosp--Reg LN Removed . RH NAACCR; FORDS Hospital-Specific

678 RX Hosp--Surg Timing . . CoC requested item to be withdrawn V12

680 Reserved 03 Cancer Identification

690 RX Hosp--Radiation . . NAACCR Hospital-Specific

700 RX Hosp--Chemo . R NAACCR; FORDS Hospital-Specific

710 RX Hosp--Hormone . R NAACCR; FORDS Hospital-Specific

720 RX Hosp--BRM . R NAACCR; FORDS Hospital-Specific

730 RX Hosp--Other . R NAACCR; FORDS Hospital-Specific

740 RX Hosp--DX/Stg Proc . R NAACCR; FORDS Hospital-Specific

742 RX Hosp--Screen/BX Proc1 Retired - V11 Jan 2006




746 RX Hosp--Surg Site 98-02 . RH NAACCR; ROADS Hospital-Specific

747 RX Hosp--Scope Reg 98-02 . RH NAACCR; ROADS Hospital-Specific

748 RX Hosp--Surg Oth 98-02 . RH NAACCR; ROADS Hospital-Specific

750 Reserved 04 Hospital-Specific

752 Tumor Size Clinical . SEER; NAACCR Stage/Prognostic Factors

754 Tumor Size Path . SEER; NAACCR Stage/Prognostic Factors


756 Tumor Size Summary R R NPCR/CoC; NACCR; FORDS Stage/Prognostic Factors

759 SEER Summary Stage 2000 R R NAACCR; Summary Staging Manual 2000 Stage/Prognostic Factors

760 SEER Summary Stage 1977 RH RH NAACCR; Summary Staging Manual 1977 Stage/Prognostic Factors

762 Derived SS 2017 SEER; Not Available; NAACCR Stage/Prognostic Factors

764 Directly Assigned SS 2017 SEER; Not Available; NAACCR Stage/Prognostic Factors

770 Loc/Reg/Distant Stage Retired - V11 Jan 2006 Stage/Prognostic Factors

772 SEER Primary Tumor . SEER; NAACCR Stage/Prognostic Factors

774 SEER Regional Nodes . SEER; NAACCR Stage/Prognostic Factors

776 SEER Mets . SEER; NAACCR Stage/Prognostic Factors

779 Extent of Disease 10-Dig . . SEER Stage/Prognostic Factors

780 EOD--Tumor Size . RH SEER Stage/Prognostic Factors

790 EOD--Extension . . SEER Stage/Prognostic Factors

800 EOD--Extension Prost Path . . SEER Stage/Prognostic Factors

810 EOD--Lymph Node Involv . . SEER Stage/Prognostic Factors

820 Regional Nodes Positive R R NAACCR; FORDS Stage/Prognostic Factors

830 Regional Nodes Examined R R NAACCR; FORDS Stage/Prognostic Factors

840 EOD--Old 13 Digit . . SEER Stage/Prognostic Factors



870 Coding System for EOD . . SEER Stage/Prognostic Factors

880 TNM Path T R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

890 TNM Path N R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

900 TNM Path M R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

910 TNM Path Stage Group R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors


920 TNM Path Descriptor R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

930 TNM Path Staged By . R NAACCR; FORDS Stage/Prognostic Factors

940 TNM Clin T R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

950 TNM Clin N R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

960 TNM Clin M R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

970 TNM Clin Stage Group R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

980 TNM Clin Descriptor R R NAACCR; FORDS; AJCC Cancer Staging Manual 7th Ed. Stage/Prognostic Factors

990 TNM Clin Staged By . R NAACCR; FORDS Stage/Prognostic Factors

1000 TNM Other T Retired - V11 Jan 2006

1010 TNM Other N Retired - V11 Jan 2006

1020 TNM Other M Retired - V11 Jan 2006

1030 TNM Other Stage Group Retired - V11 Jan 2006

1040 TNM Other Staged By Retired - V11 Jan 2006

1050 TNM Other Descriptor Retired - V11 Jan 2006

1060 TNM Edition Number R R NAACCR; FORDS Stage/Prognostic Factors

1070 Other Staging System Retired - V11

1080 Date of 1st Positive BX Retired - V12

1090 Site of Distant Met 1 Retired - V12 Jan 2010 Stage/Prognostic Factors



1112 Mets at DX-Bone . R SEER; NAACCR; FORDS Stage/Prognostic Factors

1113 Mets at DX-Brain . R SEER; NAACCR; FORDS Stage/Prognostic Factors

1114 Mets at DX-Distant LN . R SEER; NAACCR; FORDS Stage/Prognostic Factors

1115 Mets at DX-Liver . R SEER; NAACCR; FORDS Stage/Prognostic Factors


1116 Mets at Dx-Lung . R SEER; NAACCR; FORDS Stage/Prognostic Factors

1117 Mets at Dx-Other . R SEER; NAACCR; FORDS Stage/Prognostic Factors

1120 Pediatric Stage . . NAACCR - No longer supported by CoC Jan 2003 Stage/Prognostic Factors

1130 Pediatric Staging System . . NAACCR - No longer supported by CoC Jan 2003 Stage/Prognostic Factors

1140 Pediatric Staged By . . NAACCR - No longer supported by CoC Jan 2003 Stage/Prognostic Factors

1150 Tumor Marker 1 . RH NAACCR; SEER - No longer required or recommended by CoC Stage/Prognostic Factors



1180 Reserved 05 Stage/Prognostic Factors

1182 Lymph-vascular Invasion R* R NAACCR; FORDS Stage/Prognostic Factors

1190 Reserved 06 Treatment-1st Course

1200 RX Date--Surgery R R NAACCR; FORDS Treatment-1st Course

1201 RX Date--Surgery Flag R R NAACCR; FORDS Treatment-1st Course

1210 RX Date--Radiation R R NAACCR; FORDS Treatment-1st Course

1211 RX Date--Radiation Flag R R NAACCR; FORDS Treatment-1st Course

1220 RX Date--Chemo R R NAACCR; FORDS Treatment-1st Course

1221 RX Date--Chemo Flag R R NAACCR; FORDS Treatment-1st Course

1230 RX Date--Hormone R R NAACCR; FORDS Treatment-1st Course

1231 RX Date--Hormone Flag R R NAACCR; FORDS Treatment-1st Course

1240 RX Date--BRM R R NAACCR; FORDS Treatment-1st Course

1241 RX Date--BRM Flag R R NAACCR; FORDS Treatment-1st Course

1250 RX Date--Other R R NAACCR; FORDS Treatment-1st Course

1251 RX Date--Other Flag R R NAACCR; FORDS Treatment-1st Course

1260 Date of Initial RX--SEER R# . NAACCR; SEER Treatment-1st Course


1261 Date of Initial RX Flag R# . NAACCR Treatment-1st Course

1270 Date of 1st Crs RX--CoC R# R NAACCR; FORDS Treatment-1st Course

1271 Date of 1st Crs Rx Flag R# R NAACCR Treatment-1st Course

1280 RX Date--DX/Stg Proc . R NAACCR; FORDS Treatment-1st Course

1281 RX Date--Dx/Stg Proc Flag . R NAACCR; FORDS Treatment-1st Course

1285 RX Summ--Treatment Status R# R NAACCR; FORDS Treatment-1st Course

1290 RX Summ--Surg Prim Site R R NAACCR; FORDS - Appendix B Treatment-1st Course

1292 RX Summ--Scope Reg LN Sur R R NAACCR; FORDS Treatment-1st Course

1294 RX Summ--Surg Oth Reg/Dis R R NAACCR; FORDS Treatment-1st Course

1296 RX Summ--Reg LN Examined . RH NAACCR - No longer supported by CoC Jan 2003 Treatment-1st Course

1300 Reserved 07 Treatment-Subsequent & Other

1310 RX Summ--Surgical Approch . RH NAACCR - No longer supported by CoC Jan 2003 Treatment-1st Course

1320 RX Summ--Surgical Margins . R NAACCR; FORDS Treatment-1st Course

1330 RX Summ--Reconstruct 1st . RH NAACCR - No longer supported by CoC Jan 2003 Treatment-1st Course

1340 Reason for No Surgery R R NAACCR; FORDS Treatment-1st Course

1350 RX Summ--DX/Stg Proc . R NAACCR; FORDS Treatment-1st Course

1360 RX Summ--Radiation RH . NAACCR Treatment-1st Course

1370 RX Summ--Rad to CNS . . NAACCR - No longer collected by CoC 1996 cases Treatment-1st Course

1380 RX Summ--Surg/Rad Seq R R NAACCR; FORDS Treatment-1st Course

1390 RX Summ--Chemo R R NAACCR; FORDS Treatment-1st Course

1400 RX Summ--Hormone R R NAACCR; FORDS Treatment-1st Course

1410 RX Summ--BRM R R NAACCR; FORDS Treatment-1st Course

1420 RX Summ--Other R R NAACCR; FORDS Treatment-1st Course

1430 Reason for No Radiation R R NAACCR; FORDS Treatment-1st Course


1440 Reason for No Chemo Retired - V11 Treatment-1st Course

1450 Reason for No Hormone Retired - V11 Treatment-1st Course

1460 RX Coding System--Current R R NAACCR Treatment-1st Course

1470 Protocol Eligibility Stat Retired - V11

1480 Protocol Participation Retired - V11

1490 Referral to Support Serv Retired - V11

1500 First Course Calc Method R . NAACCR Treatment-1st Course

1510 Rad--Regional Dose: CGY . R NAACCR; FORDS Treatment-1st Course

1520 Rad--No of Treatment Vol . R NAACCR; FORDS Treatment-1st Course

1530 Rad--Elapsed RX Days Retired - V11

1540 Rad--Treatment Volume . R NAACCR; FORDS Treatment-1st Course

1550 Rad--Location of RX . R NAACCR; FORDS Treatment-1st Course

1560 Rad--Intent of Treatment Retired - V11

1570 Rad--Regional RX Modality R R NAACCR; FORDS Treatment-1st Course

1580 Rad--RX Completion Status Retired - V11

1590 Rad--Local Control Status Retired - V11

1600 Chemotherapy Field 1 Retired - V10.1




1639 RX Summ--Systemic/Sur Seq R R NAACCR; FORDS Treatment-1st Course

1640 RX Summ--Surgery Type . . NAACCR;SEER Treatment-1st Course

1642 RX Summ--Screen/BX Proc1 Retired - V11





1646 RX Summ--Surg Site 98-02 . RH NAACCR; ROADS Treatment-1st Course

1647 RX Summ--Scope Reg 98-02 . RH NAACCR; ROADS Treatment-1st Course

1648 RX Summ--Surg Oth 98-02 . RH NAACCR; ROADS Treatment-1st Course

1650 Reserved 08 Edit Overrides/Conversion History/System Admin

1660 Subsq RX 2nd Course Date . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1661 Subsq RX 2ndCrs Date Flag . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1670 Subsq RX 2nd Course Codes . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1671 Subsq RX 2nd Course Surg . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1672 Subsq RX 2nd Course Rad . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1673 Subsq RX 2nd Course Chemo . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1674 Subsq RX 2nd Course Horm . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1675 Subsq RX 2nd Course BRM . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1676 Subsq RX 2nd Course Oth . . CER - As available: Breast, Colorectal, CML Treatment-Subsequent & Other

1677 Subsq RX 2nd--Scope LN SU . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1678 Subsq RX 2nd--Surg Oth . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1679 Subsq RX 2nd--Reg LN Rem . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1680 Subsq RX 3rd Course Date . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1681 Subsq RX 3rdCrs Date Flag . . NAACCR Treatment-Subsequent & Other

1690 Subsq RX 3rd Course Codes . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1691 Subsq RX 3rd Course Surg . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1692 Subsq RX 3rd Course Rad . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1693 Subsq RX 3rd Course Chemo . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other


1694 Subsq RX 3rd Course Horm . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1695 Subsq RX 3rd Course BRM . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1696 Subsq RX 3rd Course Oth . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1697 Subsq RX 3rd--Scope LN Su . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1698 Subsq RX 3rd--Surg Oth . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1699 Subsq RX 3rd--Reg LN Rem . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1700 Subsq RX 4th Course Date . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1701 Subsq RX 4thCrs Date Flag . . NAACCR Treatment-Subsequent & Other

1710 Subsq RX 4th Course Codes . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1711 Subsq RX 4th Course Surg . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1712 Subsq RX 4th Course Rad . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1713 Subsq RX 4th Course Chemo . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1714 Subsq RX 4th Course Horm . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1715 Subsq RX 4th Course BRM . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1716 Subsq RX 4th Course Oth . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1717 Subsq RX 4th--Scope LN Su . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1718 Subsq RX 4th--Surg Oth . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1719 Subsq RX 4th--Reg LN Rem . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1720 Subsq RX 5th Course Date Retired - V11

1730 Subsq RX 5th Course Codes Retired - V11

1731 Subsq RX 5th Course Surg Retired - V11

1732 Subsq RX 5th Course Rad Retired - V11

1733 Subsq RX 5th Course Chemo Retired - V11

1734 Subsq RX 5th Course Horm Retired - V11


1735 Subsq RX 5th Course BRM Retired - V11

1736 Subsq RX 5th Course Oth Retired - V11

1737 Subsq RX 5th--Scope LN Su Retired - V11

1738 Subsq RX 5th--Surg Oth Retired - V11

1739 Subsq RX 5th--Reg LN Rem Retired - V11

1740 Reserved 09 Follow-up/Recurrence/Death

1741 Subsq RX--Reconstruct Del . . NAACCR - No longer supported by CoC Jan 2003 Treatment-Subsequent & Other

1750 Date of Last Contact R R NAACCR; FORDS Follow-up/Recurrence/Death

1751 Date of Last Contact Flag R R NAACCR; FORDS Follow-up/Recurrence/Death

1755 Date of Death--Canada . . NAACCR; CCCR Follow-up/Recurrence/Death

1756 Date of Death--CanadaFlag . . NAACCR; CCCR Follow-up/Recurrence/Death

1760 Vital Status R R NAACCR; FORDS Follow-up/Recurrence/Death

1770 Cancer Status . R NAACCR; FORDS Follow-up/Recurrence/Death

1780 Quality of Survival . . NAACCR - No longer supported by CoC Jan 2003 Follow-up/Recurrence/Death

1782 Surv-Date Active Followup . NAACCR Follow-up/Recurrence/Death

1783 Surv-Flag Active Followup . NAACCR Follow-up/Recurrence/Death

1784 Surv-Mos Active Followup . NAACCR Follow-up/Recurrence/Death

1785 Surv-Date Presumed Alive . NAACCR Follow-up/Recurrence/Death

1786 Surv-Flag Presumed Alive . NAACCR Follow-up/Recurrence/Death

1787 Surv-Mos Presumed Alive . NAACCR Follow-up/Recurrence/Death

1788 Surv-Date DX Recode . NAACCR Follow-up/Recurrence/Death

1790 Follow-Up Source R* R NAACCR; FORDS Follow-up/Recurrence/Death

1791 Follow-up Source Central R . NAACCR Follow-up/Recurrence/Death

1800 Next Follow-Up Source . R NAACCR; FORDS Follow-up/Recurrence/Death


1810 Addr Current--City . R NAACCR; FORDS Follow-up/Recurrence/Death

1820 Addr Current--State . R NAACCR; FORDS Follow-up/Recurrence/Death

1830 Addr Current--Postal Code . R NAACCR; FORDS Follow-up/Recurrence/Death

1832 Addr Current -- Country . R NAACCR; FORDS

1835 Reserved 10 Patient-Confidential

1840 County--Current . . NAACCR - No longer supported by CoC Jan 2003 Follow-up/Recurrence/Death

1842 Follow-Up Contact--City . . NAACCR; SEER Follow-up/Recurrence/Death

1844 Follow-Up Contact--State . . NAACCR; SEER Follow-up/Recurrence/Death

1846 Follow-Up Contact--Postal . . NAACCR; SEER Follow-up/Recurrence/Death

1850 Unusual Follow-Up Method . . NAACCR - No longer supported by CoC Jan 2003 Follow-up/Recurrence/Death

1860 Recurrence Date--1st . R NAACCR; FORDS Follow-up/Recurrence/Death

1861 Recurrence Date--1st Flag . R NAACCR; FORDS Follow-up/Recurrence/Death

1870 Recurrence Distant Sites Retired - V9.1

1871 Recurrence Distant Site 1 Retired - V12



1880 Recurrence Type--1st . R NAACCR; FORDS Follow-up/Recurrence/Death

1890 Recurrence Type--1st--Oth Retired - V11

1900 Reserved 11 Hospital-Confidential

1910 Cause of Death R . NAACCR; ROADS - No-longer supported by CoC Jan 2003 Follow-up/Recurrence/Death

1920 ICD Revision Number R . NAACCR; SEER Follow-up/Recurrence/Death

1930 Autopsy . . NAACCR; ROADS - No-longer supported by CoC Jan 2003 Follow-up/Recurrence/Death

1940 Place of Death RH . NAACCR Follow-up/Recurrence/Death

1942 Place of Death - State R . NAACCR Demographic


1944 Place of Death - Country R* . NAACCR Demographic

1960 Site (73-91) ICD-O-1 . . NAACCR; ICD-O-1 Edit Overrides/Conversion History/System Admin

1970 Morph (73-91) ICD-O-1 NAACCR; ICD-O-1 Edit Overrides/Conversion History/System Admin

1971 Histology (73-91) ICD-O-1 . . NAACCR; ICD-O-1 Edit Overrides/Conversion History/System Admin

1972 Behavior (73-91) ICD-O-1 . . NAACCR; ICD-O-1 Edit Overrides/Conversion History/System Admin

1973 Grade (73-91) ICD-O-1 . . NAACCR; ICD-O-1 Edit Overrides/Conversion History/System Admin

1980 ICD-O-2 Conversion Flag . RH NAACCR; SEER; FORDS Edit Overrides/Conversion History/System Admin

1981 Over-ride SS/NodesPos . . NAACCR Edit Overrides/Conversion History/System Admin

1982 Over-ride SS/TNM-N . . NAACCR Edit Overrides/Conversion History/System Admin

1983 Over-ride SS/TNM-M . . NAACCR Edit Overrides/Conversion History/System Admin

1984 Over-ride SS/DisMet1 Retired - V12 Edit Overrides/Conversion History/System Admin

1985 Over-ride Acsn/Class/Seq . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

1986 Over-ride HospSeq/DxConf . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

1987 Over-ride CoC-Site/Type . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

1988 Over-ride HospSeq/Site . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

1989 Over-ride Site/TNM-StgGrp R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

1990 Over-ride Age/Site/Morph R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2000 Over-ride SeqNo/DxConf R . NAACCR Edit Overrides/Conversion History/System Admin

2010 Over-ride Site/Lat/SeqNo R . NAACCR Edit Overrides/Conversion History/System Admin

2020 Over-ride Surg/DxConf R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2030 Over-ride Site/Type R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2040 Over-ride Histology R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2050 Over-ride Report Source R . NAACCR Edit Overrides/Conversion History/System Admin

2060 Over-ride Ill-define Site R . NAACCR Edit Overrides/Conversion History/System Admin


2070 Over-ride Leuk, Lymphoma R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2071 Over-ride Site/Behavior R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2072 Over-ride Site/EOD/DX Dt . . NAACCR Edit Overrides/Conversion History/System Admin

2073 Over-ride Site/Lat/EOD . . NAACCR Edit Overrides/Conversion History/System Admin

2074 Over-ride Site/Lat/Morph R R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2080 Reserved 13 Pathology

2081 CRC CHECKSUM . . NAACCR Edit Overrides/Conversion History/System Admin

2085 Date Case Initiated . . NAACCR Edit Overrides/Conversion History/System Admin

2090 Date Case Completed . . NAACCR Edit Overrides/Conversion History/System Admin

2092 Date Case Completed--CoC . D NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2100 Date Case Last Changed . D NAACCR Edit Overrides/Conversion History/System Admin

2110 Date Case Report Exported R . NAACCR; NPCR Edit Overrides/Conversion History/System Admin

2111 Date Case Report Received R . NAACCR; NPCR Edit Overrides/Conversion History/System Admin

2112 Date Case Report Loaded R . NAACCR; NPCR Edit Overrides/Conversion History/System Admin

2113 Date Tumor Record Availbl R . NAACCR; NPCR Edit Overrides/Conversion History/System Admin

2114 Future Use Timeliness 1 Retired - V10.1

2115 Future Use Timeliness 2 Retired - V10.1

2116 ICD-O-3 Conversion Flag R . NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2120 SEER Coding Sys--Current . . NAACCR Edit Overrides/Conversion History/System Admin

2130 SEER Coding Sys--Original . . NAACCR Edit Overrides/Conversion History/System Admin

2140 CoC Coding Sys--Current . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2150 CoC Coding Sys--Original . R NAACCR; FORDS Edit Overrides/Conversion History/System Admin

2160 Subsq Report for Primary Retired - V6

2170 Vendor Name . R NAACCR Edit Overrides/Conversion History/System Admin


2180 SEER Type of Follow-Up . . NAACCR; SEER Edit Overrides/Conversion History/System Admin

2190 SEER Record Number . . NAACCR; SEER Edit Overrides/Conversion History/System Admin

2200 Diagnostic Proc 73-87 . . NAACCR - No longer collected SEER Edit Overrides/Conversion History/System Admin

2210 Reserved 14 Text-Miscellaneous

2220 State/Requestor Items . . NAACCR (Varies) Special Use

2230 Name--Last R R NAACCR; FORDS Patient-Confidential

2240 Name--First R R NAACCR; FORDS Patient-Confidential

2250 Name--Middle R R NAACCR; FORDS Patient-Confidential

2260 Name--Prefix . . NAACCR - No longer supported by CoC Jan 2003 Patient-Confidential

2270 Name--Suffix . . NAACCR - No longer supported by CoC Jan 2003 Patient-Confidential

2280 Name--Alias R . NAACCR; ROADS - No-longer supported by CoC Jan 2003 Patient-Confidential

2290 Name--Spouse/Parent . . NAACCR Patient-Confidential

2300 Medical Record Number R R NAACCR; FORDS Patient-Confidential

2310 Military Record No Suffix . . NAACCR; FORDS Patient-Confidential

2320 Social Security Number R R NAACCR; FORDS Patient-Confidential

2330 Addr at DX--No & Street R R NAACCR; FORDS Patient-Confidential

2335 Addr at DX--Supplementl R R* NAACCR; FORDS Patient-Confidential

2350 Addr Current--No & Street . R NAACCR; FORDS Patient-Confidential

2352 Latitude R* . NAACCR Patient-Confidential

2354 Longitude R* . NAACCR Patient-Confidential

2355 Addr Current--Supplementl . R* NAACCR; FORDS Patient-Confidential

2360 Telephone . R NAACCR; FORDS Patient-Confidential

2370 DC State Retired - V6

2380 DC State File Number R . NAACCR Patient-Confidential


2390 Name--Maiden R . NAACCR; ROADS - No-longer supported by CoC Jan 2003 Patient-Confidential

2392 Follow-Up Contact--No&St . . NAACCR; SEER Patient-Confidential

2393 Follow-Up Contact--Suppl . . NAACCR; SEER Patient-Confidential

2394 Follow-Up Contact--Name . . NAACCR; SEER Patient-Confidential


2410 Institution Referred From . . NAACCR; FORDS Hospital-Confidential

2415 NPI--Inst Referred From . R NAACCR; CMS; FORDS Hospital-Confidential

2420 Institution Referred To . . NAACCR; FORDS Hospital-Confidential

2425 NPI--Inst Referred To . R NAACCR; CMS; FORDS Hospital-Confidential

2430 Last Follow-Up Hospital Retired - V11

2440 Following Registry . . NAACCR; FORDS Hospital-Confidential

2445 NPI--Following Registry . . NAACCR; CMS; FORDS Hospital-Confidential


2460 Physician--Managing . . NAACCR; FORDS Other-Confidential

2465 NPI--Physician--Managing . R NAACCR; CMS; FORDS Other-Confidential

2470 Physician--Follow-Up . . NAACCR; FORDS Other-Confidential

2475 NPI--Physician--Follow-Up . R NAACCR; CMS; FORDS Other-Confidential

2480 Physician--Primary Surg . . NAACCR; FORDS Other-Confidential

2485 NPI--Physician--Primary Surg . R NAACCR; CMS; FORDS Other-Confidential

2490 Physician 3 . . NAACCR; FORDS Other-Confidential

2495 NPI--Physician 3 . R NAACCR; CMS; FORDS Other-Confidential

2500 Physician 4 . . NAACCR; FORDS Other-Confidential

2505 NPI--Physician 4 . R NAACCR; CMS; FORDS Other-Confidential

2510 Reserved 12 Other-Confidential


2520 Text--DX Proc--PE R^ . NAACCR; NPCR Text-Diagnosis

2530 Text--DX Proc--X-ray/Scan R^ . NAACCR; NPCR Text-Diagnosis

2540 Text--DX Proc--Scopes R^ . NAACCR; NPCR Text-Diagnosis

2550 Text--DX Proc--Lab Tests R^ . NAACCR; NPCR Text-Diagnosis

2560 Text--DX Proc--Op R^ . NAACCR; NPCR Text-Diagnosis

2570 Text--DX Proc--Path R^ . NAACCR; NPCR Text-Diagnosis

2580 Text--Primary Site Title R^ . NAACCR; NPCR Text-Diagnosis

2590 Text--Histology Title R^ . NAACCR; NPCR Text-Diagnosis

2600 Text--Staging R^ . NAACCR; NPCR Text-Diagnosis

2610 RX Text--Surgery R^ . NAACCR; NPCR Text-Treatment

2620 RX Text--Radiation (Beam) R^ . NAACCR; NPCR Text-Treatment

2630 RX Text--Radiation Other R^ . NAACCR; NPCR Text-Treatment

2640 RX Text--Chemo R^ . NAACCR; NPCR Text-Treatment

2650 RX Text--Hormone R^ . NAACCR; NPCR Text-Treatment

2660 RX Text--BRM R^ . NAACCR; NPCR Text-Treatment

2670 RX Text--Other R^ . NAACCR; NPCR Text-Treatment

2680 Text--Remarks . . NAACCR; NPCR Text-Miscellaneous

2690 Text--Place of Diagnosis . . NAACCR; NPCR Text-Miscellaneous

2730 CS PreRx Tumor Size . . NAACCR; AJCC Stage/Prognostic Factors

2735 CS PreRx Extension . . NAACCR; AJCC Stage/Prognostic Factors

2740 CS PreRx Tum Sz/Ext Eval . . NAACCR; AJCC Stage/Prognostic Factors

2750 CS PreRx Lymph Nodes . . NAACCR; AJCC Stage/Prognostic Factors

2755 CS PreRx Reg Nodes Eval . . NAACCR; AJCC Stage/Prognostic Factors

2760 CS PreRx Mets at DX . . NAACCR; AJCC Stage/Prognostic Factors


2765 CS PreRx Mets Eval . . NAACCR; AJCC Stage/Prognostic Factors

2770 CS PostRx Tumor Size . . NAACCR; AJCC Stage/Prognostic Factors

2775 CS PostRx Extension . . NAACCR; AJCC Stage/Prognostic Factors

2780 CS PostRx Lymph Nodes . . NAACCR; AJCC Stage/Prognostic Factors

2785 CS PostRx Mets at DX . . NAACCR; AJCC Stage/Prognostic Factors

2800 CS Tumor Size RH RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2810 CS Extension RH RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2820 CS Tumor Size/Ext Eval RH RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2830 CS Lymph Nodes RH RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2840 CS Lymph Nodes Eval RH* RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2850 CS Mets at DX RH RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2851 CS Mets at Dx-Bone . RH NAACCR; FORDS Stage/Prognostic Factors

2852 CS Mets at Dx-Brain . RH NAACCR; FORDS Stage/Prognostic Factors

2853 CS Mets at Dx-Liver . RH NAACCR; FORDS Stage/Prognostic Factors

2854 CS Mets at Dx-Lung . RH NAACCR; FORDS Stage/Prognostic Factors

2860 CS Mets Eval RH* RH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2861 CS Site-Specific Factor 7 RH RS NAACCR; FORDS Stage/Prognostic Factors

2862 CS Site-Specific Factor 8 RS RS NAACCR; FORDS Stage/Prognostic Factors

2863 CS Site-Specific Factor 9 RS RS NAACCR; FORDS Stage/Prognostic Factors

2864 CS Site-Specific Factor10 RS RS NAACCR; FORDS Stage/Prognostic Factors


2866 CS Site-Specific Factor12 RH RS NAACCR; FORDS Stage/Prognostic Factors






2871 CS Site-Specific Factor17 RH RS NAACCR; FORDS Stage/Prognostic Factors

2872 CS Site-Specific Factor18 . RS NAACCR; FORDS Stage/Prognostic Factors








2880 CS Site-Specific Factor 1 RS RS NAACCR; FORDS; and CS Manual Stage/Prognostic Factors


2900 CS Site-Specific Factor 3 RH RS NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2910 CS Site-Specific Factor 4 RH RS NAACCR; FORDS; and CS Manual Stage/Prognostic Factors



2935 CS Version Input Original R R NAACCR; FORDS Stage/Prognostic Factors

2936 CS Version Derived RH DH NAACCR; FORDS Stage/Prognostic Factors

2937 CS Version Input Current R R NAACCR; AJCC; FORDS Stage/Prognostic Factors

2940 Derived AJCC-6 T . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2950 Derived AJCC-6 T Descript . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2960 Derived AJCC-6 N . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2970 Derived AJCC-6 N Descript . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors


2980 Derived AJCC-6 M . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

2990 Derived AJCC-6 M Descript . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

3000 Derived AJCC-6 Stage Grp . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

3010 Derived SS1977 . DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

3020 Derived SS2000 RH DH NAACCR; FORDS; and CS Manual Stage/Prognostic Factors

3030 Derived AJCC--Flag . DH NAACCR; FORDS Stage/Prognostic Factors

3040 Derived SS1977--Flag . DH NAACCR; FORDS Stage/Prognostic Factors

3050 Derived SS2000--Flag RH DH NAACCR; FORDS Stage/Prognostic Factors

3100 Archive FIN . R NAACCR; FORDS Hospital-Specific

3105 NPI--Archive FIN . R NAACCR; CMS; FORDS Hospital-Specific

3110 Comorbid/Complication 1 . R NAACCR; FORDS - Required for 2011 cases CER Stage/Prognostic Factors










3165 ICD Revision Comorbid . . NAACCR; FORDS Stage/Prognostic Factors

3170 RX Date--Most Defin Surg R R NAACCR; FORDS Treatment-1st Course

3171 RX Date Mst Defn Srg Flag R R NAACCR; FORDS Treatment-1st Course

3180 RX Date--Surgical Disch . R NAACCR; FORDS Treatment-1st Course


3181 RX Date Surg Disch Flag . R NAACCR; FORDS Treatment-1st Course

3190 Readm Same Hosp 30 Days . R NAACCR; FORDS Treatment-1st Course

3200 Rad--Boost RX Modality . R NAACCR; FORDS Treatment-1st Course

3210 Rad--Boost Dose cGy . R NAACCR; FORDS Treatment-1st Course

3220 RX Date--Radiation Ended . R NAACCR; FORDS Treatment-1st Course

3221 RX Date Rad Ended Flag . R NAACCR; FORDS Treatment-1st Course

3230 RX Date--Systemic . R NAACCR; FORDS Treatment-1st Course

3231 RX Date Systemic Flag . R NAACCR; FORDS Treatment-1st Course

3250 RX Summ--Transplnt/Endocr R R NAACCR; FORDS Treatment-1st Course

3260 Pain Assessment Retired - V10.1

3270 RX Summ--Palliative Proc . R NAACCR; FORDS Treatment-1st Course

3280 RX Hosp--Palliative Proc . R NAACCR; FORDS Hospital-Specific

3300 RuralUrban Continuum 1993 D . NAACCR Demographic

3310 RuralUrban Continuum 2003 D . NAACCR Demographic

3312 Rural Urban Continuum 2013, Derived D NAACCR Demographic

3400 Derived AJCC-7 T RH* DH NAACCR; FORDS Stage/Prognostic Factors

3402 Derived AJCC-7 T Descript RH DH NAACCR; FORDS Stage/Prognostic Factors

3410 Derived AJCC-7 N RH* DH NAACCR; FORDS Stage/Prognostic Factors

3412 Derived AJCC-7 N Descript RH* DH NAACCR; FORDS Stage/Prognostic Factors

3420 Derived AJCC-7 M RH* DH NAACCR;FORDS Stage/Prognostic Factors

3422 Derived AJCC-7 M Descript RH* DH NAACCR; FORDS Stage/Prognostic Factors

3430 Derived AJCC-7 Stage Grp RH* DH NAACCR; FORDS Stage/Prognostic Factors

3440 Derived PreRx-7 T . . NAACCR; AJCC Stage/Prognostic Factors

3442 Derived PreRx-7 T Descrip . . NAACCR; AJCC Stage/Prognostic Factors


3450 Derived PreRx-7 N . . NAACCR; AJCC Stage/Prognostic Factors

3452 Derived PreRx-7 N Descrip . . NAACCR; AJCC Stage/Prognostic Factors

3460 Derived PreRx-7 M . . NAACCR; AJCC Stage/Prognostic Factors

3462 Derived PreRx-7 M Descrip . . NAACCR; AJCC Stage/Prognostic Factors

3470 Derived PreRx-7 Stage Grp . . NAACCR; AJCC Stage/Prognostic Factors

3480 Derived PostRx-7 T . . NAACCR; AJCC Stage/Prognostic Factors

3482 Derived PostRx-7 N . . NAACCR; AJCC Stage/Prognostic Factors

3490 Derived PostRx-7 M . . NAACCR; AJCC Stage/Prognostic Factors

3492 Derived PostRx-7 Stge Grp . . NAACCR; AJCC Stage/Prognostic Factors

3600 Derived Neoadjuv Rx Flag . . NAACCR; AJCC Stage/Prognostic Factors

3605 Derived SEER Stg Grp . SEER; NAACCR Stage/Prognostic Factors

3610 Derived SEER Clin Stg Frp . SEER; NAACCR Stage/Prognostic Factors

3614 Derived SEER Cmb Stg Grp . SEER; NAACCR Stage/Prognostic Factors

3616 Derived SEER Combined T . SEER; NAACCR Stage/Prognostic Factors

3618 Derived SEER Combined N . SEER; NAACCR Stage/Prognostic Factors

3620 Derived SEER Combined M . SEER; NAACCR Stage/Prognostic Factors

3622 Derived SEER Cmb T Src . SEER; NAACCR Stage/Prognostic Factors

3624 Derived SEER Cmb N Src . SEER; NAACCR Stage/Prognostic Factors

3626 Derived SEER Cmb M Src . SEER; NAACCR Stage/Prognostic Factors

3650 NPCR Derived Clin Stg Grp R NPCR; NAACCR Stage/Prognostic Factors

3655 NPCR Derived Path Stg Grp R NPCR; NAACCR Stage/Prognostic Factors

3700 SEER Site-Specific Fact 1 . . NAACCR; SEER Stage/Prognostic Factors







3720 NPCR Specific Filed 1 . NPCR; NAACCR Stage/Prognostic Factors

3750 Over-ride CS 1 . RH NAACCR; CoC Edit Overrides/Conversion History/System Admin



















3769 Over-ride CS 20 RH RH NAACCR; CoC Edit Overrides/Conversion History/System Admin


3780 Secondary Daignosis 1 . R NAACCR; FORDS










4000 Clinical Trial Enrollment CDRI - Retired

4001 NPAIHB Link CDRI

4002 Path Lab Number CDRI, RMCDS Retired

4003 Suspense Case CDRI

4004 Other Primary Tumors 3 (txt) CDRI, RMCDS Only Retired



4007 Studies of Involvement CDRI; RETIRED

4009 Letter Frequency CDRI: RETIRED

4011 Health District CDRI; RETIRED

7010 Path Reporting Fac ID 1 . . NAACCR; HL7 Pathology






7090 Path Report Number 1 . . NAACCR; HL7 Pathology





7100 Path Order Phys Lic No 1 . . NAACCR; HL7 Pathology





7190 Path Ordering Fac No 1 . . NAACCR; HL7 Pathology





7320 Path Date Spec Collect 1 . . NAACCR; HL7 Pathology





7480 Path Report Type 1 . . NAACCR; HL7 Pathology






8000 ActiveFUDt R . PCOR

8001 Comp 1st Crs Therapy Status R . PCOR

8002 Comp 1st Crs Therapy Date R . PCOR

8003 Comp 1st Crs StatusData Src Used R . PCOR

8004 Disease Free Status R . PCOR

8005 First Disease Free Date R . PCOR

8006 First Disease Free Data Src Used R . PCOR

8007 Additional Disease Free Status R . PCOR

8008 Last Disease Free Date R . PCOR

8009 Additional Disease Free Data Src Used R . PCOR

8010 Recurrence Status R . PCOR

8011 First Recurrence Date R . PCOR

8012 Type Of Recurrence R . PCOR

8013 Recurrence Status Data Src Used R . PCOR

8014 Progress/Residual Disease Status R . PCOR

8015 Progression Date R . PCOR

8016 Progression/Residual Data Src Used R . PCOR

8017 Subsequent Primary Status R . PCOR

8018 Subsequent Primary Date R . PCOR

8019 Subsequent Primary Data Src Used R . PCOR

8020 Primary Tumor Subsq Rx Start Date R . PCOR

8021 Subsequent Rx Date Flag CER R . PCOR


8022 Subsequent Treatment Surgery R . PCOR

8023 Sibsequent Treatment Radiation R . PCOR

8024 Subsequent Treatment Chemotherapy R . PCOR

8025 Subsequent Treatment BRM R . PCOR

8026 Subsequent Rx Other (excl Hormone) R . PCOR

9751 Chemo Agent 1 NSC Number CER - Breast, Colorectal, CML Treatment-1st Course






9761 Chemo Agent 1 Number Doses Planned CER - Breast, Colorectal, CML Treatment-1st Course






9771 Chemo Agent 1 Planned Dose CER - Breast, Colorectal, CML Treatment-1st Course






9781 Chemo Agent 1 Planned Dose Units CER - Breast, Colorectal, CML Treatment-1st Course







9791 Chemo Agent 1 Number Doses Received CER - Breast, Colorectal, CML Treatment-1st Course






9801 Chemo Agent 1 Received Dose CER - Breast, Colorectal, CML Treatment-1st Course






9811 Chemo Agent 1 Received Dose Units CER - Breast, Colorectal, CML Treatment-1st Course






9821 Chemo Agent 1 Start Date CER - Breast, Colorectal, CML Treatment-1st Course







9831 Chemo Agent 1 Start Date Flag CER - Breast, Colorectal, CML Treatment-1st Course






9841 Chemo Agent 1 End Date CER - Breast, Colorectal, CML Treatment-1st Course






9851 Chemo Agent 1 End Date Flag CER - Breast, Colorectal, CML Treatment-1st Course






9859 Chemo Completion Status CER - Breast, Colorectal, CML Treatment-1st Course


9861 Hormone Agent 1 NSC Number CER - Breast, Colorectal, CML Treatment-1st Course

9862 Hormone Agent 2 NSC Number CER - Breast, Colorectal, CML Treatment-1st Course

9871 BRM Agent 1 NSC Number CER - Breast, Colorectal, CML Treatment-1st Course

9872 BRM Agent 2 NSC Number CER - Breast, Colorectal, CML Treatment-1st Course

9880 Granulocyte-Growth Factors/Cytokines Status CER - Breast, Colorectal, CML Treatment-1st Course

9881 Erythrocyte-Growth Factors/Cytokines Status CER - Breast, Colorectal, CML Treatment-1st Course

9882 Thrombocyte-Growth Factors/Cytokines Status CER - Breast, Colorectal, CML Treatment-1st Course

9900 BCR-ABL: Cytogenetic Analysis at DX CER - CML Treatment-1st Course

9901 BCR-ABL: Date of Cytogenetic Analysis at DX CER - CML Treatment-1st Course

9902 BCR-ABL: Cytogenetic Date Flag CER - CML Treatment-1st Course

9903 BCR-ABL: FISH at DX CER - CML Treatment-1st Course

9904 BCR-ABL: Date of FISH at DX CER - CML Treatment-1st Course

9905 BCR-ABL: FISH Date Flag CER - CML Treatment-1st Course

9906 BCR-ABL: RT-PCR Qualitative at DX CER - CML Treatment-1st Course

9907 BCR-ABL: Date of RT-PCR Qualitative at DX CER - CML Treatment-1st Course

9908 BCR-ABL: RT-PCR Qualitative Date Flag CER - CML Treatment-1st Course

9909 BCR-ABL: RT-PCR Quantitative at DX CER - CML Treatment-1st Course

9910 BCR-ABL: Date of RT-PCR Quantitative at DX CER - CML Treatment-1st Course

9911 BCR-ABL: RT-PCR Quantitative Date Flag CER - CML Treatment-1st Course

9920 Reason for Initiation of Subsequent TX CER - As available: Breast, Colorectal, CML Treatment-1st Course

9921 Subsq RX 2nd Course - Surgery CER - Breast, Colorectal, CML Treatment-1st Course

9922 Subsq RX 2nd Course - Radiation CER - Breast, Colorectal, CML Treatment-1st Course

9923 Subsq RX 2nd Course - Chemotherapy CER - Breast, Colorectal, CML Treatment-1st Course

9924 Subsq RX 2nd Course - Hormone CER - Breast, Colorectal, CML Treatment-1st Course


9925 Subsq RX 2nd Course - BRM CER - Breast, Colorectal, CML Treatment-1st Course

9926 Subsq RX 2nd Course - Other CER - Breast, Colorectal, CML Treatment-1st Course

9927 Subsq RX 2nd Course - Transplant/Endocrine CER - Breast, Colorectal, CML Treatment-1st Course

9931 Subsq RX 2nd Course Chemo Agent 1 NSC Numb CER - As available: Breast, Colorectal, CML Treatment-1st Course






9941 Subsq RX 2nd Course Hormone Agent 1 NSC Nu CER - As available: Breast, Colorectal, CML Treatment-1st Course

9942 Subsq RX 2nd Course Hormone Agent 2 NSC Nu CER - As available: Breast, Colorectal, CML Treatment-1st Course

9951 Subsq RX 2nd Course BRM Agent 1 NSC Number CER - As available: Breast, Colorectal, CML Treatment-1st Course

9952 Subsq RX 2nd Course BRM Agent 2 NSC Number CER - As available: Breast, Colorectal, CML Treatment-1st Course

9955 Subsequent Treatment Second Data FlagCER CER - Breast, Colorectal, CML Treatment-1st Course

9960 Height CER - Required for Breast, Colorectoal, CML and all other sites w Demographic

9961 Weight CER - Required for Breast, Colorectoal, CML and all other sites w Demographic

9965 Tobacco Use: Cigarette CER - All, as available

9966 Tobacco Use: Other Smoke CER - All, as available

9967 Tobacco Use: Smokeless Tobacco CER - All, as available

9968 Tobacco Use: NOS CER - All, as available

9970 Sources Comorbid/Complications CER - All

9980 NBCCEDP MDE Linkage Results Breast, Cervix

9981 NBCCEDP MDE Linkage Date Breast, Cervix

9982 RMCDS Master File Number CDRI


9983 Do Not Contact Patient CDRI

9984 GIS Quality Code (ID) CDRI

9985 Path Lab ID CDRI

9986 NPAIHB Link CDRI

9987 DCO Category CDRI

9999 Area Level Poverty CER - All sites

9999 Area Level Education CER - All sites

9999 Area Level Income CER - All sites

9999 Area Level Urban/Rural CER - All sites

9999 Area Level Health Professional Availability CER - All sites

9999 Area Level Poverty Index CER - All sites

9999 Area Level Health Insurance Est CER - All sites

11001 Date PCOR Completed-CDRI CDRI

11002 PCOR Complete CDRI

11011 Clinical Trial Enrollment CDRI

11013 Clinical Trial Accural Date CDRI

11017 Clinical Trial Text CDRI

Documents

Idaho - Minimum Dataset and Data Dictionary - 2016 › ContentFiles › IdahoMinimum... · 2017-01-18 · Idaho - Minimum Dataset and Data Dictionary - 2016 Item # Item Name CDRI