2018 Implementation

2018 Implementation

Last Update:
10:30AM CT on 8/13/18

Recent Changes:

  • NCI SEER V.18 Implementation 2018-08-10
  • Registration for Solid Tumor rules added to Education Section.
  • Radiation Conversion Specs posted.

2018 Implementation Information

This page is intended to be a source of information for central registries, hospital registries, and software vendors. On this site you will find information concerning new data items, edits, rules for determining multiple primaries and histologies, updates to histology codes, and educational activities. You can expand and close sections below by clicking on the section titles.

Recent release of NCI SEER V.18 Implementation as of 2018-08-10

NCI SEER V.18 Implementation as of 2018-08-10

This year has been an ongoing, all-consuming race to develop the software and references needed to implement 2018 NPCR staging requirements.  We understand not having the tools and training to abstract cases is a cause of major frustration and anxiety for the NPCR surveillance community.  In May, when I spoke at NCRA, we were confident to have all of the outstanding pieces in place by June.  In June, at NAACCR when we met with the standard setters to assess readiness, the timeline moved to July.  Unfortunately, we are now in August.  Given the current situation and the major disruptions that  delays  in developing  certain v18 data items imposed on cancer registry operations both at the hospital and central registry level, we have been exploring options to decrease the workload required for this year’s Call for Data  and requirements for 2018 cases.

To that end, we will once again be modifying the specifications for this year’s Call for Data, and the requirements for cases diagnosed in 2018 as follows:

 REQUIREMENTS FOR NPCR

 NPCR 2018 Call For Data

-Submit in v16 only (v18 not required or accepted)

 CHANGES in Requirements for cases diagnosed in 2018

Required:

-Collect 2018 cases in Summary Stage 2018, directly coded only

-Include a subset of SSDIs (see revised data table)

Not Required:

-EOD and derived SS18 not required by NPCR from dually funded states

-TNM staging will not be required by NPCR (We will continue developing the API for our stakeholders)

TIMELINE for release of various products:

-TNM 8 API will be released mid-August to the following stakeholders by CDC/NPCR:

-CDC/NPCR Grantees that plan on receiving TNM 8 data through Registry Plus or other registry developed software – voluntary only. TNM is NO LONGER required in any form for 2018 cases

-Vendors that support CoC / Non-CoC facilities and that have a license from AJCC

-Several Canadian Providences that have a license from AJCC

-The team working on a prototype for a TNM stage calculator

-CAP Checklist SDC users (prototype version of Web Plus)

-STORE Manual (final version) is expected to be released mid-August by CoC

-NAACCR 18 edits metafile will be released mid-August by NAACCR and CDC/NPCR

-NorthCon 18 (with radiation codes conversion) will be released late-September by CDC/NPCR

-Abstract/Web Plus for NAACCR 18 will be released late-September by CDC/NPCR

-Sample code that uses the TNM 8 API will be released to vendors late-September by CDC/NPCR

– We anticipate that commercial vendor cancer registry software for CoC facilities may not be released until October or later

-CDC/NPCR grantees using CRS Plus will not be required or advised to convert to NAACCR 18 until after data submission in November

The most recent data item list may be found here: Updated REQ Data Item List for Summary Stage Only

Questions can be sent to (vdb9@cdc.gov) or the cancerstaging@cdc.gov mailbox.

AJCC 8th Edition

AJCC 8th Edition will be used beginning with cases diagnosed 1/1/2018.  For more information on the AJCC Staging System, how to purchase the AJCC Cancer Staging Manual 8th edition, a review of staging rules, and errata to the 8th edition, education and training, and AJCC news, please visit the AJCC website.

 

Summary Stage / EOD

Beginning with cases diagnosed in 2018 registrars will assign (or derive) summary stage based on Summary Stage 2018. This is the first update to the Summary Stage system since 2001.

EOD (Extent of Disease) consists of three data items that can be used to calculate a stage group and Summary Stage 2018. The three data items are:

  • EOD Primary Tumor
  • EOD Lymph Nodes
  • EOD Mets

The NAACCR Site-Specific Data Items Task Force (SSDI TF) is posting draft versions of the SSDI and Grade manuals for review and comment. In addition to helping to refine the materials before they are posted in final form, the draft manuals may be helpful to registrars and others who are seeking information about how the SSDI’s and grade will be collected for cases diagnosed 1/1/2018 and later. We plan to release the final version of the Manuals in May 2018.

Comments or suggestions concerning the SSDI’s are welcome and can be posted at the American College of Surgeons CAnswer Forum.

On 4/10/18 these drafts were moved to the new NAACCR Site Specific Data Items website. The link to access all the drafts, Codes and coding instructions for SSDI’s including Grade can be found below.

NAACCR Site Specific Data Items and Grade website- 4/10/18

SITE SPECIFIC DATA ITEMS (SSDI)

Site Specific Data Items (SSDI) are similar to the Site Specific Factors (SSF) collected with Collaborative Stage. These data items are specific to certain site/histology combinations. For example, the SSDI’s for breast will be used to collect information such as estrogen receptor status, progesterone receptor status, Her2 status, Nottingham grade, and additional information related to primary tumors of the breast. The information collected in these data items are specific to breast.

*Note: Based on comments received from registrars, the SSDI manual has been reformatted to be based on the AJCC chapter order. We haven’t really had content changes at this point. Most of the changes were formatting.

Grade

Beginning with cases diagnosed in 2018 grade information will be collected in three fields; Clinical Grade, Pathological Grade, and Post-Therapy Grade. Within the Grade Manual you will find definitions for the three new grade data items, coding instructions, and the site/histology specific grade tables.

The ICD-O-3 Implementation Task Force has approved new codes, changes in behavior codes, and new terms associated with current codes. These changes reflect updates to the WHO Classifications for Tumors (Blue Books). The new codes, new terms, and change to behavior codes for all cases diagnosed 1/1/18 and later. The new codes, new terms, and codes with changes to behavior are listed in the .pdf table and in the excel table. The two tables are identical.

The final version of the following sections of the 2018 Solid Tumor Rules have been posted to the SEER website:

  • General instructions
  • Colon
  • Lung
  • Breast (an errata has been posted. See Revision History)
  • Urinary Sites
  • Kidney

Solid tumor rules for Malignant CNS and Peripheral Nerves, and Non-malignant CNS are expected to be released in the near future.

The module for Cutaneous Melanoma will not be updated for 2018 cases. A revision is possible for 2019.  The Other module has only minor changes for 2018. Rectosigmoid and rectum have been moved from the Other module to the colon module. Peripheral nerves has been moved from the Other chapter to the Malignant CNS and Peripheral Nerves module.  The 2007 Multiple Primary and Histology rules should be used for sites covered in the Cutaneous Melanoma and Other modules.

For complete information and to download the Solid Tumor Rules click the link below

Training on the 2018 solid tumor rules will be posted to the education calendar as it becomes available.

The National Cancer Institute (NCI) Surveillance Epidemiology and End Results (SEER) Program Solid Tumor Task Force are posting draft versions of the 2018 Solid Tumor Coding Rules so that registrars may assess the revised rules prior to the final rules being posted.

6/28/18-The final version of the following sections have been posted to the SEER website

  • General instructions
  • Colon
  • Lung
  • Breast (an errata has been posted. See Revision History)
  • Urinary Sites

Solid tumor rules for the Kidney, Malignant CNS and Peripheral Nerves, and Non-malignant CNS are expected to be released in the near future.

The module for Cutaneous Melanoma will not be updated for 2018 cases. A revision is possible for 2019.  The Other module has only minor changes for 2018. Rectosigmoid and rectum have been moved from the Other module to the colon module. Peripheral nerves has been moved from the Other chapter to the Malignant CNS and Peripheral Nerves module.  The 2007 Multiple Primary and Histology rules should be used for sites covered in the Cutaneous Melanoma and Other modules.

For complete information and to download the Solid Tumor Rules click the link below.

The v18 edits metafile will reflect updates to ICD-O-3, stage (AJCC 8th, EOD 2018, Summary Stage 2018, Site Specific Data Items [replacing SSF’s]),  In addition, the edits software is being updated.

For those of you that are edits metafile administrators, that means we moving away from the .erf and .rmf format to an .smf format (Edit Writer 5). A v18 edits metafile compatible with previous versions of Edit Writer will not be available.

The NAACCR edits metafile and associated documentation will be posted to the Standards for Cancer Registries, Standard Data Edits, Volume IV page.

A beta version of the v18 metafile is available upon request. A production version should be posted in mid to late July.

At the link below you will find events, webinars and educational resources offered by NAACCR and our partners. This calendar will be updated frequently. If you have an event you would like added to this calendar please contact info@naaccr.org.

 

2018 Review of Solid Tumor Rules

Please join us for a review of the 2018 Solid Tumor Rules (previously known as the 2007 Multiple Primary Rules). This webinar is free and open to everyone. A recording of this webinar will be posted below after the live session.
Register at https://naaccr.zoom.us/webinar/register/WN_FHPtD69OTK6Ip0okEOVS4w
Agenda

  • 2018 Implementation Update
  • Review of 2018 Solid Tumor Rules
  • Review of Case Scenarios (will be posted one week prior to the live session)
  • Q&A

Speakers

    • Carol Johnson, BS, CTR

Carol is a co-author of the 2018 Solid Tumor Rules. She was the lead author of the 2007 Multiple Primary and Histology Rules and was the lead author of the 2018 Hematopoietic Manual and Database. She is retired from NCI SEER. She previously worked for the Commission on Cancer and has 20 years’ experience working in CoC approved hospital registries.

    • Lois Dickie, CTR

Lois has 11 years’ experience working with NCI SEER. She is currently the co-author for the 2018 Solid Tumor Rules, manager of SEER RX, specialty matter expert for multiple quality initiatives, and is an NCI SEER specialty matter expert on historical data collection and operations. Lois was previously with the New Mexico Tumor Registry for 25 years.

 

2018 New Grade Coding Rules

Agenda

  • Overview of new changes in coding cancer grade for cases diagnosed 2018 forward
  • Review new grade coding structure and grade table formats.
  • Briefly demonstrate how to navigate online Grade coding manual.
  • Practice coding grade with case scenarios More…

 

2018 New Radiation Coding Rules

Please join us for a discussion of the new radiation treatment codes and coding instructions. The webinar will be presented May 16, 2018 and again on May 18, 2018 from 2-3:30ET. During the session we will discuss the definition of radiation “phases”, we will look at the new radiation data items and coding instructions, and we will work through several coding scenarios.  A copy of the slides and case scenarios will be posted to this page. A recording of this session will be posted to this page following the live presentation. There is no charge for this webinar. CE’s are not available for this webinar.

2018 Implementation Guidelines

The 2018 Implementation Guidelines (IG) DRAFT includes compiled information provided by the standard setting agencies, NAACCR stakeholders, relevant committees, work groups and task forces. The sections (7.1 and Appendix B) for which information is pending are identified with a placeholder. These sections will be updated as information becomes available.

Some of the links to key references are not included in this draft; however, they will be included in the final document version. For example, when the Site-Specific Data Item Manual is final the link to the manual will be added to the IG. Beyond the addition of the missing sections, the IG Task Force members do not anticipate any substantive changes.

2018 Implementations and Timeline Update

NAACCR and the standard setting agencies developed the 2018 Implementations and Timelines document to keep the cancer surveillance community abreast of the many activities in 2018. All agencies are diligently working to meet the deadlines in the timeline. Please note that there are dependencies in the timeline and if something is delayed it will impact other deadlines.

 

Version 18 Record Layout

  • Standards Volume II Version 18 Record Layout

*This document was removed when Version 18 Data Standards and Data Dictionary was released

 

Standards Volume II

  • Standards Volume II, Chapter X DRAFT

*This document was removed when Version 18 Data Standards and Data Dictionary was released

2018 Implementations and Timeline Update

NAACCR and the standard setting agencies developed the 2018 Implementations and Timelines document to keep the cancer surveillance community abreast of the many activities in 2018. All agencies are diligently working to meet the deadlines in the timeline. Please note that there are dependencies in the timeline and if something is delayed it will impact other deadlines.

 

Version 18 Record Layout

  • Standards Volume II Version 18 Record Layout

*This document was removed when Version 18 Data Standards and Data Dictionary was released

 

Standards Volume II

  • Standards Volume II, Chapter X DRAFT

*This document was removed when Version 18 Data Standards and Data Dictionary was released

The December 20th update includes the Canadian Council of Cancer Registries statement.

Vendor Webinars

Session 2: Recorded on 2/13/18

  • 2018 Software Vendor Webinar II (recording no longer available)

Session 1: Recorded on 11/1/17

Although the 2018 implementation of new radiation data items and terminology sounds extensive, the information being collected is very similar to what is already being collected in CoC-accredited facilities. As a result, conversion/mapping of values from historical radiation data items will occur upon upgrade to v18-compliant software, and once upgraded only the new data items will be displayed and abstracted within the v18-compliant software. Please find a link to the radiation conversion specifications below.
https://www.naaccr.org/data-standards-data-dictionary/

8/09/18 – Registration for Solid Tumor rules added to Education Section

8/09/18 – Radiation Conversion Specs posted

7/16/18-Updated the ICD_03 Coding Tables. See Errata for changes. Added Kidney to the list of Solid Tumor Modules marked as complete.

7/05/18 – Added Radiation Conversion Specifications section

7/02/18 – Added the Q&A and Case Scenario answers for the radiation webinar to the Education and Training section and updated Solid Tumor Rules section

5/18/18 – Added the recording link for the Radiation Webinar and updated documents for the Radiation and Grade Coding Rules webinars

5/16/18 – Added 2018 Implementations and Timeline Update Version 1.8

5/04/18 – Updated information for the 2018 New Grade Coding Rules Webinar

5/02/18 – Updated Stage section

4/26/18 – Added four documents for two upcoming webinars

4/25/18 – Added registration links for two upcoming webinars

4/23/18 – Updated 2018 ICD O 3 documents

4/10/18 – Added link to the NAACCR Site Specific Data Items website

4/09/18 – Added 2018 Implementations and Timeline Update Version 1.7

4/05/18 – Added the slides and Q&A document for webinar session #4

4/02/18 – Updated 2018 SSDI Manual DRAFT and 2018 Grade Manual DRAFT documents

3/29/18 – Added 2018 Implementation Guidelines Draft document

3/22/18 – Added links for the 2018 Solid Tumor Coding Rules webpage and NAACCR Education & Training Calendar

3/21/18 – Added recording link for the 3/20 webinar “2018 Implementation Update: Session 4”

3/13/18 – Added information regarding the 4th informational webinar scheduled for March 20, 3:00-4:30 ET

3/08/18 – Added NAACCR 2018 API Plans V1.0 document

3/08/18 – Added 2018 SSDI Manual Appendix A and B documents

3/08/18 – Updated 2018 SSDI Manual DRAFT and 2018 Grade Manual DRAFT documents

3/02/18 – Removed Standards Volume II Version 18 Record Layout and Standards Volume II, Chapter X Draft documents due to release of Version 18 Data Standards and Data Dictionary

2/16/18 – Added SSDI/GRADE section which includes two draft manuals

2/13/18 – Added 2018 Software Vendor Webinar II

2/13/18 – Added Software Vendors section

2/13/18 – Added 2018 Implementations and Timeline Update Version 1.6

2/07/18 – Added PDF of Standards Volume II, Chapter X DRAFT

2/02/18 – Added PDF of 2018 ICD 0 3 Coding Table sorted alphabetically

1/22/18 – Updated the Standards Volume II Version 18 Record Layout document

1/10/18 – Updated 2018 ICD O 3 Coding Guidelines and coding tables

1/08/18 – Updated the Standards Volume II Version 18 Record Layout document


12/28/17 – Updated the Standards Volume II Version 18 Record Layout document

12/20/17 – Updated 2018 Concurrent Abstracting Overview Statement

12/20/17 – Added three documents to the ICD O 3 Histology Revisions section

12/19/17 – Added recording link and slides for the 12/18 webinar “2018 Implementation Update: Session 3”

12/18/17 – Updated the Standards Volume II Version 18 Record Layout document

12/15/17 – Added Concurrent Abstracting Statement and Timeline Update Version 1.5

11/28/17 – Updated the Standards Volume II Version 18 Record Layout document

11/27/17 – Updated the Standards Volume II Version 18 Record Layout document

11/16/17 – Updated the Standards Volume II Version 18 Record Layout document

11/14/17 – Added 2018 Implementations and Timeline Update Version 1.4

11/09/17 – Added excel document Standards Volume II Version 18 Record Layout under Implementation Timeline section

11/02/17 – Added recording link for the 11/1 webinar “2018 Vendor Update”

10/20/17 – Added recording link and slides for the 10/20 webinar “2018 Implementation Update: Session 2”

10/04/17 – Added information for upcoming NAACCR Talk “What’s new in Staging for 2018?”

10/03/17 – Added 2018 Implementations and Timeline Update Version 1.3

10/03/17 – Added V18 New Data Items

9/26/17 – Added email subscription option to the page.

Please see our 2018 Implementation Forum for discussions related to these topics. Participation in this Forum is open to the community, simply login to your MyNAACCR account.

For questions please contact Jim Hofferkamp at jhofferkamp@naaccr.org or (217) 698-0800 x5.

2018 Implementation Webinars

Session 4: Held on 3/20/18 and included perspectives on delays in finalizing 2018 materials, updates on 2018 Implementation Guidelines, coding manuals/API’s and planned educational offerings on 2018 changes.

  • 2018 Implementation Update: Session 4 (recording no longer available)

Session 3: This webinar on 12/18/17 provided updates on the timeline, guidance for registries doing concurrent abstracting, and information on AJCC chapter-specific and new histology codes for 2018.

  • 2018 Implementation Update: Session 3 (recording no longer available)

Session 2: This webinar on 10/20/17 featured presentations by AJCC and SEER. Standard setters also discussed their stage data collection requirements.

  • 2018 Implementation Update: Session 2 (recording no longer available)

Session 1: During this webinar on 8/8/17 the timeline and SSDI’s were discussed.


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