2018 Implementation

2018 Implementation

Last Update:
04/10/18 at 9:26 AM CT

Recent Changes:
– Added link to the NAACCR Site Specific Data Items website
– Added 2018 Implementations and Timeline Update Version 1.7

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.

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

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.  We will post links to the the online version of Summary Stage 2018 once they become available.

 

EOD

EOD 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

Information concerning the EOD data items will be posted to this site as it becomes available.

 

 

 

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.

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 tables were originally posted on 12/20/17. An updated table was posted 1/10/18. All updates are listed in the 1-10-18 Errata.

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. Solid Tumor site rules will be marked as “Draft” until they are finalized. Site specific draft rules will be posted as they complete formatting. Prior to reviewing the draft rules, it is highly recommended that registrars read the 2018 Solid Tumor Rules Implementation Statement.

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.

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 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

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

Vendor Webinars

Session 2: Recorded on 2/13/18

Session 1: Recorded on 11/1/17

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.

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.

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

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


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