HEALTH PROMOTION AND CHRONIC DISEASE DIVISION MINNESOTA CANCER SUVEILLANCE SYSTEM Public Notice of Reportable Data Items to MCSS NOTICE IS HEREBY GIVEN to cancer registries, medical laboratories, hospitals, medical clinics, physicians and dentists of the list of data items to be reported to MCSS. Minnesota Statue 144.672 subd. 1 gives the Commissioner of Health authority to collect cancer incidence information, analyze the information, and conduct special studies designed to determine the potential public health significance of an increase in cancer incidence. MCSS Required Data Items NAACCR Record Layout Version 16 (in layout order) R= required, R* = if available, RH = required to be reported for historic records within date range given, RH* = if available, RS = Required, Site Specific, RS* = if available. Unless otherwise noted, staging and treatments data items are required on all cancers diagnosed in or after 1995. MCSS R R R R* R R R R R R R R R R R R R R R R R* R* NAACCR ITEM # 10 50 20 21 70 80 100 90 160 161 162 163 164 170 180 190 220 230 240 241 310 320 NAACCR ITEM NAME Record type NAACCR record version Patient ID number Patient system ID-hosp Addr at dx--city Addr at dx--state Addr at dx--postal code County at dx Race 1 Race 2 Race 3 Race 4 Race 5 Race coding sys--current Race coding sys--original Spanish/Hispanic origin Sex Age at diagnosis Date of birth Date of birth flag Text--usual occupation Text--usual industry NOTE MCSS R R* R R R R RH RH R R R RH* RH* R R R R R R RH RH RH RH RH RH RH R* R NAACCR ITEM # 102 1832 390 391 400 410 420 430 522 523 440 441 449 450 460 470 480 490 500 442 443 448 444 445 439 446 545 540 NAACCR ITEM NAME Addr at dx--country Addr current--country Date of diagnosis Date of diagnosis flag Primary site Laterality Histology (92-00) ICD-O-2 Behavior (92-00) ICD-O-2 Histologic type ICD-O-3 Behavior code ICD-O-3 Grade Grade path value Grade path system Site coding sys--current Site coding sys--original Morph coding sys-current Morph coding sys--orig Diagnostic confirmation Type of reporting source Ambiguous term dx Date conclusive dx Date conclusive dx flag Mult tumor rpt as one Prim Date of mult tumors Date of mult tumors flag Multiplicity counter NPI--Reporting facility Reporting facility R* 550 Accession number--hosp R R R R R R* R R R 560 570 580 581 610 630 670 672 674 Sequence number--hosp Abstracted by Date of 1st contact Date of 1st contact flag Class of case Primary payer at dx Rx hosp--surg prim site Rx hosp-scope reg LN surg Rx hosp--surg oth reg/dis NOTE dx 1992-2000 dx 1992-2000 dx 2010-2013 dx 2010-2013 dx 2007-2012 dx 2007-2012 dx 2007-2012 dx 2007-2012 dx 2007-2012 dx 2007-2012 dx 2007-2012 dx 2007 & later Rpt also in state spec fld - start col 2412, if no s/w spec pt ID # used dx 2006 & later MCSS RH* RH* R R R R RH RH RH R R R R R R R R R R RH RH* R R R R R R R R R R R R R RH* RH* RH* R* RH* RH* NAACCR ITEM # 676 690 700 710 720 730 746 747 748 1112 1113 1114 1115 1116 1117 752 754 756 759 760 780 820 830 1060 880 890 900 910 920 940 950 960 970 980 1150 1160 1170 1182 2800 2810 NAACCR ITEM NAME Rx hosp--reg LN removed Rx hosp--radiation Rx hosp--chemo Rx hosp--hormone Rx hosp--BRM Rx hosp--other Rx hosp--surg site 98-02 Rx hosp-scope reg 98-02 Rx hosp--surg oth 98-02 Mets at dx—bone Mets at dx--brain Mets at dx—distant LN Mets at dx--liver Mets at dx--lung Mets at dx--other Tumor size clinical Tumor size pathologic Tumor size summary SEER sum stage 2000 SEER sum stage 1977 EOD--tumor size Regional nodes positive Regional nodes examined TNM edition number TNM path T TNM path N TNM path M TNM path stage group TNM path descriptor TNM clin T TNM clin N TNM clin M TNM clin stage group TNM clin descriptor Tumor marker 1 Tumor marker 2 Tumor marker 3 Lymph-vascular invasion CS tumor size CS extension NOTE dx 1998 - 2002 dx 1998 - 2002 dx 1998 - 2002 dx 1998 - 2002 dx 1998 - 2002 New item New item New item New item New item New item New item New item New item dx 2001 & later dx 1995 - 2000 dx 1995 - 2002 dx 1995 - 2002 dx 1995 - 2002 dx 1995 - 2002 dx 2010 & later dx 2004 - 2015 dx 2004 - 2015 MCSS RH* RH* RH* RH* RH* RH* RH* RH* RH* RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RS RH RH RH RH RH RH NAACCR ITEM # 2820 2830 2840 2850 2860 2851 2852 2853 2854 2880 2890 2900 2910 2920 2930 2861 2862 2863 2864 2865 2866 2867 2868 2869 2870 2871 2872 2873 2874 2875 2876 2877 2878 2879 2935 2936 2937 2940 2950 2960 NAACCR ITEM NAME CS tumor size/ext eval CS lymph nodes CS lymph nodes eval CS mets at dx CS mets eval CS mets at dx-bone CS mets at dx-brain CS mets at dx-liver CS mets at dx-lung CS site-specific factor 1 CS site-specific factor 2 CS site-specific factor 3 CS site-specific factor 4 CS site-specific factor 5 CS site-specific factor 6 CS site-specific factor 7 CS site-specific factor 8 CS site-specific factor 9 CS site-specific factor 10 CS site-specific factor 11 CS site-specific factor 12 CS site-specific factor 13 CS site-specific factor 14 CS site-specific factor 15 CS site-specific factor 16 CS site-specific factor 17 CS site-specific factor 18 CS site-specific factor 19 CS site-specific factor 20 CS site-specific factor 21 CS site-specific factor 22 CS site-specific factor 23 CS site-specific factor 24 CS site-specific factor 25 CS version input original CS version derived CS version input current Derived AJCC-6 T Derived AJCC-6 T Descript Derived AJCC-6 N NOTE dx 2004 - 2015 dx 2004 - 2015 dx 2004 - 2015 dx 2004 - 2015 dx 2004 - 2015 dx 2010 - 2015 dx 2010 - 2015 dx 2010 - 2015 dx 2010 - 2015 dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 & later dx 2004 - 2015, new dx 2004 & later dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new MCSS RH RH RH RH RH RH RH RH RH RH RH RH RH R R R R R R R R R R R R R R R R R R R R R R R R RH* R R* NAACCR ITEM # 2970 2980 2990 3000 3020 3050 3400 3402 3410 3412 3420 3422 3430 3650 3655 1270 1271 1200 1201 3170 3171 1210 1211 3230 3231 1220 1221 1230 1231 1240 1241 1250 1251 1285 1290 1292 1294 1296 1340 1360 NAACCR ITEM NAME Derived AJCC-6 N Descript Derived AJCC-6 M Derived AJCC-6 M Descript Derived AJCC-6 Stage Grp Derived SS2000 Derived SS2000--Flag Derived AJCC-7 T Derived AJCC-7 T Descript Derived AJCC-7 N Derived AJCC-7 N Descript Derived AJCC-7 M Derived AJCC-7 M Descript Derived AJCC-7 Stage Grp NPCR Derived Clin Stg Grp NPCR Derived Path Stg Grp Date 1st crs rx CoC Date 1st crs rx CoC flag Rx date surgery Rx date surgery flag Rx date mst defn srg Rx date mst defn srg flag Rx date radiation Rx date radiation flag Rx date systemic Rx date systemic flag Rx date chemo Rx date chemo flag Rx date hormone Rx date hormone flag Rx date BRM Rx date BRM flag Rx date other Rx date other flag Rx sum-treatment status Rx sum--surg prim site Rx sum-scope reg LN sur Rx sum--surg oth reg/dis Rx sum-reg LN examined Reason for no surgery Rx sum--radiation NOTE dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2004 - 2015, new dx 2016 & later, new dx 2016 & later, new dx 2003 & later dx 2003 & later dx 2003 & later dx 2003 & later dx 2010 & later dx 2003 & later dx 2003 & later dx 2003 & later dx 1998-2002 MCSS R R R R R R R R R R R RH* RH RH RH RH RH* RH* R R R R R R R R R R R R R NAACCR ITEM # 1380 3250 1390 1400 1410 1420 1430 1460 1570 3200 1639 1640 1646 1647 1648 1960 1971 1972 1980 2140 2150 2170 2116 1750 1751 1760 1810 1820 1830 1840 2220 NAACCR ITEM NAME Rx sum--surg/rad seq Rx sum--transplnt/endocr Rx sum--chemo Rx sum--hormone Rx sum--BRM Rx sum--other Reason for no radiation Rx coding sys--current Rad--regional rx modality Rad--boost rx modality Rx sum--sys surg seq Rx sum--surgery type Rx sum--surg site 98-02 Rx sum--scope reg 98-02 Rx sum--surg oth 98-02 Site (73-91) ICD-O-1 Histology(73-91) ICD-O-1 Behavior(73-91) ICD-O-1 ICD-O-2 conversion flag CoC coding sys--current CoC coding sys--original Vendor name ICD-O-3 conversion flag Date of last contact Date of last contact flag Vital status Addr current--city Addr current--state Addr current--postal code County--current State/requestor items "Managing MD last name" "Managing MD 1st name" "Managing MD M I" "Followup MD Last Name" "Followup MD 1st name" "Followup MD M I" "Patient identification number" NOTE dx 2003 & later dx 2003 & later dx 2003 & later dx 2003 & later dx 1995 - 1997 dx 1998 - 2002 dx 1998 - 2002 dx 1998 - 2002 dx 1988 - 1991 dx 1988 - 1991 dx 1988 - 1991 col 2340 - 2359 col 2360 - 2374 col 2375 - 2375 col 2376 - 2395 col 2396 - 2410 col 2411 - 2411 spec pt ID # if other than accession #, col 2412 - 2426, or accession # MCSS R R R R* R R R R R R R* R* R R R R R* R R* R R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* NAACCR ITEM # 2230 2240 2250 2280 2390 2300 2320 2330 2335 2350 2355 2360 2415 2410 2425 2420 2465 2460 2475 2470 7010 7090 7320 7480 7190 7100 7011 7091 7321 7481 7191 7101 7012 7092 7322 7482 7192 7102 7013 7093 NAACCR ITEM NAME Name--last Name--first Name--middle Name--alias Name--maiden Medical record number Social security number Addr at dx--no & street Addr at dx--supplementl Addr current--no & street Addr current-supplementl Telephone NPI--Inst referred from Institution referred from NPI--Inst referred to Institution referred to NPI--physician--managing Physician--managing NPI--physician--follow-up Physician--follow-up Path reporting fac ID 1 Path report number 1 Path date spec collect 1 Path report type 1 Path ordering fac no 1 Path order phys lic no 1 Path reporting fac ID 2 Path report number 2 Path date spec collect 2 Path report type 2 Path ordering fac no 2 Path order phys lic no 2 Path reporting fac ID 3 Path report number 3 Path date spec collect 3 Path report type 3 Path ordering fac no 3 Path order phys lic no 3 Path reporting fac ID 4 Path report number 4 NOTE dx 2007 & later dx 2007 & later dx 2007 & later dx 2007 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later MCSS R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* R* NAACCR ITEM # 7323 7483 7193 7103 7014 7094 7324 7484 7194 7104 2520 2530 2540 2550 2560 2570 2580 2590 2600 2610 2620 2630 2640 2650 2660 2670 2680 2690 NAACCR ITEM NAME Path date spec collect 4 Path report type 4 Path ordering fac no 4 Path order phys lic no 4 Path reporting fac ID 5 Path report number 5 Path date spec collect 5 Path report type 5 Path ordering fac no 5 Path order phys lic no 5 Text--dx proc--PE Text--dx proc--X-ray/scan Text--dx proc--scopes Text--dx proc--lab tests Text--dx proc--op Text--dx proc--path Text--primary site title Text--histology title Text--staging Rx text--surgery Rx text--radiation (beam) Rx text--radiation other Rx text--chemo Rx text--hormone Rx text--BRM Rx text--other Text--remarks Text--place of diagnosis NOTE dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later dx 2010 & later Please note new required items NAACCR Item numbers 1112 – 1117, 3650, 3655, 752, 754, and 756. Note changes in requirement status for all collaborative stage items. Also note that derived values for diagnosis years 2004-2015 are now required to be reported. This notice is published pursuant to Minnesota Rule 4606.3304 subpart 1a, which requires publication of a list of the data items to be reported under part 4606.3303 subpart 1. Written comments and requests for information may be sent to: Sally Bushhouse, DVM, MPH, PhD, Director, Minnesota Cancer Surveillance System Minnesota Department of Health 85 E. 7th Place P.O. Box 64882 St. Paul, Minnesota 55164-0882
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