Part I – CCR Data Dictionary
- Canadian Cancer Registry overview
- CCR system guide document organization
- Part I document organization – CCR Data Dictionary
- Changes to the Data Dictionary for the 2009 and 2010 reference years
- Statistics Canada contacts
The patient–oriented Canadian Cancer Registry ( CCR) evolved from the event–oriented National Cancer Incidence Reporting System (NCIRS). Beginning with cases diagnosed in 1992, incidence figures collected by Provincial and Territorial Cancer Registries (PTCRs) have been reported to the CCR, which is maintained by Statistics Canada. Established as a person–oriented database, the CCR includes mechanisms for updating and clearing death records and is linked to provincial and territorial databases to help track patients across Canada who have been diagnosed with tumours.
The CCR System Guide has been separated into three parts to improve access and navigation. Although the three parts are separate, the three documents should be used in conjunction with each other. The different sections of the three–part CCR System Guide often refer to each other. The CCR System Guide is now composed of:
Part I: CCR Data Dictionary provides explanation on the reporting of data, including the scope and detailed information on the input and derived variables.
Part II: CCR Data Loading and Tabulation Master Files provides information on the data loading process, including in–depth descriptions of the various edits performed on the data. Part II also provides information on the Tabulation Master Files, including the scope, content and layout. Part II is followed by several appendices that contain supporting information such as explicit code set tables, guidelines to assist coders and other supportive information.
Part III: CCR Core Reference Tables provides detailed information on the CCR Core Reference Tables such as descriptions of the tables, their usage and any revisions made. Part III is an accompanying document to the "CCR Reference Tables 2010.xls".
Chapter 1 – Reporting data describes what data should be reported and how it should be reported to CCR. It also gives some examples of the most common operations for reporting data to CCR.
Chapter 2 – Data dictionary describes all data managed by the system including system–derived variables. For every datum, it also includes a list of related edits that describes the constraints on the datum and the relationship it has with other data.
Section |
Item(s) |
Description of change |
---|
1.1 |
Table 1 reportable items |
New patient and tumour variables added: P20, P21, T58 – T87. |
2010 |
---|
1.2 |
Table 4 input patient record file layout |
New variables added: P20, P21 |
2010 |
---|
1.2 |
Table 5 input tumour record file layout |
- New variables added T58 – T87
- T24, T25, T28, T30 changed in length.
- T31 and T52 changed name and acronym,
|
2010 |
---|
1.2.3 |
Table 6 Reporting Collaborative staging data |
T28 and T30 – Values of 99 or 999 |
2010 |
---|
2.1 |
Table 10 List of input patient variables |
new patient variables added: P20, P21 |
2010 |
---|
2.1 |
P20 – Date of birth flag,
and P21 – Date of death flag |
New variables added |
2010 |
---|
2.3 |
Table 12 List of Input tumour variables |
New variables added : T58 – T87,
T31 and T52 changed names and acronyms |
2010 |
---|
2.3 |
T5 – Tumour record type |
New related edits:
TVAL58, TVAL59, TVAL60, TVAL61, TVAL62, TVAL63, TVAL64, TVAL65, TVAL66, TVAL67, TVAL68, TVAL69, TVAL70, TVAL71, TVAL72, TVAL73, TVAL74, TVAL75, TVAL76, TVAL77, TVAL78, TVAL79, TVAL80, TVAL81, TVAL82, TVAL83, TCOR36, and TCOR37 |
2010 |
---|
2.3 |
T12 – Date of diagnosis |
New related edits:
TVAL63, TVAL64, TCOR36, and TCOR37 |
2010 |
---|
2.3 |
T19 - Laterality |
Code 5 added for paired site with a midline tumour |
2010 |
---|
2.3 |
T24 – Method used to establish date of diagnosis
T25 – Diagnostic confirmation |
Code 10 added for Positive histology PLUS |
2010 |
---|
2.3 |
T28 – CS extension and
T30 - CS lymph nodes |
Length of CS Extension and CS Lymph nodes has changed from 2 to 3. |
2010 |
---|
2.3 |
T50 – AJCC TNM stage group |
For AJCC TNM stage group is unknown value changed to 99 in system guide (in error it was 9999) |
N/A |
---|
2.3 |
T42 – T51 – AJCC variables |
T42 – T51 ( AJCC variables 2003-2007) Variables no longer reported as of 2008. |
2009 |
---|
2.3 |
Input tumour variables – T52, T31, TD19 |
T52, T31 and TD19 renamed - CS version input original (was CS version 1st), CS lymph nodes eval (was CS reg node eval), TD19 CS version derived (was CS version latest) |
2010 |
---|
2.3 |
T58 – Date of diagnosis flag,
T59 – Date of conclusive diagnosis flag,
T60 – Date of multiple tumours flag |
New variables added |
2010 |
---|
2.3 |
T65 – T83 site specific factors 7 - 25 |
New variables added. |
2010 |
---|
2.3 |
T61 Grade path value,
T62 Grade path system |
New variables added |
2010 |
---|
2.3 |
T63 – Lymph-vacular invasion |
New variable added |
2010 |
---|
2.3 |
T64 – CS version input current |
New variable added |
2010 |
---|
2.3 |
T84 - CS Mets at Dx – Bone,
T85 – CS Mets at Dx – Brain, T86 – CS Mets at Dx – Liver, T87 – CS Mets at Dx - Lung |
New variable added |
2010 |
---|
Table
Changes to the CCR Data Dictionary for the 2007 and 2008 reference years
Section |
Item(s) |
Description of change |
Effective (reference year) |
---|
0 |
Organization of document |
The document has been broken into 3 parts |
2008 |
---|
1.1.2.1 |
CCR Core Scope |
Additional codes to CCR core scope and CCR scope exceptions |
2007 |
---|
1.2 |
Table 5 Input tumour record file layout |
New variables added: T52 – T57 |
2008 |
---|
1.2.2 |
CCR fundamentals |
Statements have been updated for clarity: no concept changes |
2008 |
---|
1.2.3.1 |
Reporting collaborative
staging data – typical cases |
T52 added to case examples for CCR collaborative staging scope |
2007 |
---|
1.2.4.1 |
TNM staging overview |
Recurrent tumour prefix 'r' not to be staged or submitted to the CCR |
2007 |
---|
2.1 |
P6 – Current Surname
P7 – First given name
P8 – Second given name
P9 – Third given name
P13 – Birth Surname |
Format: Acceptable characters have been specified |
2007 |
---|
2.1 |
P17 – Underlying cause of death |
Description now refers to PD7 – Death clearance underlying cause of death |
2007 |
---|
2.1 |
P18 – Autopsy confirming cause of death |
Description: Reference to an appendix has been added |
2007 |
---|
2.2 |
PD2 – Vital status |
The derived variable is now being written only at the Tabulation Master File process |
2007 |
---|
2.2 |
PD3 – Number of tumours |
Description: CCR has adopted SEER rules as of 2007 |
2007 |
---|
2.2 |
PD4 – Death clearance cut–off date |
Description – Update to description |
2007 |
---|
2.2 |
PD7 – Death clearance underlying cause of death |
Acronym – Acronym has changed |
2007 |
---|
2.3 |
T5 – Tumour record type |
New related edits
TVAL53
TVAL54
TVAL55
TVAL56
TVAL57
TCOR26
TCOR27
TCOR29
TCOR30
TCOR31
TCOR32
TCOR33
TCOR34
TCOR35 |
2008 |
---|
2.3 |
T5 – Tumour record type |
New related edits
TVAL52
TCOR13 |
2007 |
---|
2.3 |
T6 – Name of place of residence |
Format: Acceptable characters have been specified |
2007 |
---|
2.3 |
T8 – Standard geographic code |
Eligible Standard Geographic Codes from 2006 to 2010 now available |
2006 |
---|
2.3 |
T9 – Census tract |
T9 will no longer be loaded onto the CCR. For cases diagnosed in 2006 and onwards, the field should be left blank |
2006 |
---|
2.3 |
T12 – Date of Diagnosis |
New related edits
TCOR26
TCOR27 |
2008 |
---|
New references to appendices I and H New related edits
TVAL52
TCOR13 |
2007 |
2.3 |
T19 – Laterality |
Change to specific values & meaning: Adoption of NAACCR (SEER) laterality codes. Previously loaded data on the CCR database has also been converted to the NAACCR (SEER) laterality code. 2007(AND conversion of previously loaded data 1992–2006) |
2006 |
---|
2.3 |
T23 – Grade, differentiation or cell indicator |
Revision: Application of new guidelines for reporting grade, differentiation, or cell indicator |
2006 |
---|
2.3 |
T24 – Method used to establish the date of diagnosis |
New related edit
TCOR13 |
2006 |
---|
2.3 |
T25 – Diagnostic confirmation |
New related edit
TCOR13 |
2006 |
---|
2.3 |
T27 – CS Tumour Size
T28 – CS Extension
T29 – CS Tumour size/ext eval
T30 – CS lymph nodes
T31 – CS reg nodes eval
T32 − Regional nodes examined
T33 – Regional nodes positive
T34 – CS mets at Dx
T35 – CS mets eval
T36 − CS site specific factor 1
T37 – CS site–specific factor 2
T38 – CS site–specific factor 3
T39 – CS site–specific factor 4
T40 – CS site–specific factor 5
T41 – CS site–specific factor 6 |
Specific values & meaning: change to meaning of 8 filled and 9 filled fields
New related edits
(See corresponding sections for additional information) |
2007 |
---|
2.3 |
T52 – CS Version 1st |
New field added |
2007 |
---|
2.3 |
T53 – Ambiguous Terminology Diagnosis |
New field added |
2008 |
---|
2.3 |
T54 − Date of conclusive diagnosis |
New field added |
2008 |
---|
2.3 |
T55 – Type of multiple tumours reported as one primary |
New field added |
2008 |
---|
2.3 |
T56 – Date of multiple tumours |
New field added |
2008 |
---|
2.3 |
T57 – Multiplicity Counter |
New field added |
2008 |
---|
2.4 |
TD2 – Sequence number |
Description: note that CCR has adopted SEER rules as of 2007 |
2007 |
---|
2.4 |
TD5 – Survival interval |
Specific values and meanings: The survival interval for DCO records cannot be computed and is recorded as '99998' |
2007 |
---|
2.4 |
TD19 – CS version latest |
CS version latest (formerly TD20) becomes TD19 |
2007 |
---|
2.4 |
TD20 – Filler |
TD20 (formerly CS Version latest) becomes a filler |
2007 |
---|
- Please note that changes effective in the 2010 reference year are subject to change.
- Additional updates have been made, however only the changes that require action on the part of the PTCRs have been included in this table.
PTCRs employees are encouraged to bring forward any questions by contacting one of the following:
For additional information regarding the processing of CCR data, please contact:
Colette Brassard
Section Chief
Operations and Integration Division
Statistics Canada
Tel: 613-951-7282
Fax: 613-951-0709
For any subject matter related questions/queries, please contact:
Kim Boyuk
Chief, Cancer Statistics
Health Statistics Division
Statistics Canada
Tel: 613-951-2510
Fax: 613-951-0792
Hollie Anderson
Manager, Canadian Cancer Registry
Health Statistics Division
Statistics Canada
Tel: 613-951-0757
Fax: 613-951-0792
- What data should be reported
- How data should be reported
- Typical use cases
1.1.1 Reported variables
The Canadian Cancer Registry (CCR) system is a patient–oriented database. The following lists of data items must be reported for every patient and every tumour:
Table 1
Reportable data items
Patient |
Tumour |
---|
Patient reporting province/territory
Patient identification number CCR identification number
Type of current surname
Current surname
First given name
Second given name
Third given name
Sex
Date of birth
Province/territory or country of birth
Birth surname
Date of death
Province/territory or country of death
Death registration number
Underlying cause of death
Autopsy confirming cause of death
Date of birth flag
Date of death flag |
Tumour reporting province/territory
Tumour patient identification number
Tumour reference number CCR identification number
Name of place of residence
Postal code
Standard geographic code
Census tract
Health insurance number
Method of diagnosis
Date of diagnosis ICD–9 Cancer code
Source classification flag ICD–O–2/3 Topography ICD–O–2 Histology ICD–O–2 Behaviour
Laterality ICD–O–3 Histology ICD–O–3 Behaviour
Grade, differentiation or cell indicator
Method used to establish the date of diagnosis
Diagnostic confirmation
Date of transmission CS tumour size CS extension CS tumour size/ext eval CS lymph nodes CS lymph nodes eval
Regional nodes examined
Regional nodes positive CS mets at Dx CS mets eval 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 AJCC clinical T (2003 to 2007) AJCC clinical N (2003 to 2007) AJCC clinical M (2003 to 2007) AJCC pathologic T (2003 to 2007) AJCC pathologic N (2003 to 2007) AJCC pathologic M (2003 to 2007) AJCC clinical TNM stage group (2003 to 2007) AJCC pathologic TNM stage group (2003 to 2007) AJCC TNM stage group (2003 to 2007) AJCC TNM edition number (2003 to 2007) CS Version input original
Ambiguous Terminology Diagnosis
Date of conclusive diagnosis
Type of multiple tumours reported as one primary
Date of multiple tumours
Multiplicity counter
Date of diagnosis flag
Date of conclusive diagnosis flag
Date of multiple tumours flag
Grade path value
Grade path system
Lymph-vascular invasion CS version input current 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 Mets at Dx – Bone CS Mets at Dx – Brain CS Mets at Dx – Liver
CS Mets at Dx - Lung |
For more detail about each variable, see the corresponding section in Chapter 2 – Data dictionary.
1.1.2 Reporting scope
1.1.2.1 CCR core scope
The Canadian Council of Cancer Registries (CCCR) recommends that the following tumours diagnosed in 1992 and onwards be reported to the CCR:
Table 2
CCR core scope
1, 2, 3 |
C00 – C80
- See exceptions below (Table 2.1) for C44 (Skin),
|
8000 to 9989 |
0 |
C70 – C72 (Meninges, brain and spinal cord, cranial nerves and other parts of central nervous system) |
8000 to 9989 |
0 |
C70 – C72 (Meninges, brain and spinal cord, cranial nerves and other parts of central nervous system)
C75.1, C75.2, C75.3 (pituitary, craniopharyngeal duct and pineal gland) |
8000 to 9989 |
1 and 3 |
C00 – C80
- See exceptions below (Table 2.1) for C44 (Skin),
|
8000 to 9989 |
2 |
C00 – C80
- See exceptions below (Table 2.1 for C44 (Skin), C53 (cervix) C61.9 (Prostate)
|
8000 to 9989 |
Table 2.1
CCR Scope Exceptions (not to be reported)
1, 2, 3 |
C44 (skin) |
8050 to 8084 (squamous cell neoplasm) or
8090 to 8110 (basal cell neoplasm) |
1, 2, 3 |
C44 (skin) |
8000 to 8005 (NOS) or
8010 to 8046 (epithelial neoplasm)
|
2 |
C53 (cervix), C61.9 (prostate) |
All histologies |
Notes:
- Tumours with ICD–O–3 Behaviour Codes '6' and '9' must not be reported to the CCR.
- For cases diagnosed in 2007 and onwards, apply the new CCR rules that are now the same as the SEER multiple primary/histology rules or the Hematopoietic and Lymphoid Neoplasm rules to determine the number of reportable primaries.
- For cases diagnosed prior to 2007, apply the previous CCR multiple primary rules to determine the number of reportable primaries. See Appendix D (Part II - CCR System Guide) – multiple primary tumours rules for CCR for more detail.
- Tumours occurring in patients residing outside of Canada must not be reported to CCR. See Appendix T (Part II – <abbr title="Canadian Cancer Registry">CCR</abbr> Sytem Guide) – Residency guidelines in Canada for more detail.
1.1.2.2 CCR collaborative staging scope
All tumours within the CCR core scope and diagnosed in 2004 and onwards should be staged according to the Collaborative Staging Manual and Coding Instructions version 01.04.01 (March 25, 2008) available from the Collaborative Staging Task Force of the American Joint Committee on Cancer.
See next section for more details on how to report collaborative staging data.
1.1.2.3 CCR AJCC TNM staging scope(reported 2003 to 2007)
Colorectal, breast and prostate primary tumours diagnosed in 2003 and onwards can be staged according to their corresponding AJCC TNM 6th Edition staging schema. Reportable tumours are selected based on International Classification of Diseases for Oncology – 3rd Edition (ICD–O–3) as shown in the following table.
Table 3
CCR AJCC TNM staging scope
Colorectal |
C18.0 to C18.9; C19.9; C20.9 |
8000 to 8576; 8935 to 8936; 8940 to 8950; 8980 to 8981 |
2, 3 |
Breast |
C50.0 to C50.9 |
8000 to 8576; 8940 to 8950; 8980 to 8981; 9020 |
2, 3 |
Prostate |
C61.9 |
8000 to 8110; 8120; 8131to 8576; 8940 to 8950; 8980 to 8981 |
3 |
See next section for details on how to report AJCC TNM staging data.
1.2.1 Input record files
Data must be reported to the Canadian Cancer Registry (CCR) system using flat files encoded with an ISO 8859–1 (Latin 1) compatible character set. Patient data must be reported using the input patient record file and the tumour data must reported using the input tumour record file. See corresponding input record layouts in Table 4 and Table 5 below.
In addition to the specific data items, every input record has a record type and a date of transmission. The record type indicates which action should be conducted by the CCR system (adding, updating or deleting a record in the CCR) while the date of transmission is needed for tracking purposes. For details on a given data item, see its corresponding section in Chapter 2.
Although a data submission (also called a cycle) is normally composed of two files (one input patient record file and one input tumour record file), it may also be composed of only one file for specific needs (for example, updating tumour information only).
Table 4
Input patient record layout
Field |
Length |
Position |
Description |
Acronym |
---|
P1 |
2 |
1 to 2 |
Patient reporting province/territory |
PREPPROV |
---|
P2 |
12 |
3 to 14 |
Patient identification number |
PPIN |
---|
P3 |
9 |
15 to 23 |
CCR identification number |
CCR_ID |
---|
P4 |
1 |
24 |
Patient record type |
PRECTYPE |
---|
P5 |
1 |
25 |
Type of current surname |
PTYP_CUR |
---|
P6 |
25 |
26 to 50 |
Current surname |
PCURSNAM |
---|
P7 |
15 |
51 to 65 |
First given name |
PGNAME_1 |
---|
P8 |
15 |
66 to 80 |
Second given name |
PGNAME_2 |
---|
P9 |
7 |
81 to 87 |
Third given name |
PGNAME_3 |
---|
P10 |
1 |
88 |
Sex |
PSEX |
---|
P11 |
8 |
89 to 96 |
Date of birth |
PDATBIR |
---|
P12 |
3 |
97 to 99 |
Province/territory or country of birth |
PPROVBIR |
---|
P13 |
25 |
100 to 124 |
Birth surname |
PBIRNAM |
---|
P14 |
8 |
125 to 132 |
Date of death |
PDATDEA |
---|
P15 |
3 |
133 to 135 |
Province/territory or country of death |
PPROVDEA |
---|
P16 |
6 |
136 to 141 |
Death registration number |
PDEAREG |
---|
P17 |
4 |
142 to 145 |
Underlying cause of death |
PCAUSDEA |
---|
P18 |
1 |
146 |
Autopsy confirming cause of death |
PAUTOPSY |
---|
P19 |
8 |
147 to 154 |
Patient date of transmission |
PDATTRAN |
---|
P20 |
2 |
155 to 156 |
Date of birth flag |
PDATBIRFLAG |
---|
P21 |
2 |
157 to 158 |
Date of death flag |
PDATDEAFLAG |
---|
Table 5
Input tumour record file layout
Field |
Length |
Position |
Description |
Acronym |
---|
T1 |
2 |
1 to 2 |
Tumour reporting province/territory |
TREPPROV |
---|
T2 |
12 |
3 to 14 |
Tumour patient identification number |
TPIN |
---|
T3 |
9 |
15 to 23 |
Tumour reference number |
TTRN |
---|
T4 |
9 |
24 to 32 |
CCR identification number |
CCR_ID |
---|
T5 |
1 |
33 |
Tumour record type |
TRECTYPE |
---|
T6 |
25 |
34 to 58 |
Name of place of residence |
TPLACRES |
---|
T7 |
6 |
59 to 64 |
Postal code |
TPOSTCOD |
---|
T8 |
7 |
65 to 71 |
Standard geographic code |
TCODPLAC |
---|
T9 |
9 |
72 to 80 |
Census tract |
TCENTRAC |
---|
T10 |
15 |
81 to 95 |
Health insurance number |
THIN |
---|
T11 |
1 |
96 |
Method of diagnosis |
TMETHDIAG |
---|
T12 |
8 |
97 to 104 |
Date of diagnosis |
TDATDIAG |
---|
T13 |
4 |
105 to 108 |
ICD–9 Cancer code |
TICD_9 |
---|
T14 |
1 |
109 |
Source classification flag |
TSCF |
---|
T15 |
4 |
110 to 113 |
ICD–O–2/3 Topography |
TICD_O2T |
---|
T16 |
4 |
114 to 117 |
ICD–O–2 Histology |
TICD_O2H |
---|
T17 |
1 |
118 |
ICD–O–2 Behaviour |
TICD_O2B |
---|
T18 |
4 |
119 to 122 |
Filler |
Not applicable |
---|
T19 |
1 |
123 |
Laterality |
TLATERAL |
---|
T20 |
1 |
124 |
Filler |
Not applicable |
---|
T21 |
4 |
125 to 128 |
ICD–O–3 Histology |
TICD_O3H |
---|
T22 |
1 |
129 |
ICD–O–3 Behaviour |
TICD_03B |
---|
T23 |
1 |
130 |
Grade, differentiation or cell indicator |
TGRADE |
---|
T24 |
2 |
131 to 132 |
Method used to establish the date of diagnosis |
TMETHUSED |
---|
T25 |
2 |
133 to 134 |
Diagnostic confirmation |
TMETHCONF |
---|
T26 |
8 |
135 to 142 |
Tumour date of transmission |
TDATTRAN |
---|
T27 |
3 |
143 to 145 |
CS tumour size |
TCSTSIZE |
---|
T28 |
3 |
146 to 148 |
CS extension |
TCSEXTN |
---|
T29 |
1 |
149 |
CS tumour size/ext eval |
TCSEVAL |
---|
T30 |
3 |
150 to 152 |
CS lymph nodes |
TCSLNODE |
---|
T31 |
1 |
153 |
CS lymph nodes eval |
TCSLNEVAL |
---|
T32 |
2 |
154 to 155 |
Regional nodes examined |
TCSRNEXAM |
---|
T33 |
2 |
156 to 157 |
Regional nodes positive |
TCSRNPOS |
---|
T34 |
2 |
158 to 159 |
CS mets at diagnosis |
TCSMDIAG |
---|
T35 |
1 |
160 |
CS mets evaluation |
TCSMEVAL |
---|
T36 |
3 |
161 to 163 |
CS site–specific factor 1 |
TCSSSF1 |
---|
T37 |
3 |
164 to 166 |
CS site–specific factor 2 |
TCSSSF2 |
---|
T38 |
3 |
167 to 169 |
CS site–specific factor 3 |
TCSSSF3 |
---|
T39 |
3 |
170 to 172 |
CS site–specific factor 4 |
TCSSSF4 |
---|
T40 |
3 |
173 to 175 |
CS site–specific factor 5 |
TCSSSF5 |
---|
T41 |
3 |
176 to 178 |
CS site–specific factor 6 |
TCSSSF6 |
---|
T42 |
9 |
179 to 187 |
AJCCclinical T |
TAJCCCLINT |
---|
T43 |
3 |
188 to 190 |
AJCC clinical N |
TAJCCCLINN |
---|
T44 |
3 |
191 to 193 |
AJCC clinical M |
TAJCCCLINM |
---|
T45 |
9 |
194 to 202 |
AJCC pathologic T |
TAJCCPATHT |
---|
T46 |
6 |
203 to 208 |
AJCC pathologic N |
TAJCCPATHN |
---|
T47 |
3 |
209 to 211 |
AJCC pathologic M |
TAJCCPATHM |
---|
T48 |
4 |
212 to 215 |
AJCC clinical TNM stage group |
TAJCCCLINSG |
---|
T49 |
4 |
216 to 219 |
AJCC pathologic TNM stage group |
TAJCCPATHSG |
---|
T50 |
4 |
220 to 223 |
AJCC TNM stage group |
TAJCCSG |
---|
T51 |
2 |
224 to 225 |
AJCC TNM edition number |
TAJCCEDNUM |
---|
T52 |
6 |
226 to 231 |
CS version input original |
TCSVERINORIG |
---|
T53 |
1 |
232 |
Ambiguous terminology diagnosis |
TAMBIGTERM |
---|
T54 |
8 |
233 to 240 |
Date of conclusive diagnosis |
TDATCONCLUSDIAG |
---|
T55 |
2 |
241 to 242 |
Type of multiple tumours reported as one primary |
TMULTTUMONEPRIM |
---|
T56 |
8 |
243 to 250 |
Date of multiple tumours |
TDATMULT |
---|
T57 |
2 |
251 to 252 |
Multiplicity counter |
TMULTCOUNT |
---|
T58 |
2 |
253 to 254 |
Date of diagnosis flag |
TDATDIAGFLAG |
---|
T59 |
2 |
255 to 256 |
Date of conclusive diagnosis flag |
TDATCONCLUSDIAGFLAG |
---|
T60 |
2 |
257 to 258 |
Date of multiple tumours flag |
TDATMULTFLAG |
---|
T61 |
1 |
259 |
Grade path value |
TGRADEPATHVAL |
---|
T62 |
1 |
260 |
Grade path system |
TGRADEPATHSYS |
---|
T63 |
1 |
261 |
Lymph-vascular invasion |
TLYMPHVASINV |
---|
T64 |
6 |
262 to 267 |
CS version input current |
TCSVERINCUR |
---|
T65 |
3 |
268 to 270 |
CS site-specific factor 7 |
TCSSSF7 |
---|
T66 |
3 |
271 to 273 |
CS site-specific factor 8 |
TCSSSF8 |
---|
T67 |
3 |
274 to 276 |
CS site-specific factor 9 |
TCSSSF9 |
---|
T68 |
3 |
277 to 279 |
CS site-specific factor 10 |
TCSSSF10 |
---|
T69 |
3 |
280 to 282 |
CS site-specific factor 11 |
TCSSSF11 |
---|
T70 |
3 |
283 to 285 |
CS site-specific factor 12 |
TCSSSF12 |
---|
T71 |
3 |
286 to 288 |
CS site-specific factor 13 |
TCSSSF13 |
---|
T72 |
3 |
289 to 291 |
CS site-specific factor 14 |
TCSSSF14 |
---|
T73 |
3 |
292 to 294 |
CS site-specific factor 15 |
TCSSSF15 |
---|
T74 |
3 |
295 to 297 |
CS site-specific factor 16 |
TCSSSF16 |
---|
T75 |
3 |
298 to 300 |
CS site-specific factor 17 |
TCSSSF17 |
---|
T76 |
3 |
301 to 303 |
CS site-specific factor 18 |
TCSSSF18 |
---|
T77 |
3 |
304 to 306 |
CS site-specific factor 19 |
TCSSSF19 |
---|
T78 |
3 |
307 to 309 |
CS site-specific factor 20 |
TCSSSF20 |
---|
T79 |
3 |
310 to 312 |
CS site-specific factor 21 |
TCSSSF21 |
---|
T80 |
3 |
313 to 315 |
CS site-specific factor 22 |
TCSSSF22 |
---|
T81 |
3 |
316 to 318 |
CS site-specific factor 23 |
TCSSSF23 |
---|
T82 |
3 |
319 to 321 |
CS site-specific factor 24 |
TCSSSF24 |
---|
T83 |
3 |
322 to 324 |
CS site-specific factor 25 |
TCSSSF25 |
---|
T84 |
1 |
325 |
CS Mets at Dx - Bone |
TCSMDXBONE |
---|
T85 |
1 |
326 |
CS Mets at Dx - Brain |
TCSMDXBRAIN |
---|
T86 |
1 |
327 |
CS Mets at Dx - Liver |
TCSMDXLIVER |
---|
T87 |
1 |
328 |
CS Mets at Dx - Lung |
TCSMDXLUNG |
---|
1.2.2 CCR fundamentals
Following is a list of fundamental rules and concepts that may help the Cancer Registries understand the constraints related to data submission to the CCR.
Submission
- Input record files must indicate coherent operations for related patient and tumour records.
- A PTCR can only report data for its jurisdiction.
Ownership
- A patient record is initially owned by its reporting province/territory. Its ownership may change through the internal record linkage process; if it is found that the same patient is owned by two provinces/territories, sole ownership of the patient record will be assigned to the province/territory which reported the latest tumour record.
- A tumour record is always owned by its reporting province/territory. The ownership of a tumour record never changes.
- A PTCR must own a patient or tumour record in order to update or delete it.
Integrity
- Every patient record must be associated with at least one tumour record from the same province/territory.
- Every tumour record must be associated with one patient record.
- The CCR contains only valid and coherent patient and tumour records. Consequently, invalid or incoherent records are rejected by the data editing process. As a temporary measure, invalid staging data (Collaborative Staging and/or AJCC TNM Staging) will not prevent valid core tumour fields from being loaded in the CCR database. In this case, invalid staging data will not be loaded but will be marked as being rejected in the CCR database.
Keys
- The Patient identification number (PIN) must be unique for each patient record from a given province/territory.
- Tumour reference number (TTRN) must be unique for a patient's tumour record from a given province/territory.
- CCR identification number ( CCR_ID) connects patient record to its related tumour records from any province/territory.
Scope
- Tumours outside the CCR core scope are not loaded.
- For a given patient record, duplicate tumours based on the CCR multiple primary tumour rules are not loaded.
- Collaborative staging data for tumours outside the CCR collaborative staging scope are not loaded.
- AJCC TNM staging data for tumours outside the CCR AJCC TNM staging scope are not loaded.
1.2.3 Reporting collaborative staging data
1.2.3.1 Typical cases
Case 1: Tumours outside the CCR collaborative staging scope (see section 1.1.2.2)
All corresponding variables (T27 to T41 and T52) must be left blank.
Case 2: Tumours within the CCR collaborative staging scope (see section 1.1.2.2)
- If the tumour has been staged using the collaborative staging schema, then all corresponding variables (T27 to T41 and T52) must be reported according to the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) available from the Collaborative Staging Task Force of the American Joint Committee on Cancer. Unknown variables must be coded using the proper CS schema specific 'Unknown' code.
- If the tumour has not been staged using the collaborative staging schema, then all corresponding variables (T27 to T41 and T52) must be coded using the proper CCR Specific 'Not Staged' code. Variables must not be left blank.
Table 6
CCR Specific 'Not Staged' codes
999 |
99
or
999 |
9 |
99
or
999 |
9 |
99 |
99 |
99 |
9 |
999 |
999 |
999 |
999 |
999 |
999 |
999999 |
1.2.4 Reporting AJCC TNM staging data (reported 2003 to 2007)
1.2.4.1 TNM staging overview
The AJCC TNM system is based on the assessment of the T, N, and M components and the assignment of a stage grouping. The structure of TNM varies from site to site. Recurrent tumours (prefix 'r') are not to be staged or submitted to the CCR.
T component
The T element designates the extent of the primary tumour (size or depth of invasion). The numerical subset increases with the progressive extent of the malignant disease. For example:
- Small lesion confined to the organ of origin would be coded as T1;
- Larger tumour size or deeper extension into adjacent structures, tissues, capsules, or ligaments as T2;
- Larger tumour size or extension beyond the organ of origin but confined to the region, T3;
- Massive lesion or one that directly invades another organ or viscera, major nerves, arteries, or bone as T4.
N component
The N component designates the presence or absence and extent of metastasis in the regional lymph nodes.
- In some sites, there is an increasing numerical value based on size, fixation, or capsular invasion.
- In other sites, the numerical value is based on multiple nodal involvement or number and location of the regional lymph nodes.
M component
The M component identifies the presence or absence of distant metastases, including lymph nodes that are not regional.
Stage group
The stage group is assigned using the table listed in the corresponding chapter of the AJCC Cancer staging manual. Stage 0 reflects minimal involvement, usually carcinoma in–situ, whereas Stage IV indicates either greatest tumour involvement or distant metastasis. Histologic grade and age may impact staging in certain sites.
Please refer to the breast, colorectal and prostate chapter specific guidelines in the
AJCC Cancer staging manual, sixth edition, as these take precedence over the general guidelines.
1.2.4.2 Typical cases
Case 1: Tumours outside the CCR AJCC TNM staging scope (see section 1.1.2.3).
All corresponding variables (T42 to T51) must be left blank.
Case 2: Tumours within the CCR AJCC TNM staging scope (see section 1.1.2.3).
- If the tumour has been staged using the AJCC TNM system then all corresponding variables (T42 to T51) must be reported according to the CCR data dictionary corresponding sections. Variables must not be left blank. Unknown variables must be coded using the proper 'Unknown' code.
- If the tumour has not been staged using the AJCC TNM staging system, then all corresponding variables (T42 to T51) must be coded using the proper CCR Specific 'Unknown'/'Not Staged' code (see table below). Variables must not be left blank.
Table 7
CCR Specific 'Unknown' or 'Not Staged' codes
99 |
99 |
99 |
99 |
99 |
99 |
99 |
99 |
99 |
00 |
1.2.4.3 Data quality
Stage group is "required" for all histology codes listed at the end of the applicable AJCC chapters, including the published (posted) AJCC errata. Cases meeting those requirements must have a clinical stage group (T47) and/or a pathological stage group (T48) and/or TNM stage group (T50) with a valid stage group as defined in the appropriate chapter of the AJCC Cancer staging manual, sixth edition. Unknown stage group will not prevent AJCC TNM staging data from being loaded in the CCR but will be reported through data quality reports.
The following table depicts which ICD–O–3 topography and histology codes require a stage group. All sites included in the following table are also included in the CCR AJCC TNM staging scope.
Table 8
ICD–O–3 Topography and histology codes that require at least one stage group
C18.0 to C18.9; C19.9; C20.9 |
8000 to 8002; 8004 to 8005; 8010; 8012 to 8013; 8020 to 8021; 8032; 8041 to 8045; 8050; 8070; 8140 to 8141; 8210; 8211; 8214 to 8215; 8220 to 8221; 8230; 8261 to 8263; 8480 to 8481; 8490; 8510; 8560; 8570 to 8571; 8935 to 8936 |
2, 3 |
C50.0 to C50.6, C50.8, C50.9 |
8010, 8020, 8070, 8140, 8200 to 8201, 8211, 8480, 8500 to 8503, 8510, 8520, 8522, 8530, 8540 to 8541, 8543, 8980, 9020 |
2, 3 |
C61.9 |
8010, 8041, 8070, 8074, 8082, 8098, 8120, 8140, 8148, 8200, 8260, 8480, 8490, 8500, 8550, 8560 |
3 |
Tumours within the CCR AJCC TNM staging scope but not listed in the above table may have unknown stage groups. These cases will not be reported through data quality reports.
1.2.4.4 Technical notes
Extra descriptors
As described on pages 7 and 8 of the AJCC Cancer staging manual, sixth edition, 2 prefixes and 1 suffix are used to identify special cases of TNM or TNM classifications.
Table 9
Descriptors used in AJCC Cancer staging manual, sixth edition
m - Multiple primary tumours in a single site: pT(m)NM |
|
These prefixes and suffixes do not affect the stage grouping but they identify pieces of information that require these cases to be analyzed separately. The staging implementation working group decided that the additional descriptors would not be collected in the CCR, as they could not be collected consistently across the country. Therefore, if a registry collects descriptors for an eligible staging record, corresponding variables must be reported without them.
Table
Assigning X
Primary Tumour cannot be assessed |
When the tumour is identified, but there is not enough information from clinical observation, imaging or microscopic depth of invasion, size, etc. to assign a value. This could also mean that the patient did not return for further workup or treatment. |
Regional Lymph nodes have not been or cannot be evaluated |
When initial resection takes place, but further workup or treatment is refused, the status of the regional lymph nodes is not available. |
Distant metastasis cannot be assessed |
When studies have not been performed to adequately assess the presence of metastases. |
May mean that the case cannot be stage grouped |
When there is at least one T, N or M component listed as 'X' but T, N, M components combination does not lead to a stage group. |
Prostate cases
If initial diagnosis is through biopsy, and then the patient is put on "watchful waiting" for a period of time, followed by a prostatectomy, then the date of diagnosis should be the date of the biopsy. If the intent of waiting is considered treatment, then the case can only be clinically staged, based on the biopsy information. This initial information can be used for clinical staging information, but there would not be a pathological stage available. This would then be listed with pathologic TNM values of 'X', since the information is not available.
If the intent of the waiting is for surgery, then the information from the prostatectomy can be used for pathologic staging, according to page 5 of the AJCC Cancer staging manual, sixth edition.
Adding a new patient and new tumours
- Submit one add patient record and one or more add tumour records.
- Use the same reporting province/territory and patient identification number on both input patient and tumour record to create the relationship.
- Do not provide any CCR identification number.
Adding new tumour(s) to existing patient
- Submit one or more add tumour records.
- Use the reporting province/territory, patient identification number and CCR identification number of the existing patient record in the CCR.
Updating an existing patient
- Submit one update patient record.
- Use the reporting province/territory, patient identification number and CCR identification number of the existing patient record to be updated.
Updating an existing tumour
- Submit one update tumour record.
- Use the reporting province/territory, patient identification number, tumour reference number and CCR identification number of the existing tumour record to be updated.
Deleting an existing patient
- Submit one delete patient record.
- Submit as many delete tumour records as there are tumour records with the same CCR identification number and reporting province/territory in the CCR.
- Use the reporting province/territory, patient identification number and CCR identification number of the existing patient record to be deleted on both delete patient and delete tumour records.
- All remaining fields must be left blank.
Deleting an existing tumour
- Submit one delete tumour record.
- Use the reporting province/territory, patient identification number, tumour reference number and CCR identification number of the existing tumour record to be deleted.
- All remaining fields must be left blank.
- Input patient variables
- Derived patient variables
- Input tumour variables
- Derived tumour variables
2.0.1 Input and derived variable fields
The following describes the various fields in the data dictionary for input patient, derived patient, input tumour and derived tumour variables:
Acronym for a variable name – Input patient variables begin with P and derived patient variables begin with PD. Input tumour variables begin with T and derived tumour variables begin with TD.
Description – A general description of the variable content. Provides additional information such as specific coding instructions; use of the variable; links to other variables; and coding sources.
Effective – Determines the reference years (for example, based on date of diagnosis, not collection date) when the variables are in effect and collected.
Length – The length of the variable in the record layout.
Format – Provides formatting details such as data positions and character specifications.
Used by – Field for derived patient and tumour variables only. Provides details about which process reads and/or writes the derived variable.
Specific values & meanings – Lists acceptable values and defines their meanings.
Related edits – Lists edits related to the variable. See Chapter 3 (Part II – CCR System Guide) for more details on the edits.
Revision – Provides historical detail on revisions performed on the variable. The year refers to the reference year (for example, based on date of diagnosis, not collection date).
The input patient variables are variables related to the patient and reported by the PTCR. Table 10 lists all the input patient variables and the following pages describe these variables in more detail.
For convenience, variables are presented in order by variable number. The reader can easily find the page corresponding to any variable by looking for the variable number in the title. For example, CCR identification number is described on page P3 – CCR identification number.
Table 10
List of input patient variables
Variable N° |
Variable |
Acronym |
---|
P1 |
Patient reporting province/territory |
PREPPROV |
---|
P2 |
Patient identification number |
PPIN |
---|
P3 |
CCR identification number |
CCR_ID |
---|
P4 |
Patient record type |
PRECTYPE |
---|
P5 |
Type of current surname |
PTYP_CUR |
---|
P6 |
Current surname |
PCURSNAM |
---|
P7 |
First given name |
PGNAME_1 |
---|
P8 |
Second given name |
PGNAME_2 |
---|
P9 |
Third given name |
PGNAME_3 |
---|
P10 |
Sex |
PSEX |
---|
P11 |
Date of birth |
PDATBIR |
---|
P12 |
Province/territory or country of birth |
PPROVBIR |
---|
P13 |
Birth surname |
PBIRNAM |
---|
P14 |
Date of death |
PDATDEA |
---|
P15 |
Province/territory or country of death |
PPROVDEA |
---|
P16 |
Death registration number |
PDEAREG |
---|
P17 |
Underlying cause of death |
PCAUSDEA |
---|
P18 |
Autopsy confirming cause of death |
PAUTOPSY |
---|
P19 |
Patient date of transmission |
PDATTRAN |
---|
P20 |
Date of birth flag |
PDATBIRFLAG |
---|
P21 |
Date of death flag |
PDATDEAFLAG |
---|
P1 – Patient reporting province/territory
Acronym: PREPPROV
Description: The Standard Geographic Code (SGC) of the PTCR submitting the patient record to the Canadian Cancer Registry (CCR).
Refer to Appendix T (Part II – CCR System Guide)– Residency guidelines in Canada for more details.
Effective: Reference year 1992 and onwards.
Length: 2
Table
Specific values and meaning (P1)
Newfoundland and Labrador |
Prince Edward Island |
Nova Scotia |
New Brunswick |
Quebec |
Ontario |
Manitoba |
Saskatchewan |
Alberta |
British Columbia |
Yukon |
Northwest Territories |
Nunavut |
Related edits: PVAL1, PCOR1, KIM1, KIM3, KIM4, KIM5, KBM1, KBM2, KBM4, DIM1, DIM2, DIM3, DIM4, DIM5, PPM1, PPM2.
Table
Revision (P1)
Related edits changed: See KIM4 and KBM4. |
Specific values & meaning: Addition of Nunavut code (62). |
P2 – Patient identification number
Acronym: PPIN
Description: The unique identification number assigned by the provincial/territorial registry to each new patient registered.
This field is part of StatistiCS Canada patient record key. It cannot be updated or reused.
Effective: Reference year 1992 and onwards.
Length: 12
Related edits: PVAL2, PCOR1, KIM1, KIM3, KIM4, KIM5, KBM1, KBM2, KBM4, DIM1, DIM2, DIM3, DIM4, DIM5, PPM1, PPM2.
Table
Revision (P2)
Acronym changed: Formerly known as PIN. Related edits changed: See PVAL2, KIM4 and KBM4. |
P3 – CCR identification number
Acronym: CCR_ID
Description: The unique number assigned by Statistics Canada to each new patient at the time of the initial registration in the CCR.
Effective: Reference year 1992 and onwards.
Length: 9
Format: It is composed of 3 parts:
Position 1–2: Last 2 digits of the year of CCR Processing Date
Position 3–8: Sequential number from 000001–999999.
Position 9: A check digit (See Appendix X (Part II - CCR System Guide) - CCR_ID check digit routine)
Related edits: PVAL3, PCOR1, KBM2, KBM4, DIM1, DIM2, DIM3, DIM4, DIM5, PPM1, PPM2.
Table
Revision(P3)
Related edits changed: See KBM4. |
P4 – Patient record type
Acronym: PRECTYPE
Description: The code which identifies the type of record submitted to the CCR.
This field will not be stored or returned by the CCR System.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (P4)
New record |
Update record |
Delete record |
Related edits: PVAL3, PVAL4, PVAL5, PVAL6, PVAL7, PVAL8, PVAL9, PVAL10, PVAL11, PVAL12, PVAL13, PVAL14, PVAL15, PVAL16, PVAL17, PVAL18, PCOR1, PCOR2, PCOR3, PCOR4, PCOR5, PCOR6, PCOR7, PCOR8, PCOR9, PCOR10, PCOR11, KIM3, KIM4, KIM5, KBM1, KBM2, DIM1, DIM2, DIM3, DIM4, DIM5, PPM1, PPM2.
Table
Revision (P4)
Specific values & meaning: Change of ownership record has been removed. Related edits changed: See PVAL6, PVAL12, PVAL14, PVAL15, PVAL17, PCOR2, PCOR7, PCOR9, PCOR10, PCOR11, KIM4 and KBM4. |
P5 – Type of current surname
Acronym: PTYP_CUR
Description: The code describing the type of surname currently used by the patient in field P6 – Current Surname.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (P5)
Current Surname unknown |
Birth Surname |
Other type of surname (for example, married name, legal change–of–name) |
Type of surname unknown |
Related edits: PVAL5, PCOR1, PCOR4, PCOR5.
Table
Revision (P6)
Not applicable |
P6 – Current surname
Acronym: PCURSNAM
Description: The legal surname currently used by the patient as reported by PTCR.
Effective: Reference year 1992 and onwards.
Length: 25
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII–7 bit character set ([A–Z]);
- Lowercase letters from ACSII–7 bit character set ([a–z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü);
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (–).
Related edits: PVAL6, PCOR1, PCOR4, PCOR5, PCOR6.
Table
Revision (P6)
Format: Acceptable characters are specified. |
Description: Current surname contains the value as reported by the PTCR. Standardized current surname is not kept in the CCR anymore. |
P7 – First given name
Acronym: PGNAME_1
Description: The first given name (or initial) currently used by the patient as reported by PTCR.
Effective: Reference year 1992 and onwards.
Length: 15
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII–7 bit character set ([A–Z]);
- Lowercase letters from ACSII–7 bit character set ([a–z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü)
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (–).
Related edits: PVAL7, PCOR1, PCOR2, PCOR3.
Table
Revision (P7)
Format: Acceptable characters are specified. |
Description: First given name contains the value as reported by the PTCR. Standardized first given name is not kept in the CCR anymore. |
P8 – Second given name
Acronym: PGNAME_2
Description: The second given name (or initial) currently used by the patient as reported by PTCR.
Effective: Reference year 1992 and onwards.
Length: 15
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII–7 bit character set ([A–Z]);
- Lowercase letters from ACSII–7 bit character set ([a–z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü)
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (–).
Related edits: PVAL8, PCOR1, PCOR2, PCOR3.
Table
Revision (P8)
Format: Acceptable characters are specified. |
Description: Second given name contains the value as reported by the PTCR. Standardized second given name is not kept in the CCR anymore. |
P9 – Third given name
Acronym: PGNAME_3
Description: The third given name (or initial) currently used by the patient as reported by PTCR.
Effective: Reference year 1992 and onwards.
Length: 7
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII–7 bit character set ([A–Z]);
- Lowercase letters from ACSII–7 bit character set ([a–z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü)
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (–).
Related edits: PVAL9, PCOR1, PCOR2, PCOR3
Table
Revision (P9)
Format: Acceptable characters are specified. |
Description: Third given name contains the value as reported by the PTCR. Standardized third given name is not kept in the CCR anymore. |
P10 – Sex
Acronym: PSEX
Description: The code that represents the sex of the patient.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (P10)
Male |
Female |
Sex unknown |
Related edits: PVAL10, PCOR1, PCOR2, DIM5.
Table
Revision (P10)
Related edits changed: see PCOR2. |
P11 – Date of birth
Acronym: PDATBIR
Description: The patient's date of birth represented by the year, month and day.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (P11)
Year of birth |
Year of birth unknown |
Table
MM (P11)
Month of birth (January – December) |
Month of birth unknown |
Table
DD (P11)
Day of birth |
Day of birth unknown |
Related edits: PVAL11, PVAL12, PCOR1, PCOR7, DIM1.
Table
Revision (P11)
Related edits changed: see PVAL12 and PCOR7. |
P12 – Province/territory or country of birth
Acronym: PPROVBIR
Description: The code created by the International Standards Organization1 (ISO) used to represent the patient's province/territory (if in Canada) or country (if outside Canada) of birth.
The location is coded according to geo–political boundaries at time of birth.
Effective: Reference year 1992 and onwards.
Length: 3
Table
Specific values & meaning (P12)
Province/territory or country of birth unknown. |
For Date of birth prior to year 1996, see Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible province/territory or country codes prior to 1996. For Date of birth in 1996 and onwards, see Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible province/territory or country codes in 1996 and after. |
Related edits: PVAL12, PCOR1.
Table
Revision (P12)
Related edits changed: see PVAL12. |
Specific values & meaning: new province/territory and country codes list added for date of birth in 1996 and onwards. |
P13 – Birth surname
Acronym: PBIRNAM
Description: The legal surname or family/last name under which the patient was registered at birth as reported by PTCR.
Effective: Reference year 1992 and onwards.
Length: 25
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII–7 bit character set ([A–Z]);
- Lowercase letters from ACSII–7 bit character set ([a–z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü)
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (–).
Related edits: PVAL13, PCOR1, PCOR5, PCOR6
Table
Revision (P13)
Format: Acceptable characters are specified. |
Description: Birth surname contains the value as reported by the PTCR. Standardized birth surname is not kept in the CCR anymore. |
P14 – Date of death
Acronym: PDATDEA
Description: The patient's date of death represented by the year, month and day.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (P14)
Patient is not known to have died |
Year of death |
Year of death unknown |
Table
MM (P14)
Patient is not known to have died |
Month of death (January – December) |
Month of death unknown |
Table
DD (P14)
Patient is not known to have died |
Day of death |
Day of death unknown |
Related edits: PVAL14, PVAL15, PVAL17, PCOR1, PCOR7, PCOR8, PCOR10, DIM2, DIM3, DIM4.
Table
Revision (P14)
Related edits changed: See PVAL15, PVAL17 and PCOR7. |
P15 – Province/territory or country of death
Acronym: PPROVDEA
Description: The code created by the International Standards Organization2 (ISO) used to represent the patient's province/territory (if in Canada) or country (if outside Canada) of death.
The location is coded according to geo–political boundaries at time of death.
Effective: Reference year 1992 and onwards.
Length: 3
Specific values & meaning (P15)
Patient is not known to have died |
Province/territory or country of death unknown |
For Date of death prior to year 1996, see Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible province/territory or country codes before 1996. For Date of death in 1996 and onwards, see Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible province/territory or country codes in 1996 and after. |
Related edits: PVAL15, PCOR1, PCOR8, PCOR9.
Revision (P15)
Related edits changed: See PVAL15 and PCOR9. |
Specific values & meaning: new province/territory and country codes list added for Date of death in 1996 and onwards. |
P16 – Death registration number
Acronym: PDEAREG
Description: The registration number found on the official death certificate issued by the Canadian province/territory in which the patient died (see P15 – Province/territory or country of death).
Effective: Reference year 1992 and onwards.
Length: 6
Specific values & meaning (P16)
Patient is not known to have died |
Patient died outside of Canada |
Patient died: death registration number is unknown |
Valid registration numbers |
Related edits: PVAL16, PCOR1, PCOR8, PCOR9, PCOR10, PCOR11
Revision (P16)
Related edits changed: See PCOR9, PCOR10 and PCOR11. |
P17 – Underlying cause of death
Acronym: PCAUSDEA
Description: The code that represents the patient's underlying cause of death, as determined by the Vital Statistics office from the official death certificate and reported to the CCR by the provincial/territorial Cancer Registry (PTCR).
The underlying cause of death is defined as: 'the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury'. It is coded using the International Classification of Diseases, 9th Revision (ICD–9) or International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD-10), depending on the Date of death.
See also PD7 – Death clearance underlying cause of death.
Effective: Reference year 1992 and onwards.
Length: 4
Format: The code must not contain any periods (.).
Specific values & meaning (P17)
Patient is not known to have died |
Unknown/unavailable underlying cause of death |
For Date of death prior to year 2000, refer to Appendix A (Part III – CCR System Guide) – Core reference tables - Eligible ICD-9 underlying cause of death codes for exact meaning. For Date of death between 2000 and 2002, refer to Appendix A (Part III – CCR System Guide) – Core reference tables - Eligible ICD-10 underlying cause of death codes from 2000 to 2002 for exact meaning. For Date of death in 2003 and onwards, refer to Appendix A (Part III – CCR System Guide) – Core reference tables - Eligible ICD-10 underlying cause of death codes in 2003 and after for exact meaning. |
Related edits: PVAL17, PCOR1, PCOR8, PCOR11.
Revision (P17)
Related edits changed: See PVAL17 and PCOR11. |
Specific values & meaning: ICD-10 Cause of death codes added. |
P18 – Autopsy confirming cause of death
Acronym: PAUTOPSY
Description: The code indicating whether the cause of death from the official death certificate takes account of autopsy findings.
See Appendix I (Part II – CCR System Guide) – Guidelines for abstracting and determining DCO cases for PTCRs in Canada for more details.
Effective: Reference year 1992 and onwards.
Length: 1
Specific values & meaning (P18)
Patient is not known to have died |
Autopsy held - results taken into account by the stated cause of death |
Autopsy held - results not taken into account by the stated cause of death |
No autopsy/unknown autopsy/do not know if autopsy results have been taken into account by the stated cause of death |
Related edits: PVAL18, PCOR1, PCOR8.
Revision (P18)
Not applicable |
P19 – Patient date of transmission
Acronym: PDATTRAN
Description: The date on which a copy of the patient record was extracted from the provincial/territorial registry for submission to the CCR.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Specific values & meaning
YYYY (P19)
Year of transmission |
Table
MM (P19)
Month of transmission (January – December) |
DD(P19)
Day of transmission |
Related edits: PVAL14, PVAL19, PCOR7
Table
Revision (P19)
Acronym changed: Formerly known as PDATTRA2. Related edits changed: See PVAL14 and PCOR7. |
P20 –Date of birth flag
Acronym: PDATBIRFLAG
This flag explains why no appropriate value is in the field, Date of birth.
Prior to 2010, date fields included codes that provided information other thandates. As part of an initiative to standardize date fields, new fields were introduced to accommodate non-date information that had previously been transmitted in date fields.
This is part of the initiative of the transformation from the old date standards to interoperable dates (NAACCR standards).
The complete flavours of null table (appendix K – Part II – CCR system Guide), includes the NAACCR codes, HL7 codes and definitions. Use code 12 when date of birth is unknown.
Effective: Reference year 2010 and onwards.
Length: 2
Table
Specific values & meaning (P20)
Related edits: PVAL20
Table
Revision (P20)
New Variable must be reported. |
P21 –Date of death flag
Acronym: PDATDEAFLAG
Description: This flag explains why no appropriate value is in the corresponding field, Date of Death.
Prior to 2010, date fields included codes that provided information other than dates. As part of an initiative to standardize date fields, new fields were introduced to accommodate non-dateinformation that had previously been transmitted in date fields.
This is part of the initiative of the transformation from the old date standards to interoperable dates (NAACCR standards).
The complete flavours of null table (appendix K – Part II – CCR system Guide), includes the NAACCR codes, HL7 codes and definitions. Use code 12 when date of death is unknown.
Effective: Reference year 2010 and onwards.
Length: 2
Table
Specific values & meaning (P21)
Related edits: PVAL21
Table
Revision (P21)
New Variable must be reported. |
2.2 Derived patient variables
The derived patient variables are variables related to the patient and copied/derived/calculated by the CCR system through various processes such as data loading, record linkage, death clearance and tabulation master file creation. Table 11 lists all the derived patient variables; the following pages describe these variables in more detail.
For convenience, variables are presented in order by variable number. The reader can easily find the page corresponding to any variable by looking for the variable number in the title. For example, Vital status is described on page PD2 – Vital status.
Table 11
List of Derived patient variables
Variable N° |
Variable |
Acronym |
---|
PD1 |
Processing Date – patient record |
PDCCRDATPROC |
---|
PD2 |
Vital status |
PDCCRVITALST |
---|
PD3 |
Number of tumours |
PDCCRNBRTMRS |
---|
PD4 |
Death clearance cut off date |
PDDCDATCO |
---|
PD5 |
Death clearance status |
PDDCSTAT |
---|
PD6 |
Death clearance method |
PDDCMETH |
---|
PD7 |
Death clearance underlying cause of death |
PDDCUCD |
---|
PD8 |
Date of death (un) confirmation |
PDDCDATCN |
---|
PD1 – Processing date – patient record
Acronym: PDCCRDATPROC
Description: The date of the last action taken against the patient record by Statistics Canada.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Used by (PD1)
No |
Yes* |
No |
Yes* |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning
YYYY (PD1)
Year of the last action |
Table
MM (PD1)
Month of the last action (January – December) |
Table
DD (PD1)
Day of the last action |
Table
Revision (PD1)
Acronym changed: Formerly known as PDATPROC. |
PD2 – Vital status
Acronym: PDCCRVITALST
Description: The code indicating whether the patient is alive or deceased.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Used by (PD2)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (PD2)
The patient is not known to have died |
The patient is deceased |
Table
Revision (PD2)
Used by: PD2 is now being written at the Tabulation master file process |
Acronym changed: Formerly known as PVITALST |
PD3 – Number of tumours
Acronym: PDCCRNBRTMRS
Description: The number of tumour records belonging to the patient record.
Note: The number of tumours may change depending on the Multiple primary rules used (CCR or IARC). As of 2007 the CCR has adopted SEER rules.
Effective: Reference year 1992 and onwards.
Length: 2
Table
Used by (PD3)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (PD3)
The number of tumours the patient has at the time of the TMF creation. |
The Patient has more than 99 tumours at the time of the TMF creation. |
Table
Revision (PD3)
Acronym changed: Formerly known as PNBRTMRS. |
PD4 – Death clearance cut-off date
Acronym: PDDCDATCO
Description: The date of the latest death event (based on the Canadian Vital Statistics death database) considered during the death clearance process.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Used by (PD4)
No |
Yes* |
No |
No |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning
YYYY (PD4)
Patient never underwent Death clearance. |
Latest registration year for which the record was matched against the Canadian Vital Statistics death database. |
Table
MM (PD4)
Patient never underwent Death clearance. |
The month of the date described above (January – December). |
Table
DD (PD4)
Patient never underwent Death clearance. |
The day of the date described above. |
Table
Revision (PD4)
Description: Updated. |
Acronym changed: Formerly known as PDCDATCO. |
PD5 – Death clearance status
Acronym: PDDCSTAT
Description: The code indicating whether the record has ever participated in Death clearance and its current status with respect to provincial/territorial actions.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Used by (PD5)
No |
Yes* |
No |
No |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning (PD5)
Patient record never underwent Death clearance |
Patient record underwent Death clearance - not confirmed as dead |
Patient record underwent Death clearance - confirmed as dead |
Patient record no longer confirmed as dead - PTCR has changed the Date of death, province/territory or country of death or Death registration number |
Patient record no longer confirmed as dead - decision rejected by PTCR |
Table
Revision (PD5)
Acronym changed: Formerly known as PDCSTAT |
PD6 – Death clearance method
Acronym: PDDCMETH
Description: The code indicating the method used during the Death clearance process to confirm the patient death.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Used by (PD6)
No |
Yes* |
No |
No |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning (PD6)
Patient never underwent Death clearance or patient not confirmed as dead |
Match: Identical information on Date of death, province/territory or country of death, Death registration number, sex and date of Birth (year and month only) |
Probabilistic linkage |
Inactive default: province/territory reported death information, with no confirmation - record has been inactive for 5 years |
Age Default: Age > 117 years |
Table
Revision (PD6)
Acronym changed: Formerly known as PDCMETHD |
PD7 – Death clearance underlying cause of death
Acronym: PDDCUCD
Description: The code reported to Statistics Canada that represents the patient's underlying cause of death, as determined by the Vital Statistics office from the official death certificate.
The underlying cause of death is defined as: 'the disease or injury which initiated the train of morbid events leading directly to death, or the circumstances of the accident or violence which produced the fatal injury'. It is coded using the International Classification of Diseases, 9th Revision (ICD–9) or International Statistical Classification of Diseases and Related Health Problems, 10th Revision (ICD–10), depending on the Date of death.
Effective: Reference year 1992 and onwards.
Length: 4
Table
Used by (PD7)
No |
Yes* |
No |
No |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning (PD7)
Patient record never underwent Death clearance or not confirmed as deceased. (Default value) |
For Date of death prior to year 2000, refer to Appendix A (Part III– CCR System Guide) – Core reference tables - Eligible ICD-9 underlying cause of death codes for exact meaning. For Date of death between 2000 and 2002, refer to Appendix A (Part III– CCR System Guide) – Core reference tables - Eligible ICD-10 underlying cause of death codes from 2000 to 2002 for exact meaning. For Date of death in 2003 and onwards, refer to Appendix A (Part III– CCR System Guide) – Core reference tables - Eligible ICD-10 underlying cause of death codes in 2003 and after for exact meaning. |
Table
Revision (PD7)
Acronym changed: Formerly known as PDDCCMDBUCD. |
Acronym changed: Formerly known as PMDBUCOD. |
PD8 – Date of death (un) confirmation
Acronym: PDDCDATCN
Description: The date on which:
A patient was confirmed as being deceased during Death clearance processing, or
A PTCR revoked the Death clearance of a record: the CCR decision was rejected, or
A PTCR changed some death information: Date of death, province/territory or country of death or Death registration number.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Used by (PD8)
No |
Yes* |
No |
No |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning
YYYY (PD8)
Patient record never underwent Death clearance or not confirmed as deceased. |
The year of date described above. |
Table
MM (PD8)
Patient record never underwent Death clearance or not confirmed as deceased. |
The month of the date described above (January – December). |
Table
DD (PD8)
Patient record never underwent Death clearance or not confirmed as deceased. |
The day of the date described above. |
Table
Revision (PD8)
Acronym changed: Formerly known as PDCDATCN. |
2.3 Input tumour variables
The input tumour variables are variables related to the tumour and reported by the PTCR. Table 12 lists all the input tumour variables; the following pages describe these variables in more details.
For convenience, variables are presented in order by variable number. The reader can easily find the page corresponding to any variable by looking for the variable number in the title. For example, CCR identification number is described on page T4 – CCR identification number.
Table 12
List of Input tumour variables
Variable N° |
Variable |
Acronym |
---|
T1 |
Tumour reporting province/territory |
TREPPROV |
---|
T2 |
Tumour patient identification number |
TPIN |
---|
T3 |
Tumour reference number |
TTRN |
---|
T4 |
CCR identification number |
CCR_ID |
---|
T5 |
Tumour record type |
TRECTYPE |
---|
T6 |
Name of place of residence |
TPLACRES |
---|
T7 |
Postal code |
TPOSTCOD |
---|
T8 |
Standard geographic code |
TCODPLAC |
---|
T9 |
Census tract |
TCENTRAC |
---|
T10 |
Health insurance number |
THIN |
---|
T11 |
Method of diagnosis |
TMETHDIAG |
---|
T12 |
Date of diagnosis |
TDATDIAG |
---|
T13 |
ICD–9 cancer code |
TICD_9 |
---|
T14 |
Source classification flag |
TSCF |
---|
T15 |
ICD–O–2/3 Topography |
TICD_O2T |
---|
T16 |
ICD–O–2 Histology |
TICD_O2H |
---|
T17 |
ICD–O–2 Behaviour |
TICD_O2B |
---|
T18 |
Not used |
Not applicable |
---|
T19 |
Laterality |
TLATERAL |
---|
T20 |
Not used |
Not applicable |
---|
T21 |
ICD–O–3 Histology |
TICD_O3H |
---|
T22 |
ICD–O–3 Behaviour |
TICD_O3B |
---|
T23 |
Grade, differentiation or cell indicator |
TGRADE |
---|
T24 |
Method used to establish the date of diagnosis |
TMETHUSED |
---|
T25 |
Diagnostic confirmation |
TMETHCONF |
---|
T26 |
Tumour date of transmission |
TDATTRAN |
---|
T27 |
CS tumour size |
TCSTSIZE |
---|
T28 |
CS extension |
TCSEXTN |
---|
T29 |
CS tumour size/ext eval |
TCSEVAL |
---|
T30 |
CS lymph nodes |
TCSLNODE |
---|
T31 |
CS lymph nodes eval |
TCSLNEVAL |
---|
T32 |
Regional nodes examined |
TCSRNEXAM |
---|
T33 |
Regional nodes positive |
TCSRNPOS |
---|
T34 |
CS mets at Dx |
TCSMDIAG |
---|
T35 |
CS mets eval |
TCSMEVAL |
---|
T36 |
CS site-specific factor 1 |
TCSSSF1 |
---|
T37 |
CS site-specific factor 2 |
TCSSSF2 |
---|
T38 |
CS site-specific factor 3 |
TCSSSF3 |
---|
T39 |
CS site-specific factor 4 |
TCSSSF4 |
---|
T40 |
CS site-specific factor 5 |
TCSSSF5 |
---|
T41 |
CS site-specific factor 6 |
TCSSSF6 |
---|
T42 |
AJCC clinical T |
TAJCCCLINT |
---|
T43 |
AJCC clinical N |
TAJCCCLINN |
---|
T44 |
AJCC clinical M |
TAJCCCLINM |
---|
T45 |
AJCC pathologic T |
TAJCCPATHT |
---|
T46 |
AJCC pathologic N |
TAJCCPATHN |
---|
T47 |
AJCC pathologic M |
TAJCCPATHM |
---|
T48 |
AJCC clinical TNM stage group |
TAJCCCLINSG |
---|
T49 |
AJCC pathologic TNM stage group |
TAJCCPATHSG |
---|
T50 |
AJCC TNM stage group |
TAJCCSG |
---|
T51 |
AJCC TNM edition number |
TAJCCEDNUM |
---|
T52 |
CS Version input original |
TCSVERINORIG |
---|
T53 |
Ambiguous Terminology Diagnosis |
TAMBIGTERM |
---|
T54 |
Date of Conclusive Diagnosis |
TDATCONCLUSDIAG |
---|
T55 |
Type of Multiple Tumours Reported as One Primary |
TMULTTUMONEPRIM |
---|
T56 |
Date of Multiple Tumours |
TDATMULT |
---|
T57 |
Multiplicity Counter |
TMULTCOUNT |
---|
T58 |
Date of diagnosis flag |
TDATDIAGFLAG |
---|
T59 |
Date of conclusive diagnosis flag |
TDATCONCLUSDIAGFLAG |
---|
T60 |
Date of multiple tumours flag |
TDATMULTFLAG |
---|
T61 |
Grade Path Value |
TGRADEPATHVAL |
---|
T62 |
Grade Path System |
TGRADEPATHSYS |
---|
T63 |
Lymph-vascular invasion |
TLYMPHVASINV |
---|
T64 |
CS Version input current |
TCSVERINCUR |
---|
T65 |
CS Site-specific factor 7 |
TCSSSF7 |
---|
T66 |
CS Site-specific factor 8 |
TCSSSF8 |
---|
T67 |
CS Site-specific factor 9 |
TCSSSF9 |
---|
T68 |
CS Site-specific factor 10 |
TCSSSF10 |
---|
T69 |
CS Site-specific factor 11 |
TCSSSF11 |
---|
T70 |
CS Site-specific factor 12 |
TCSSSF12 |
---|
T71 |
CS Site-specific factor 13 |
TCSSSF13 |
---|
T72 |
CS Site-specific factor 14 |
TCSSSF14 |
---|
T73 |
CS Site-specific factor 15 |
TCSSSF15 |
---|
T74 |
CS Site-specific factor 16 |
TCSSSF16 |
---|
T75 |
CS Site-specific factor 17 |
TCSSSF17 |
---|
T76 |
CS Site-specific factor 18 |
TCSSSF18 |
---|
T77 |
CS Site-specific factor 19 |
TCSSSF19 |
---|
T78 |
CS Site-specific factor 20 |
TCSSSF20 |
---|
T79 |
CS Site-specific factor 21 |
TCSSSF21 |
---|
T80 |
CS Site-specific factor 22 |
TCSSSF22 |
---|
T81 |
CS Site-specific factor 2 |
TCSSSF23 |
---|
T82 |
CS Site-specific factor 24 |
TCSSSF24 |
---|
T83 |
CS Site-specific factor 25 |
TCSSSF25 |
---|
T84 |
CS Mets at Dx - Bone |
TCSMDXBONE |
---|
T85 |
CS Mets at Dx - Brain |
TCSMDXBRAIN |
---|
T86 |
CS Mets at Dx - Liver |
TCSMDXLIVER |
---|
T87 |
CS Mets at Dx - Lung |
TCSMDXLUNG |
---|
T1 – Tumour reporting province/territory
Acronym: TREPPROV
Description: The Standard geographic code (SGC) of the province/territory submitting the Tumour record to the CCR at time of diagnosis.
Refer to Appendix T (Part II – CCR System Guide) – Residency guidelines in Canada for more details.
Effective: Reference year 1992 and onwards.
Length: 2
Table
Specific values & meaning (T1)
Newfoundland and Labrador |
Prince Edward Island |
Nova Scotia |
New Brunswick |
Quebec |
Ontario |
Manitoba |
Saskatchewan |
Alberta |
British Columbia |
Yukon |
Northwest Territories |
Nunavut |
Related edits: TVAL1, TCOR1, TCOR4, KIM2, KIM3, KIM4, KIM5, KBM3, KBM4, KBM5, DIM1, DIM2, DIM3, DIM4, DIM5, DIM6, PPM1, PPM2.
Table
Revision (T1)
Related edits changed: See KIM4, KBM4 and DIM6. |
Specific values & meaning: Addition of Nunavut code (62). |
T2 – Tumour patient identification number
Acronym: TPIN
Description: The unique identification number assigned by the provincial/territorial registry to each new patient registered.
This field is part of Statistics Canada Tumour record key. It cannot be updated or reused.
Effective: Reference year 1992 and onwards.
Length: 12
Related edits: TVAL2, TCOR1, KIM2, KIM3, KIM4, KIM5, KBM3, KBM4, KBM5, DIM1, DIM2, DIM3, DIM4, DIM5, DIM6, PPM1, PPM2.
Table
Revision (T2)
Acronym changed: Formerly known as PIN. Related edits changed: See TVAL2, KIM4, KBM4 and DIM6. |
T3 – Tumour reference number
Acronym: TTRN
Description: The unique identification number assigned by the provincial/territorial cancer registry, as a reference, to each new tumour reported to the CCR. This field is part of Statistics Canada Tumour record key. It cannot be updated or reused.
It cannot be updated or reused.
Effective: Reference year 1992 and onwards.
Length: 9
Related edits: TVAL3, TCOR1, KIM2, KBM3, KBM5, DIM1, DIM2, DIM3, DIM4, DIM5, DIM6.
Table
Revision (T3)
Related edits changed: See TVAL3 and DIM6. |
T4 – CCR identification number
Acronym: CCR_ID
Description:The unique number assigned by Statistics Canada to each new patient at the time of the initial registration in the CCR.
It is used to link tumours with the corresponding patient. (P3 – CCR identification number)
Effective: Reference year 1992 and onwards.
Length: 9
Format:
It is composed of three parts:
- Position 1–2: Last two digits of the year of the CCR Processing Date
- Position 3–8: Sequential number from 000001–999999
- Position 9: A check digit (See Appendix X (Part II– CCR System Guide) – CCR ID check digit routine)
Related edits: TVAL4, TCOR1, KIM3, KIM5, KBM4, KBM5, DIM1, DIM2, DIM3, DIM4, DIM5, DIM6, PPM1, PPM2.
Table
Revision (T4)
Format: Format of variable specified. |
Related edits changed: See KBM4 and DIM6. |
T5 – Tumour record type
Acronym: TRECTYPE
Description: The code which identifies the type of record submitted to the CCR.
This field will not be stored or returned by the CCR System.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (T5)
New record |
Update record |
Delete record |
Related edits:TVAL5, TVAL6, TVAL7, TVAL8, TVAL9, TVAL10, TVAL11, TVAL12, TVAL13, TVAL14, TVAL15, TVAL16, TVAL17, TVAL19, TVAL21, TVAL22, TVAL23, TVAL24, TVAL25, TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TVAL52, TVAL53, TVAL54, TVAL55, TVAL56, TVAL57, TVAL58, TVAL59, TVAL60, TVAL61, TVAL62, TVAL63, TVAL64, TVAL65, TVAL66, TVAL67, TVAL68, TVAL69, TVAL70, TVAL71, TVAL72, TVAL73, TVAL74, TVAL75, TVAL76, TVAL77, TVAL78, TVAL79, TVAL80, TVAL81, TVAL82, TVAL83, TCOR1, TCOR2, TCOR3, TCOR4, TCOR5, TCOR6, TCOR7, TCOR9, TCOR10, TCOR11, TCOR12, TCOR13, TCOR14, TCOR15, TCOR16, TCOR17, TCOR18, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24, TCOR26, TCOR27, TCOR29, TCOR30, TCOR31, TCOR32, TCOR33, TCOR34, TCOR35, TCOR36, TCOR37, KIM3, KIM4, KIM5, KBM3, KBM4, KBM5, DIM1, DIM2, DIM3, DIM4, DIM5, DIM6, PPM1, PPM2.
Table
Revision (T5)
Related edits changed: See TVAL58, TVAL59, TVAL60, TVAL61, TVAL62, TVAL63, TVAL64, TVAL65, TVAL66, TVAL67, TVAL68, TVAL69, TVAL70, TVAL71, TVAL72, TVAL73, TVAL74, TVAL75, TVAL76, TVAL77, TVAL78, TVAL79, TVAL80, TVAL81, TVAL82, TVAL83, TCOR36, and TCOR37 |
Related edits changed: See TVAL53, TVAL54, TVAL55, TVAL56, TVAL57, TCOR26, TCOR27, TCOR29, TCOR30, TCOR31, TCOR32, TCOR33, TCOR34, TCOR35 |
Related edits changed: See TVAL52 and TCOR13 |
Related edits changed: See TVAL18, TVAL20, TVAL23, TVAL27, TCOR1, TCOR5, TCOR6, TCOR7, TCOR9, TCOR10, TCOR11, TCOR12, TCOR14, TCOR15, TCOR16, TCOR17, KIM4, KBM1, KBM4 and DIM6. |
T6 – Name of place of residence
Acronym: TPLACRES
Description: The name of the city, town, village, reserve, etc. of the patient's usual permanent place of residence at time of diagnosis.
Refer to Appendix T (Part II– CCR System Guide) – Residency guidelines in Canada for more details.
Effective: Reference year 1992 and onwards.
Length: 25
Format: Acceptable characters are limited to:
- Uppercase letters from ACSII-7 bit character set ([A-Z]);
- Lowercase letters from ACSII-7 bit character set ([a-z]);
- Accented characters (Â À Ç É Ê Ë È Î Ï Ô Û Ü â à ç é ê ë è î ï ô û ü)
- Special characters:
- Spaces ( );
- Periods (.);
- Apostrophes (');
- Hyphens (-);
- Exclamation mark (!);
- Ampersand (&);
- Forward slash (/);
- Parentheses ("and");
- Number sign (#);
- Comma (,).
Related edits: TVAL6 and TCOR1.
Table
Revision (T6)
Format: Acceptable characters are specified. |
T7 – Postal code
Acronym: TPOSTCOD
Description: The Canadian postal code of the patient's usual permanent place of residence at time of diagnosis.
Effective: Reference year 1992 and onwards.
Length: 6
Table
Specific values & meaning (T7)
Postal code unknown |
Postal code |
Related edits: TVAL7, TCOR1 and TCOR2
Table
Revision (T7)
Not applicable |
T8 – Standard geographic code
Acronym: TCODPLAC
Description: The Standard geographic code of the patient's usual permanent place of residence at time of diagnosis.
It is coded using Standard geographic classification (SGC) - 1991, 1996, 2001 or 2006 depending on the Date of diagnosis.
Effective: Reference year 1992 and onwards.
Length: 7
Format: PRCDCSD where PR (2 first digits) is the Province code, CD (3rd and 4th digits) is the Census division code and CSD (3 last digits) is the Census subdivision code.
Table
Specific values & meaning (T8)
Newfoundland and Labrador |
Prince Edward Island |
Nova Scotia |
New Brunswick |
Quebec |
Ontario |
Manitoba |
Saskatchewan |
Alberta |
British Columbia |
Yukon |
Northwest Territories |
Nunavut |
Table
CD (T8)
Unknown Census division |
For Date of diagnosis between 1992 and 1995, refer to Appendix A (Part III– CCR System Guide )– Core reference tables – Eligible standard geographic classification codes from 1992 to 1995 for meaning. For Date of diagnosis between 1996 and 2000, refer to Appendix A (Part III– CCR System Guide)– Core reference tables – Eligible standard geographic classification codes from 1996 to 2000 for meaning. For Date of diagnosis between 2001 and 2005, refer to Appendix A (Part III– CCR System Guide) – Core reference tables – Eligible standard geographic classification codes from 2001 to 2005 for meaning. For Date of Diagnosis between 2006 and 2010, refer to Appendix A (Part III– CCR System Guide) – Core Reference Tables – Eligible Standard Geographic Classification Codes from 2006 to 2010 for meaning. |
Table
CSD (T8)
Unknown Census subdivision |
For Date of diagnosis between 1992 and 1995, refer to Appendix A (Part III– CCR System Guide ) – Core reference tables – Eligible standard geographic classification codes from 1992 to 1995 for meaning. For Date of diagnosis between 1996 and 2000, refer to Appendix A (Part III– CCR System Guide) – Core reference tables – Eligible standard geographic classification codes from 1996 to 2000 for meaning. For Date of diagnosis between 2001 and 2005, refer to Appendix A (Part III– CCR System Guide) – Core reference tables – Eligible standard geographic classification codes from 2001 to 2005 for meaning. For Date of Diagnosis between 2006 and 2010, refer to Appendix A (Part III– CCR System Guide) – Core Reference Tables – Eligible Standard Geographic Classification Codes from 2006 to 2010 for meaning. |
Related edits: TVAL8, TCOR1, TCOR2, TCOR3, TCOR4.
Table
Revision (T8)
Specific values & meaning: SGC – 2006 added. |
Specific values & meaning: SGC – 2001 added. |
Specific values & meaning: SGC – 1996 added. |
T9 – Census tract
Acronym: TCENTRAC
Description: The geostatistical area of the patient's usual permanent place of residence at time of diagnosis.
Census tracts are found only in large urban communities and contain populations ranging from 2500 to 8000, with an average of 4000. They are designed as being as homogeneous as possible in terms of economic status and social conditions. All Census metropolitan areas (CMA) and Census agglomerations (CA), containing a Census subdivision (that is, a city) having a population of at least 50000, are eligible to have Census tracts.
It is coded using Census tract dictionary – 1991, 1996 or 2001 depending on the Date of diagnosis.
Effective: Reference year 1992 to 2005.
Length: 9
Format: For cases diagnosed in 2006 and onwards, leave the field blank.
For cases diagnosed between 1992 and 2005, enter a value using the CMACCC.TT format where CMA (3 first digits) is the Census metropolitan area/Census agglomeration and CCC.TT (6 last digits) is the Census tract.
Table
Specific values & meaning (T9)
For cases outside the effective date range (for example, cases diagnosed in 2006 and onwards) |
Place of residence not in a Census tract |
Census tract unknown/incomplete address |
For Date of diagnosis between 1992 and 1995, refer to Census tract dictionary – 1991³ for meaning. For Date of diagnosis between 1996 and 2000, refer to Census tract dictionary – 1996³ for meaning. For Date of diagnosis between 2001 and 2005, refer to Census tract dictionary – 2001³ for meaning. |
Related edits: TVAL9, TCOR1, TCOR3.
Table
Revision (T9)
Effective dates: Field is only effective for reference years 1992 to 2005. For 2006 cases and onwards, this field will be reported as blank (null). Census tract was removed for all cases diagnosed in 2006. Specific values & meaning: Null (blank) value added. |
Specific values & meaning: Census tract dictionary – 2001 added. |
Specific values & meaning: Census tract dictionary – 1996 added. |
T10 – Health insurance number
Acronym: THIN
Description: The patient's provincial/territorial health insurance number at time of diagnosis.
Effective: Reference year 1992 and onwards.
Length: 15
Table
Specific values & meaning (T10)
Unknown |
Health insurance number |
Related edits: TVAL10, TCOR1.
Table
Revision (T10)
Not applicable |
T11 – Method of diagnosis
Acronym: TMETHDIAG
Description: The code that represents the most definitive procedure by which the tumour was diagnosed.
In general, the method of diagnosis should be based on the method by which the earliest microscopic date of diagnosis was determined. The method should be based on the status before any treatment other than surgery is given.
It is not linked to the Date of diagnosis.
Effective: Reference year 1992 to 2003.
Length: 1
Table
Specific values & meaning (T11)
For Date of diagnosis in 2004 and onward.
Method of diagnosis reported in Input tumour variables:
- T24 – Method used to establish the date of diagnosis and;
- T25 – diagnostic confirmation.
|
Histology |
Autopsy |
Cytology |
Radiology or laboratory diagnosis other than specified above |
Surgery (without histology), or clinical diagnosis |
Death certificate only4 |
Method of diagnosis unknown |
Related edits: TVAL11, TCOR1, TCOR14, DIM3.
Table
Revision (T11)
Acronym changed: Formerly known as TMETDIAG. Specific values & meaning: Code added (0) to handle Date of Diagnosis in 2004 and onwards. Related edits changed: See TCOR14. |
T12 – Date of diagnosis
Acronym: TDATDIAG
Description: The date of diagnosis of the tumour. It is determined using the following sequence order (effective since 2004 for all data):
- Date of cytological diagnosis
If suspicious cytology is confirmed by subsequent histological diagnosis (including autopsy) or clinical impression of cancer supports the cytology findings, then the cytological diagnosis date will be used.
- Date of histological diagnosis, including cases diagnosed only on autopsy
- Date of non microscopically confirmed diagnosis. including:
a)Positive laboratory test/marker study;
b)Direct visualization without microscopic confirmation (surgery without histology);
c)Radiography and other imaging techniques without microscopic confirmation;
d)Clinical diagnosis, including: physical findings (without histology);
e)Method of Diagnosis unknown.
- Date of death, if not reported at any other time.Includes:
a) Death certificate only;
b) Autopsy only.
Exceptions
1. If applicable, the date associated with the method that prompts treatment takes precedence over the above choices and should be chosen.
2. If autopsy only case, follow back as per the Guidelines for abstracting and determining DCO cases for PTCRs in Canada (see Appendix I (Part II – CCR System Guide)). If previous information is available for this tumour, the initial date takes precedence, including if it is non microscopic information. For example, if an x-ray result is available prior to the autopsy; the date associated with this initial diagnostic information takes precedence over the autopsy (histological) date.
Refer to the CCR guidelines for ambiguous terms (See Appendix H (Part II – CCR System Guide)) when determining the date of diagnosis.
Date of diagnosis is linked to the Input tumour variable T24 - Method used to establish the date of diagnosis.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (T12)
Year of diagnosis (1992 to current reference year) |
Table
MM (T12)
Month of diagnosis (January – December) |
Month of diagnosis unknown |
Table
DD (T12)
Day of diagnosis |
Day of diagnosis unknown |
Related edits: TVAL8, TVAL9, TVAL12, TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TVAL52, TVAL63, TVAL64, TCOR1, TCOR3, TCOR9, TCOR10, TCOR11, TCOR12, TCOR13, TCOR14, TCOR15, TCOR16, TCOR17, TCOR18, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24, TCOR26, TCOR27, TCOR30, TCOR36, TCOR37, DIM1, DIM2, DIM3, DIM4, DIM6
Table
Revision (T12)
Related edits changed: See TVAL63, TVAL64, TCOR36, TCOR37 |
Related edits changed: See TCOR26, TCOR27 and TCOR30. |
Related edits changed: See TVAL52 and TCOR13. |
Description: New sequence order. Related edits changed: See TVAL27, TCOR9, TCOR12, TCOR14, TCOR15, TCOR16, TCOR17, TCOR18, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23 and TCOR24. |
T13 – ICD–9 cancer code
Acronym: TICD_9
Description:The diagnosis of the neoplasm coded according to the International Classification of Diseases, 9th revision.
ICD-9 Cancer code is used to describe the site of the tumour, and must be supplemented with an ICD–O–2 Histology (field T16) and an ICD–O–2 Behaviour (field T17).
Effective: Reference year 1992 and onwards.
Length: 4
Format:
- The value does not contain a period between the 3rd and 4th digits
- 3 digit long values are followed by a blank space in the 4th digit
Table
Specific values & meaning (T13)
Topography not reported using ICD-9. |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables - Eligible ICD-9 Cancer codes for meaning. |
Related edits:TVAL13, TCOR1, TCOR5, TCOR6.
Table
Revision (T13)
Name: Formerly known as T13 – ICD-9. Related edits changed: TCOR5 and TCOR6. |
T14 – Source classification flag
Acronym: TSCF
Description: The code that indicates the classification system in which the topography, histology and behaviour of the tumour were originally coded.
It is assumed that other reported topography, histology and behaviour are the result of a conversion from the original source code.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (T14)
Topography originally coded in ICD–9,
Histology and behaviour originally coded in ICD–O–2 |
Topography, histology and behaviour originally coded in ICD–O–2 |
Topography, histology and Behaviour originally coded in ICD–O–3 |
Related edits: TVAL14, TCOR1, TCOR5, TCOR6, TCOR7.
Table
Revision (T14)
Specific values & meaning: Code 3 (ICD-10) removed from the eligible codes. Related edits changed: See TCOR5, TCOR6 and TCOR7. |
T15 – ICD–O–2/3 Topography
Acronym: TICD_O2T
Description: The site of origin of the neoplasm coded according to the International Classification of diseases for oncology (2nd or 3rd edition) topography section.
Effective: Reference year 1992 and onwards.
Length: 4
Format: The value does not contain a period (.) between the 3rd and 4th digits.
Table
Specific values & meaning (T15)
Topography not reported using ICD-O-2/3.
If possible, ICD-O-2/3 Topography will automatically be derived from ICD-9 Cancer code by the CCR system. |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible ICD–O–2/3 topography codes for meaning. |
Related edits: TVAL15, TVAL16, TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR1, TCOR6, TCOR7, TCOR9, TCOR10, TCOR12, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24, TCOR31, TCOR33, DIM5, DIM6.
Table
Revision (T15)
Related edits changed: See TCOR31, TCOR33 |
Related edits changed: See TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR6, TCOR7, TCOR9, TCOR10, TCOR12, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24 and DIM6. |
T16 – ICD–O–2 Histology
Acronym: TICD_O2H
Description: The histological description of the neoplasm, coded according to the International Classification of Diseases for Oncology 2nd edition - Morphology Section.
Effective: Reference year 1992 and onwards.
Length: 4
Table
Specific values & meaning (T16)
Histology not reported using ICD-O-2. |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible ICD–O–2 histology codes for meaning. |
Related edits: TVAL16, TCOR1, TCOR5, TCOR6, TCOR7.
Table
Revision (T16)
Name: Formerly known as T16 – ICD-O-2 Morphology. Renamed according to CCR data and quality management Committee recommendation. Acronym: Formerly known as TICD_O2M. Changed to reflect new name. Related edits changed: See TCOR5, TCOR6 and TCOR7. |
T17 – ICD–O–2 Behaviour
Acronym: TICD_O2B
Description: The behaviour associated with the histological description of the neoplasm, reported in Field T16.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (T17)
Benign if ICD-O-2 Histology is reported – OR –
Behaviour not reported using ICD–O–2 |
Uncertain whether benign or malignant / borderline malignancy |
Carcinoma in situ / intraepithelial / non-infiltrating / non-invasive |
Malignant, primary site |
Related edits: TVAL17, TCOR1, TCOR5, TCOR6, TCOR7.
Table
Revision (T17)
Name: Formerly known as T17 – ICD-O-2 M Behaviour. Renamed to be consistent with T16 new name. Related edits changed: See TCOR6 and TCOR7. |
T18 – Filler
Acronym: Not applicable
Description: Filler: free space reserved for future requirement implementation.
This field will not be processed or returned by the CCR System.
Effective: Reference year 1992 and onwards.
Length: 4
Format: Enter any values or leave the field blank.
Table
Revision (T18)
Not applicable |
T19 – Laterality
Acronym: TLATERAL
Description: The site-specific localization of the tumour in paired organs or the side of the body on which the tumour originated. It specifies whether the tumour is on the right, left or bilateral, where applicable.
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Valid site and laterality combinations for more details.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Specific values & meaning (T19)
Not a paired organ |
Right: origin of primary |
Left: origin of primary |
Only one side involved, right or left origin unspecified (2007 and onwards) |
Bilateral involvement, lateral origin unknown: stated to be single primary
This code is seldom used EXCEPT for the following diseases:
i.Both ovaries involved simultaneously, single histology
ii. Bilateral retinoblastomas
iii. Bilateral Wilm's tumours |
Paired site: midline tumour (new as of 2010 see revision statement) |
Paired site, but no information concerning laterality. |
Related edits: TVAL19, TCOR1, TCOR12, DIM6.
Table
Revision (T19)
Specific values & meaning: Laterality - Add code 5 for a paired site with a midline tumour. Code 9 no longer records midline tumor information and is used only when there is no laterality information for a paired site. Code 5 may be used to record a midline tumor of a paired site for any year of diagnosis, but review or recoding of historic cases is not required. |
Specific values & meaning: NAACCR (SEER) laterality codes and meaning are now used for this variable. Code'1' now refers to 'Right: origin of primary'. Code '2' now refers to 'Left: origin of primary'. Code '3' added to handle 'Only one side involved, right or left origin unspecified. Data already loaded in the CCR (1992-2006) has been updated to reflect the new code set (note: Code '3' was not implemented for cases diagnosed prior to 2007). |
Related edits changed: See TCOR12 and DIM6. |
T20 – Filler
Acronym: Not applicable
Description: Filler: free space reserved for future requirement implementation.
This field will not be processed or returned by the CCR System.
Effective: Reference year 1992 and onwards.
Length: 1
Format: Enter any values or leave the field blank.
Table
Revision (T20)
Not applicable |
T21 – ICD–O–3 Histology
Acronym: TICD_O3H
Description: The histological description of the neoplasm, coded according to the International Classification of Diseases for Oncology 3rd edition - Morphology Section.
Effective: Reference year 1992 and onwards.
Although this field was added to the CCR in 2001, historical data back to 1992 has been converted to this classification.
Length: 4
Table
Specific values & meaning (T21)
Histology not reported using ICD-O-3. ICD-O-3 Histology will automatically be derived from ICD-O-2 fields (topography, histology and behaviour) by the CCR system. |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible ICD–O–3 histology codes for meaning. |
Related edits: TVAL21, TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR1, TCOR7, TCOR9, TCOR10, TCOR11, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24, TCOR33, DIM6.
Table
Revision (T21)
Related edits changed: See TCOR33 |
Name: Formerly known as T21M – ICD-O-3 Morphology. renamed according to CCR data and quality management committee recommendation. Renumbered to fit in sequence. Acronym: Formerly known as TICD_O3M. Changed to reflect new name. Related edits changed: See TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR7, TCOR9, TCOR10, TCOR11, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24 and DIM6. |
T22 – ICD–O–3 Behaviour
Acronym: TICD_O3B
Description: The behaviour associated with the histological description of the neoplasm, reported in Field T21.
Effective: Reference year 1992 and onwards.
Although this field was added to the CCR in 2001, historical data back to 1992 has been converted to this classification.
Length: 1
Table
Specific values & meaning T22)
Benign if ICD-O-3 Histology is reported – OR –
Behaviour not reported using ICD–O–3.
If not reported, ICD-O-3 Behaviour will automatically be derived from ICD-O-2 fields (topography, histology and behaviour) by the CCR system. |
Uncertain whether benign or malignant / borderline malignancy |
Carcinoma in situ / intraepithelial / non-infiltrating / non-invasive |
Malignant, primary site |
Related edits: TVAL22, TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR1, TCOR7, TCOR9, TCOR11, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23, TCOR24, TCOR32.
Table
Revision (T22)
Related edits changed: TCOR32 |
Fields reorganized: Field formerly known as T22 – Date of transmission has been moved to T26 – Date of transmission. Name: Current field formerly know as T21B – ICD-O-3 M Behaviour. Renamed to be consistent with T21 new name. Renumbered to fit in sequence. Related edits changed: See TVAL42, TVAL43, TVAL44, TVAL45, TVAL46, TVAL47, TVAL48, TVAL49, TVAL50, TVAL51, TCOR7, TCOR9, TCOR11, TCOR19, TCOR20, TCOR21, TCOR22, TCOR23 and TCOR24. |
T23 – Grade, differentiation or cell indicator
Acronym: TGRADE
Description: The code that describes the system used to identify the Type of grade/differentiation/cell indicator.
Grade is used by the CS algorithm to produce CS derived data.
Refer to Appendix G (Part II – CCR System Guide)– Guidelines for reporting grade, differentiation or cell indicator for 2006 data forward.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Specific values & meaning (T23)
For Date of diagnosis prior to 2004.
Not reported |
Grade I; grade i; grade 1; well differentiated; differentiated, NOS |
Grade II; grade ii; grade 2; moderately differentiated; moderately well differentiated; intermediate differentiation |
Grade III; grade iii, grade 3; poorly differentiated; dedifferentiated |
Grade IV; grade iv; grade 4; undifferentiated; anaplastic |
T-cell; T-precursor |
B-Cell; Pre-B; B-precursor |
Null cell; Non T-non B |
NK cell (natural killer cell) |
Grade/differentiations unknown, not stated, or not applicable |
Related edits: TVAL23, TCOR1, TCOR17.
Table
Revision (T23)
Application of new guidelines for reporting grade, differentiation or cell indicator |
Fields reorganized: Field formerly known as T23 – Method used to establish date of diagnosis has been moved to T24 – Method used to establish the date of diagnosis. |
T24 – Method used to establish the date of diagnosis
Acronym: TMETHUSED
Description: The code that specifies the method by which the date of diagnosis of this tumour was established.
The SEER Program Code Manual, third edition, diagnostic confirmation descriptions were used as a reference when determining the appropriate codes for the CCR.
This field is linked to T12 – Date of diagnosis.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Specific values & meaning (T24)
For Date of diagnosis prior to 2004
Not reported. (Refer to T11 – Method of diagnosis.) |
Microscopically confirmed |
Positive cytology Cytological diagnoses based on microscopic examination of cells as contrasted with tissues. Included are smears from sputum, bronchial brushings, bronchial washings, tracheal washings, prostatic secretions, breast secretions, gastric fluid, spinal fluid, peritoneal fluid, and urinary sediment. Cervical and vaginal smears are common examples. Also included are diagnoses based upon paraffin block specimens from concentrated spinal, pleural and peritoneal fluid. Fine needle aspiration is included here. |
Positive histology Histological diagnoses based upon tissue specimens from biopsy (including wide core and needle biopsy), frozen section, surgery, autopsy or D and C. Positive hematological findings relative to leukemia, including peripheral blood smears, are also included. Bone marrow specimens (including aspiration biopsies) are coded as '2'. |
Autopsy only Diagnosis confirmed by autopsy only, (if tissue taken) when no other information available. |
Positive histology PLUS Positive immunophenotyping AND/OR positive genetic studies (used only for hematopoietic and lymphoid neoplasms 95903-99923 as of 2010 onwards) |
Non-microscopically confirmed |
Positive laboratory test/marker study Clinical diagnoses of cancer based on certain laboratory tests or marker studies, which are clinically diagnostic for cancer. This includes alpha-fetoprotein for liver cancer and abnormal electrophoretic spike for multiple myeloma. Elevated PSA is non-diagnostic for cancer. If the physician uses the PSA as a basis for diagnosing prostate cancer with no other work-up, it should be recorded as code 4. |
Direct visualization without microscopic confirmation (surgery without histology) Visualization includes diagnosis made at surgical exploration, including autopsy where no tissue is taken, or by use of the various endoscopes (including colposcope, mediastinoscope, and peritoneoscope). However, use only if such visualization is not supplemented by positive histology or positive cytology reports. |
Radiography and other imaging techniques without microscopic confirmation Cases with diagnostic radiology for which there is neither a positive histology nor a positive cytology report. 'Other imaging techniques' include procedures such as ultrasound, computerized (axial) tomography (CT or CAT) scans, and magnetic resonance imaging (MRI). |
Clinical diagnosis, including physical findings (without histology) Cases diagnosed by clinical methods not mentioned above and for which there were no positive microscopic findings. |
Death certificate only Cases diagnosed by Death certificates only, when no other information available. |
Method used to establish the date of diagnosis unknown. |
Related edits: TVAL24, TCOR1, TCOR13, TCOR15, TCOR33, TCOR35, DIM4.
Table
Revision (T24)
Length: Changed from 1 to 2 to accommodate new code. Specific values & meaning: Positive histology PLUS added |
Related edits changed: See TCOR33, TCOR35 |
Related edits changed: See TCOR13. |
Fields reorganized: Field formerly known as T24 – Diagnosis confirmation has been moved to T25 – Diagnosis confirmation. Name: Current field formerly known as T23 – Method used to establish the date of diagnosis. Renumbered to fit in sequence. |
T25 – Diagnostic confirmation
Acronym: TMETHCONF
Description: The method of the most accurate diagnostic confirmation. Determine whether this tumour was microscopically confirmed at any time during the patient's medical history.
The SEER Program Code Manual, third edition, diagnostic confirmation descriptions were used as a reference when determining the appropriate codes for the CCR.
This field is not linked with T12 – Date of diagnosis.
Effective: Reference year 2004 and onwards.
Length: 2
Categories of diagnostic methods are listed below in order of priority.
Table
Specific values & meaning (T25)
For Date of diagnosis prior to 2004
Not reported. (Refer to T11 – Method of diagnosis.) |
Microscopically confirmed |
Positive histology Histological diagnoses based upon tissue specimens from biopsy (including wide core and needle biopsy), frozen section, surgery, autopsy or D and C. Positive hematological findings relative to leukemia, including peripheral blood smears, are also included. Bone marrow specimens (including aspiration biopsies) are coded as '1'. |
Positive cytology Cytological diagnoses based on microscopic examination of cells as contrasted with tissues. Included are smears from sputum, bronchial brushings, bronchial washings, tracheal washings, prostatic secretions, breast secretions, gastric fluid, spinal fluid, peritoneal fluid, and urinary sediment. Cervical and vaginal smears are common examples. Also included are diagnoses based upon paraffin block specimens from concentrated spinal, pleural and peritoneal fluid. Fine needle aspiration included here. |
Autopsy only Diagnosis confirmed by autopsy only, (if tissue taken) when no other information available |
Positive histology PLUS Positive immunophenotyping AND/OR positive genetic studies (used only for hematopoietic and lymphoid neoplasms 95903-99923 as of 2010 onwards) |
Non-microscopically confirmed |
Positive laboratory test/marker study Clinical diagnoses of cancer based on certain laboratory tests or marker studies, which are clinically diagnostic for cancer. This includes alpha-fetoprotein for liver cancer and abnormal electrophoretic spike for multiple myeloma. Elevated PSA is non-diagnostic for cancer. If the physician uses the PSA as a basis for diagnosing prostate cancer with no other work-up, it should be recorded as code 4. |
Direct visualization without microscopic confirmation (surgery without histology) Visualization includes diagnosis made at surgical exploration including autopsy where no tissue is taken, or by use of the various endoscopes (including colposcope, mediastinoscope, and peritoneoscope). However, use only if such visualization is not supplemented by positive histology or positive cytology reports. |
Radiography and other imaging techniques without microscopic confirmation Cases with diagnostic radiology for which there is neither a positive histology nor a positive cytology report. 'Other imaging techniques' include procedures such as ultrasound, computerized (axial) tomography (CT or CAT) scans, and magnetic resonance imaging (MRI). |
Clinical diagnosis, including physical findings (without histology) Cases diagnosed by clinical methods not mentioned above and for which there were no positive microscopic findings. |
Death certificate only Cases diagnosed by Death certificates only, when no other information available. |
Diagnostic confirmation unknown |
Related edits: TVAL25, TCOR1, TCOR13, TCOR16
Table
Revision (T25)
Length: Changed from 1 to 2 to accommodate new code. Specific values & meaning: Positive histology PLUS added. |
Related edits changed: See TCOR13. |
Name: Formerly known as T24 – Diagnostic confirmation. Renumbered to fit in sequence. |
T26 – Date of transmission
Acronym: TDATTRAN
Description: The date on which a copy of the tumour record was extracted from the provincial/territorial registry for submission to the CCR.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (T26)
Year of transmission |
Table
MM (T26)
Month of transmission (January – December) |
Table
DD (T26)
Day of the transmission |
Related edits: TVAL26.
Table
Revision (T26)
Name: Formerly known as T22 – Date of transmission. Renumbered to fit in sequence. Acronym: Formerly known as TDATTRA2. |
T27 – CS tumour size
Acronym: TCSTSIZE
Description: The largest dimension or the diameter of the primary tumour in millimetres (for example: 1 mm = 001, 1 cm = 010). See the CS schemas for site-specific variants.
For many sites, the CS algorithm uses this data item to calculate the Derived T or Derived M according to the AJCC Cancer staging manual, sixth edition (2004 – 2009), seventh edition (2010 onwards).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T27)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR Collaborative Scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18.
Table
Revision (T27)
Specific values & meaning: Meaning of value '999' modified Related edits changed: See TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T28 – CS extension
Acronym: TCSEXTN
Description: The primary tumour growth within the organ of origin or its direct extension into neighbouring organs.
This data item is used by the algorithm to derive the AJCC T code according to the AJCC Cancer staging manual, sixth edition (2004 – 2009), seventh edition (2010 onwards).
For certain sites such as ovary, discontinuous metastasis is coded in the CS extension field.
Effective: Reference year 2004 and onwards.
Length: 3
For CS Version input current = NULL (CS version 1) (field must be left justified)
Table
Specific values & meaning (T28)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning |
Reported data rejected by CCR system. (For Statistics Canada use only) |
For CS Version input current >= '020000' and not '999999' (CS version 2)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18.
Table
Revision (T28)
Length: Value modified from 2 to 3 in length. Make sure field is left justified. Ex. items for CSV1 come in '99_'. Specific values & meaning: Values modified to accept 3 digit values and converted values for CSV2 consistent coding. |
Specific values & meaning: Meaning of value '99' modified Related edits changed: See TVAL27, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T29 – CS tumour size/ext eval
Acronym: TCSEVAL
Description: CS tumour size/extension evaluation: the code indicating how the 'CS tumour size' and 'CS extension' were determined based on the diagnostic methods employed.
This data item is used in CS to identify whether the T (of AJCC TNM) was clinically or pathologically diagnosed and by what method 'CS tumour size/ext eval' is used to calculate the derived AJCC T descriptor.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Specific values & meaning (T29)
Tumour outside the CCR collaborative staging scope (see section1.1.2.2. CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18.
Table
Revision (T29)
Specific values & meaning: Meaning of value '9' modified Related edits changed: See TVAL27, TVAL28, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T30 – CS lymph nodes
Acronym: TCSLNODE
Description: The site-specific code identifying the regional lymph nodes involved with cancer at time of diagnosis.
This data item is used by the algorithm to derive the AJCC N code according to the AJCC Cancer staging manual, sixth edition (2004 – 2009), seventh edition (2010 onwards).
Site-specific codes provide extensive detail describing disease extent.
Effective: Reference year 2004 and onwards.
Length: 3
For CS Version input current = NULL (CS version 1) (field must be left justified)
Table
Specific values & meaning (T30)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
For CS Version input current >= '020000' and not '999999' (CS version 2)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T30)
Length: Value modified from 2 to 3 in length. Make sure field is left justified. Example items for CSV1 come in '99_'. Specific values & meaning: Values modified to accept 3 digit values and converted values for CSV2 consistent coding. |
Specific values & meaning: Meaning of value '99' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T31 – CS lymph nodes eval
Acronym: TCSLNEVAL
Description: CS regional nodes evaluation: the code indicating how the 'CS Lymph Nodes' code was determined based on the diagnostic methods employed.
This data item is used in CS to identify whether the N (of AJCC TNM) was clinically or pathologically diagnosed and by what method 'CS lymph nodes eval' is used to calculate the Derived AJCC nodes descriptor.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Specific values & meaning (T31)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T31)
Changed variable name: Was formerly CS reg nodes eval. Acronym changed from TCSRNEVAL to TCSLNEVAL |
Specific values & meaning: Meaning of value '9' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T32 – Regional nodes examined
Acronym: TCSRNEXAM
Description: The total number of regional lymph nodes that were removed and examined by the pathologist.
Based on pathologic (microscopic) information only.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Specific values & meaning(T32)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2. CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T32)
Specific values & meaning: Meaning of value '99' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T33 – Regional nodes positive
Acronym: TCSRNPOS
Description: The exact number of regional lymph nodes examined by the pathologist and found to contain metastases.
Based on pathologic (microscopic) information only.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Specific values & meaning (T33)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T33)
Specific values & meaning: Meaning of value '99' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T34 – CS mets at dx
Acronym: TCSMDIAG
Description: CS metastases at diagnosis: the code identifying the distant site(s) of metastatic involvement at time of diagnosis.
This data item is used by the algorithm to derive the AJCC M code according to the AJCC Cancer staging manual, sixth edition (2004 – 2009), seventh edition (2010 onwards).
Effective: Reference year 2004 and onwards.
Length: 2
Table
Specific values & meaning (T34)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T34)
Specific values & meaning: Meaning of value '99' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T35 – CS mets eval
Acronym: TCSMEVAL
Description: CS metastases evaluation: the code indicating how 'CS mets at dx' was determined based on the diagnostic methods employed.
This data item is used in CS to identify whether the M (of AJCC TNM) was clinically or pathologically diagnosed and by what methods 'CS mets eval' is used to calculate the Derived AJCC M descriptor.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Specific values & meaning (T35)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T35)
Specific values & meaning: Meaning of value '9' modified Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52 |
T36 – CS site-specific factor 1
Acronym: TCSSSF1
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T36)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope) |
Not applicable; specific schema does not use CS site-specific factor 1 |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T36)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52. |
T37 – CS site-specific factor 2
Acronym: TCSSSF2
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T37)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
Not applicable; specific schema does not use CS site-specific factor 2. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T37)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52. |
T38 – CS site-specific factor 3
Acronym: TCSSSF3
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T38)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
Not applicable; specific schema does not use CS site-specific factor 3. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T38)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL39, TVAL40, TVAL41 and TVAL52. |
T39 – CS site-specific factor 4
Acronym: TCSSSF4
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T39)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
Not applicable; specific schema does not use CS site-specific factor 4. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T39)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL40, TVAL41 and TVAL52. |
T40 – CS site-specific factor 5
Acronym: TCSSSF5
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T40)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope) |
Not applicable; specific schema does not use CS site-specific factor 5. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T40)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL41 and TVAL52. |
T41 – CS site-specific factor 6
Acronym: TCSSSF6
Description: The code identifying additional site-specific information needed to derive TNM or AJCC stage, or to code prognostic factors that have an effect on stage or survival.
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to all 6 of the factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '888' (Not applicable).
Effective: Reference year 2004 and onwards.
Length: 3
Table
Specific values & meaning (T41)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope. |
Not applicable; specific schema does not use CS site-specific factor 6. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
See the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning.
Some values in the range may be invalid depending on site. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T41)
Specific values & meaning: Code 888 specified for schemas that do not use the site-specific factor. Meaning of value '999' has also been modified. Related edits changed: See TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41 and TVAL52. |
T42 – AJCC clinical T
Acronym: TAJCCCLINT
Description: The site-specific code evaluating the primary tumour clinically (T) and reflects the tumour size and/or extension as recorded.
Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.
Effective: Reference years 2003 to 2007.
Length: 9
Table
Specific values & meaning (T42)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Primary tumour cannot be assessed (all reasonable clinical manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC clinical T is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL42, TCOR1, TCOR19, TCOR21, TCOR23, TCOR24
Table
Revision (T42)
Variable no longer reported. |
T43 – AJCC clinical N
Acronym: TAJCCCLINN
Description: The site-specific code identifying the absence or presence of clinical regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded.
Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.
Effective: Reference years 2003 to 2007.
Length: 3
Table
Specific values & meaning (T43)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Regional lymph nodes cannot be assessed (all reasonable clinical manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC clinical N is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL43, TCOR1, TCOR19, TCOR21, TCOR23, TCOR24
Table
Revision (T43)
Variable no longer reported. |
T44 – AJCC clinical M
Acronym: TAJCCCLINM
Description: The site-specific code identifying the presence or absence of clinical distant metastasis (M) as recorded.
Clinical stage is assigned prior to any cancer-directed treatment and should not be changed based on subsequent information.
Effective: Reference years 2003 to 2007.
Length: 3
Table
Specific values & meaning (T44)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Distant metastasis cannot be assessed (all reasonable clinical manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC clinical M is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL44, TCOR1, TCOR19, TCOR21, TCOR23, TCOR24
Table
Revision (T44)
Variable no longer reported. |
T45 – AJCC pathologic T
Acronym: TAJCCPATHT
Description: The site-specific code evaluating the primary tumour pathologically (T) and reflects the tumour size and/or extension as recorded.
Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.
Effective: Reference years 2003 to 2007.
Length: 9
Table
Specific values & meaning (T45)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Primary tumour cannot be assessed (all reasonable pathologic manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC pathologic T is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL45, TCOR1, TCOR19, TCOR22, TCOR23, TCOR24
Table
Revision (T45)
Variable no longer reported. |
T46 – AJCC pathologic N
Acronym: TAJCCPATHN
Description: The site-specific code identifying the absence or presence of pathological regional lymph node (N) metastasis and describes the extent of regional lymph node metastasis as recorded.
Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.
Effective: Reference years 2003 to 2007.
Length: 6
Table
Specific values & meaning (T46)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Regional lymph nodes cannot be assessed (all reasonable pathologic manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC pathologic N is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL46, TCOR1, TCOR19, TCOR22, TCOR23, TCOR24
Table
Revision (T46)
Variable no longer reported. |
T47 – AJCC pathologic M
Acronym: TAJCCPATHM
Description: The site-specific code identifying the presence or absence of pathological distant metastasis (M) as recorded.
Pathological stage uses all data for clinical staging; the evidence acquired before treatment, supplemented or modified by the additional evidence acquired during and from surgery, particularly from pathologic examination.
Effective: Reference years 2003 to 2007.
Length: 3
Table
Specific values & meaning (T47)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Distant metastasis cannot be assessed (all reasonable pathologic manoeuvres have been used). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC pathologic M is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL47, TCOR1, TCOR19, TCOR22, TCOR23, TCOR24
Table
Revision (T47)
Variable no longer reported. |
T48 – AJCC clinical TNM stage group
Acronym: TAJCCCLINSG
Description: The site-specific code identifying the anatomic extent of disease based on the clinical T, N and M elements as recorded in TNM Clinical T, N and M fields.
Effective: Reference years 2003 to 2007.
Length: 4
Table
Specific values & meaning (T48)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
All reasonable clinical manoeuvres have been used, but Clinical TNM values do not lead to a certain, specific stage group. |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC clinical TNM stage group is unknown: no clinical manoeuvres have been used; unknown if clinical manoeuvres have been used. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL48, TCOR1, TCOR19, TCOR20, TCOR21, TCOR24
Table
Revision (T48)
Variable no longer reported. |
T49 – AJCC pathologic TNM stage group
Acronym: TAJCCPATHSG
Description: The site-specific code identifying the anatomic extent of disease based on the pathologic T, N and M elements as recorded in TNM Pathologic T, N and M fields.
Effective: Reference years 2003 to 2007.
Length: 4
Table
Specific values & meaning (T49)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
All reasonable pathologic manoeuvres have been used, but Pathologic TNM values do not lead to a certain, specific stage group. |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC pathologic TNM stage group is unknown: no pathologic manoeuvres have been used; unknown if pathologic manoeuvres have been used. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL49, TCOR1, TCOR19, TCOR20, TCOR22, TCOR24
Table
Revision (T49)
Variable no longer reported. |
T50 – AJCC TNM stage group
Acronym: TAJCCSG
Description: The site-specific code identifying the stage group when Clinical / Pathologic T, N, M values are incomplete and do not lead to a Clinical / Pathologic stage group.
Effective: Reference years 2003 to 2007.
Length: 4
Table
Specific values & meaning (T50)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope). |
Site-specific meaning
See AJCC Cancer staging manual, sixth edition for exact meaning. |
AJCC TNM stage group is unknown. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL50, TCOR1, TCOR19, TCOR20, TCOR23, TCOR24
Table
Revision (T50)
Variable no longer reported. |
T51 – AJCC edition number
Acronym: TAJCCEDNUM
Description: Identifies the edition of the Cancer Staging Manual used to stage the case. TNM codes have changed over time and conversion is not always possible. Therefore, a case-specific indicator is needed to allow grouping of cases for comparison.
Effective: Reference yeasr 2003 to 2007.
Length: 2
Table
Specific values & meaning (T51)
Tumour outside the CCR AJCC TNM staging scope (see section 1.1.2.3 CCR AJCC TNM staging scope) |
Not staged (AJCC/UICC staging scheme applies however site not staged) |
AJCC sixth edition |
AJCC seventh edition |
International union against cancer (UICC) sixth edition |
International union against cancer (UICC) seventh edition |
AJCC staged, but the edition is unknown |
UICC staged, but the edition is unknown |
Reported data rejected by CCR system (For Statistics Canada use only) |
Related edits: TVAL51, TCOR1, TCOR19, TCOR24
Table
Revision (T51)
Variable no longer reported. |
Value '88' (Not applicable: cases that do not have an AJCC/UICC staging scheme) has been removed since every tumour included in CCR AJCC TNM staging scope(see section 1.1.2.3) has an AJCC staging scheme. |
T52 – CS Version input original
Acronym: CSVERINORIG
Description: Indicates the number of the version used to initially code Collaborative staging fields. The data item should be entered at the time the CS fields are first coded and the algorithm first applied. If the calculation algorithm is not called at the time of the initial abstracting, the CS Version input original could also be entered manually by the abstractor.
Effective: Reference year 2004 and onwards.
Length: 6
Table
Specific values & meaning (T52)
Tumour outside the CCR collaborative staging scope (see section 1.1.2.2 CCR collaborative staging scope). |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible CS Version input original codes for meaning. |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TCOR1, TCOR18
Table
Revision (T52)
Changed variable name: Was formerly CS version 1st. Acronym changed from TCSFVER to TCSVERINORIG |
New field added: Was formerly TD19 – CS Version 1st. |
T53– Ambiguous terminology diagnosis
Acronym: TAMBIGTERM
Description: Identifies all cases, including death certificate only and autopsy only, for which an ambiguous term is used to establish a cancer diagnosis (for example, to determine whether or not the case is reportable). Ambiguous terminology may originate from any source document, such as pathology report, radiology report, or from a clinical report. This data item is used only when ambiguous terminology is used to establish diagnosis. It is not used when ambiguous terminology is used to clarify a primary site, specific histology, histologic group, or stage of disease. It is not used if there is any conclusive statement of a cancer diagnosis in the medical record.
This data item will identify specific primary sites where the ambiguous terminology is commonly used to describe or establish a cancer diagnosis.
Refer to the SEER Multiple Primary and Histology Coding Rules Manual (page 335-337) for more details on definitions, time frames, coding instructions and examples.
Refer to the CCR Appendix I (Part II – CCR System Guide): Guidelines for Ambiguous Terms, as referenced in T12 (date of diagnosis).
Effective: Reference year 2008 and onwards.
Length: 1
Table
Specific values & meaning (T53)
For cases diagnosed prior to 2008, leave the field blank –or–
Conclusive terminology of cancer diagnosis in medical record |
Conclusive terminology within 60 days of original diagnosis |
Ambiguous terminology only (includes all diagnostic methods except cytology) |
Ambiguous terminology followed by conclusive terminology (more than 60 days after initial diagnosis) |
Unknown terminology (no information about ambiguous terminology) |
Related edits: TVAL53, TCOR1, TCOR26, TCOR29
Table
Revision (T53)
New variable must be reported |
T54– Date of conclusive diagnosis
Acronym: TDATCONCLUSDIAG
Description: The date when a conclusive cancer diagnosis (definite statement of malignancy) is made following an initial diagnosis that was based only on ambiguous terminology. Change the code for data item "Ambiguous terminology diagnosis" from a 1 to a 2 and enter the date that the malignancy was described clearly and definitively in "Date of conclusive diagnosis". The date of the conclusive diagnosis must be greater than 60 days following the initial (ambiguous terminology only) diagnosis.
Refer to the SEER Multiple Primary and Histology Coding Rules Manual (page 338) for more details on definitions, time frames and examples.
Effective: Reference year 2008 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (T54)
For cases diagnosed prior to 2008, leave the field blank –or–
Cancer diagnosis based initially on conclusive terminology |
Year of conclusive diagnosis (2008 to current reference year) |
Accessioned based on ambiguous terminology only (Code 1 in data item Ambiguous terminology diagnosis) |
Not applicable, initial diagnosis made by conclusive diagnosis within 60 days of original diagnosis (Code 0 in data item Ambiguous terminology diagnosis) |
Year unknown for conclusive diagnosis made after Ambiguous terminology diagnosis |
Table
MM (T54)
For cases diagnosed prior to 2008, leave the field blank –or–
Cancer diagnosis based initially on conclusive terminology |
Month of conclusive diagnosis (January – December) |
Accessioned based on Ambiguous terminology diagnosis only (Code 1 in data item Ambiguous terminology diagnosis) |
Not applicable, initial diagnosis made by conclusive diagnosis within 60 days of original diagnosis (Code 0 in data item Ambiguous terminology diagnosis) |
Month unknown for conclusive diagnosis made after Ambiguous terminology diagnosis |
Table
DD (T54)
For cases diagnosed prior to 2008, leave the field blank –or–
Cancer diagnosis based initially on conclusive terminology |
Day of diagnosis |
Accessioned based on ambiguous terminology diagnosis only (Code 1 in data item Ambiguous terminology diagnosis) |
Not applicable, initial diagnosis made by conclusive diagnosis within 60 days of original diagnosis (Code 0 in data item Ambiguous terminology diagnosis) |
Day unknown for conclusive diagnosis made after Ambiguous terminology diagnosis |
Related edits: TVAL54, TCOR1, TCOR26, TCOR29, TCOR30.
Table
Revision (T54)
New variable must be reported |
T55– Type of multiple tumours reported as one primary
Acronym: TMULTTUMONEPRIM
Description: This data item is used to identify the type of multiple tumours in cases with multiple tumours that are abstracted and reported as a single primary using the SEER multiple primary rules.
Multiple tumours may individually exhibit in situ, invasive, or a combination of in situ and invasive behaviours.
Multiple intracranial and central nervous system tumours may individually exhibit benign, borderline, or a combination of these behaviours.
Multiple tumours found in the same organ or in a single primary site may occur at the time of initial diagnosis or later.
Refer to the SEER Multiple Primary and Histology Coding Rules Manual (page 342-343) for more details on definitions, time frames and examples.
Effective: Reference year 2008 and onwards.
Length: 2
Table
Specific values & meaning (T55)
For cases diagnosed prior to 2008, leave the field blank –or–
Variable not used |
Single tumour |
Multiple benign (intracranial and CNS sites only) |
Multiple borderline |
Benign (intracranial and CNS sites only) and borderline |
Multiple in situ |
In situ and invasive |
Polyp and adenocarcinoma |
Familial Adenomatous Polyposis (FAP) with carcinoma |
Multiple invasive or
Two or more invasive tumours plus one or more in situ tumours |
Unknown in situ or invasive |
Not Applicable for this site |
Unknown |
Related edits: TVAL55, TCOR1, TCOR27, TCOR31, TCOR32, TCOR33, TCOR34, TCOR35
Table
Revision (T55)
New variable must be reported |
T56– Date of multiple tumours
Acronym: TDATMULT
Description: This data item is used to identify the year, month and day the patient is diagnosed with multiple tumours reported as a single primary. Use the SEER multiple primary rules for that specific site to determine whether the tumours are a single primary or multiple primaries.
Refer to the SEER Multiple Primary and Histology Coding Rules Manual (page 341) for more details on definitions, time frames and examples.
Effective: Reference year 2008 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Specific values & meaning
YYYY (T56)
For cases diagnosed prior to 2008, leave the field blank –or–
Variable not used |
Year of Date of multiple tumours (2008 to current reference year) |
Single tumour |
Information on multiple tumours not applicable for this site |
Year of Date of multiple tumours is unknown |
Table
MM (T56)
For cases diagnosed prior to 2008, leave the field blank –or–
Variable not used |
Month of Date of multiple tumours (January – December) |
Single tumour |
Information on multiple tumours not applicable for this site |
Month of Date of multiple tumours is unknown |
Table
DD (T56)
For cases diagnosed prior to 2008, leave the field blank –or–
Variable not used |
Day of Date of multiple tumours |
Single tumour |
Information on multiple tumours not applicable for this site |
Day of Date of multiple tumours is unknown |
Related edits: TVAL56, TCOR1, TCOR27, TCOR33, TCOR34, TCOR35
Table
Revision (T56)
New variable must be reported |
T57– Multiplicity counter
Acronym: TMULTCOUNT
Description: This data item is used to count the number of tumours (multiplicity) that are reported as a single primary, when present at the time of diagnosis. Do not count metastatic tumours.
Refer to the SEER Multiple Primary and Histology Coding Rules Manual (page 339-340) for more details on definitions, time frames and examples.
Once a case has documented multiple tumours in the Multiplicity Counter, do not update the counter. Do not continue to add subsequent lesions.
Example:
- 2 tumours at diagnosis; enter 02
- If a third tumour is diagnosed later which is considered part of the same primary, do not update Multiplicity Counter to 03
Examples of when to use code "88":
- Essential Thrombocythemia (ICD-O-3 Histology of 9962/3)
- All lymphomas, leukemias and immunoproliferative (ICD-O-3 Histology 9590-9989)
- Multiple myeloma (ICD-O-3 Histology 9732)
- Myelodysplastic syndromes (ICD-O-3 Histology 9980-9989)
- EXCEPT ICD-O-3 Histology 9731, 9734, 9740, 9750, 9755, 9756, 9757, 9758, 9930
Effective: Reference year 2008 and onwards.
Length: 2
Refer to coding manual for detailed coding instructions.
Table
Specific values & meaning (T57)
For cases diagnosed prior to 2008, leave the field blank –or–
Information on multiple tumours not collected |
Number of tumours present |
Information on multiple tumours not applicable to this site (see examples above) |
Multiple tumours present, unknown how many; unknown if single or multiple tumours |
Related edits: TVAL57, TCOR1, TCOR27, TCOR33, TCOR34, TCOR35
Table
Revision (T57)
New variable must be reported |
T58 – Date of diagnosis flag
Acronym: TDATDIAGFLAG
Description: This flag explains why no appropriate value is in the field, Date of diagnosis.
Prior to 2010, date fields included codes that provided information other thandates. As part of an initiative to standardize date fields, new fields were introduced to accommodate non-date information that had previously been transmitted in date fields.
This is part of the initiative of the transformation from the old date standards to interoperable dates (NAACCR standards).
The complete flavours of null table (appendix K – Part II – CCR system Guide), includes the NAACCR codes, HL7 codes and definitions. Use code 12 when date of diagnosis is unknown.
Effective: Reference year 2010 and onwards.
Length: 2
Table
Specific values & meaning
(T58)
A valid date value is provided in item Date of diagnosis, or the date was not expected to have been transmitted |
A proper value is applicable but not known (for example, Date of diagnosis is unknown) |
Related edits: TVAL58
Table
Revision (T58)
New variable must be reported |
T59 – Date of conclusive diagnosis flag
Acronym: TDATCONCLUSDIAGFLAG
Description:This flag explains why no appropriate value is in the field, Date of conclusive diagnosis.
Prior to 2010, date fields included codes that provided information other than
dates. As part of an initiative to standardize date fields, new fields were introduced to accommodate non-date information that had previously been transmitted in date fields.
This is part of the initiative of the transformation from the old date standards to interoperable dates (NAACCR standards).
The complete flavours of null table (appendix K – Part II – CCR system Guide), includes the NAACCR codes, HL7 codes and definitions. Use code 12 when date of conclusive diagnosis is unknown.
Effective: Reference year 2010 and onwards.
Length: 2
Table
Specific values & meaning
(T59)
A valid date value is provided in item Date of conclusive diagnosis, or the date was not expected to have been transmitted |
No information whatsoever can be inferred from this exceptional (non-date) value. (for example, unknown if the diagnosis was initially based on ambiguous terminology).
|
No proper value is applicable in this context. (for example, not applicable, initial diagnosis made by unambiguous terminology (Code 0 in data item Ambiguous terminology diagnosis)).
|
A proper value is applicable but not known (for example, the initial ambiguous diagnosis was followed by a conclusive term, but the date of the conclusive term is unknown).
|
Information is not available at this time, but it is expected that it will be available later (Code 1 in data item Ambiguous terminology diagnosis). |
Related edits: TVAL59
Table
Revision (T59)
New variable must be reported |
T60 – Date of multiple tumours flag
Acronym:TDATMULTFLAG
Description: This flag explains why no appropriate value is in the field, Date of multiple tumours.
Prior to 2010, date fields included codes that provided information other than dates. As part of an initiative to standardize date fields, new fields were introduced to accommodate non-date information that had previously been transmitted in date fields.
This is part of the initiative of the transformation from the old date standards to interoperable dates (NAACCR standards).
The complete flavours of null table (appendix K – Part II – CCR system Guide), includes the NAACCR codes, HL7 codes and definitions. Use code 12 when date of multiple tumours is unknown.
Effective: Reference year 2010 and onwards.
Length: 2
Table
Specific values & meaning
(T60)
A valid date value is provided in item Date of multiple tumours, or the date was not expected to have been transmitted
|
No proper value is applicable in this context (for example, information on multiple tumors not collected/not applicable for this site).
|
A proper value is applicable but not known. This event occurred, but the date is unknown (for example, patient was diagnosed with multiple tumours and the date is unknown.
|
Information is not available at this time, but it is expected that it will be available later (Information is not available at this time, but it is expected that it will be available later (for example, single tumour).
|
Related edits: TVAL60
Table
Revision (T60)
New variable must be reported |
T61 – Grade Path Value
Acronym: TGRADEPATHVAL
Description: Describes the actual grade according to the grading system in Grade path system. This does not replace grade.
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T61)
For cases diagnosed prior to 2010, leave the field blank – OR –
No Two, Three or Four system grade is available; unknown |
Recorded as grade I or 1 |
Recorded as grade II or 2 |
Recorded as grade III or 3 |
Recorded as grade IV or 4 |
Related edits: TVAL61, TCOR1, TCOR36, TCOR37
Table
Revision (T61)
New variable must be reported |
T62 – Grade Path Value
Acronym: TGRADEPATHSYS
Description: Indicates whether a two, three or four grade system is used.
This item is used to show whether a two, three or four grade system is used. This is the grade system stated in the path report; it is not converted. This item is used in conjunction with Grade path value and is abstracted in addition to Grade differentiation or cell indicator.
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T62)
For cases diagnosed prior to 2010, leave the field blank – OR –
No Two, Three or Four system grade is available; unknown |
Two-grade system |
Three-grade system |
Four-grade system |
Related edits: TVAL62, TCOR1, TCOR36, TCOR37
Table
Revision (T62)
New variable must be reported |
T63 – Lymph-vascular invasion
Acronym:TLYMPHVASINV
Description: Indicates whether lymphatic duct or blood vessel invasion (LVI) is identified in the pathology report.
This data item will record the information as stated in the record. Presence or absence of cancer cells in the lymphatic ducts or blood vessels is useful for prognosis.
Effective:With the implementation of CSV2.
Length: 1
Table
Specific values & meaning
(T63)
For cases diagnosed prior to conversion to CSV2 leave the field blank. |
Lymph-vascular invasion stated as not present |
Lymph-vascular invasion present/identified |
Not applicable |
Unknown/indeterminate/not mentioned in path report |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL63, TCOR1, TCOR18
Table
Revision (T63)
New Variable must be reported once CSV2 has been implemented. |
T64 – CS Version input current
Acronym: TCSVERINCUR
Description: This data item belongs to the Collaborative Stage (CS) Data Collection System which is based on the AJCC Cancer Staging Manual, 6th and 7th editions. This item identifies the version after CS input fields have beenupdated or recoded. This data item is recorded the first time the CS input fields are entered and should be updated each time the CS input fields are modified. For cases originally coded under CSv1, upon conversionfrom CSv1 to CSv2, CS Version Input Current will be set to 020000, a special version number to reflect its conversion status.
Over time, the input codes and instructions for CS items may change. This item identifies the correct interpretation of input CS items.
CS Version Input Current is a 6-digit code (for example, 020100). The first two digits represent the major version number; the second two digits represent minor version changes; and, the last two digits represent even less significant changes, such as corrections of typographical errors that do not affect coding or derivation of results.
Effective:With the implementation of CSV2.
Length: 6
Table
Specific values & meaning
(T64)
Tumour outside the CCR collaborative staging scope or not yet converted to CSV2 (see section 1.1.2.2 CCR collaborative staging scope). |
[others] |
Refer to Appendix A (Part III – CCR System Guide) – Core reference tables – Eligible CS version input current codes for meaning. |
999999 |
Not staged if all other CS fields are '9' filled; otherwise see the recommended version of the Collaborative Staging Manual and Coding Instructions (see section 1.1.2.2) for exact meaning. |
RRRRRR |
Reported data rejected by CCR system. (For Statistics Canada use only) |
Related edits: TVAL27, TVAL28, TVAL29, TVAL30, TVAL31, TVAL32, TVAL33, TVAL34, TVAL35, TVAL36, TVAL37, TVAL38, TVAL39, TVAL40, TVAL41, TVAL52, TVAL63, TVAL64, TCOR1, TCOR18, TCOR37
Table
Revision (T64)
New Variable must be reported once CSV2 has been implemented. |
T65 – T83 CS site-specific factors 7-25
Acronym: TCSSSF7, TCSSSF8, TCSSSF9, TCSSSF10, TCSSSF11, TCSSSF12, TCSSSF13, TCSSSF14, TCSSSF15, TCSSSF16, TCSSSF17, TCSSSF18, TCSSSF19, TCSSSF20, TCSSSF21, TCSSSF22, TCSSSF23, TCSSSF24, TCSSSF25
Description: The codes identifying additional site-specific information needed to generate stage, or to code prognostic factors that have an effect on stage or survival.
Site-specific factors are used to record additional staging information needed by Collaborative Staging to derive TNM and/or SEER Summary Stage codes for particular site-histology schema.
Codes (The information recorded in each CS Site-Specific Factor differ for each anatomic site. See the most current version of the Collaborative Stage Data Collection System (http://cancerstaging.org), for rules and site-specific codes and coding structures.)
Many site-specific schemas do not use any of the Site-specific factors; other schemas use from 1 to many of the 25 factors. When the Site-specific factors are not used for a specific schema, the value will be entered as '988' (Not applicable).
Effective:With the implementation of CSV2.
Length: 3
Table
Specific values & meaning
(T65 -T83)
Site Specific factors not reported. |
000-999 |
See the recommended version of the Collaborative Stage Data Collection System. |
RRR |
Reported data rejected by CCR sytem. (For Statistics Canada use only) |
Related edits: TVAL52, TVAL65 – TVAL83, TCOR1, TCOR18
Table
Revision (T65 - T83)
New Variable must be reported. |
T84 – CS Mets at Dx - Bone
Acronym: TCSMDXBONE
Description: Identifies the presence of distant metastatic involvement of bone at time of diagnosis.
The presence of metastatic bone disease at diagnosis is an independent prognostic indicator, and it is used by Collaborative Staging to derive TNM-M codes and SEER Summary Stage codes for some sites.
Note: This includes only the bone, not the bone marrow
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T84)
For cases diagnosed prior to 2010, leave the field blank |
0 |
none, no bone metastases |
1 |
yes |
8 |
not applicable |
9 |
unknown whether bone is involved metastatic site |
Related edits: TVAL84, TCOR1, TCOR38
Table
Revision (T84)
New Variable must be reported. |
T85 – CS Mets at Dx - Brain
Acronym: TCSMDXBRAIN
Description: The presence of metastatic brain disease at diagnosis is an independent prognostic indicator, and it is used by Collaborative Staging to derive TNM-M codes and SEER Summary Stage codes for some sites.
Note: This includes only the brain, not spinal cord or other parts of the central nervous system.
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T85)
For cases diagnosed prior to 2010, leave the field blank |
0 |
none, no brain metastases |
1 |
yes |
8 |
not applicable |
9 |
unknown whether brain is involved metastatic site |
Related edits: TVAL85, TCOR1, TCOR38
Table
Revision (T85)
New Variable must be reported. |
T86 – CS Mets at Dx - Liver
Acronym: TCSMDXLIVER
Description: Identifies the presence of distant metastatic involvement of the liver at time of diagnosis.
The presence of metastatic liver disease at diagnosis is an independent prognostic indicator, and it is used by Collaborative Staging to derive TNM-M codes and SEER Summary Stage codes for some sites.
Note: This includes only the liver
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T86)
For cases diagnosed prior to 2010, leave the field blank |
0 |
none, no liver metastases |
1 |
yes |
8 |
not applicable |
9 |
unknown whether liver is involved metastatic site |
Related edits: TVAL86, TCOR1, TCOR38
Table
Revision (T86)
New Variable must be reported. |
T87 – CS Mets at Dx - Lung
Acronym: TCSMDXLUNG
Description: Identifies the presence of distant metastatic involvement of the lung at time of diagnosis.
The presence of metastatic lung disease at diagnosis is an independent prognostic indicator, and it is used by Collaborative Staging to derive TNM-M codes and SEER Summary Stage codes for some sites.
Note: This includes only the lung, not pleura or pleural fluid.
Effective: Reference year 2010 and onwards.
Length: 1
Table
Specific values & meaning
(T87)
For cases diagnosed prior to 2010, leave the field blank |
0 |
none, no lung metastases |
1 |
yes |
8 |
not applicable |
9 |
unknown whether lung is involved metastatic site |
Related edits: TVAL86, TCOR1, TCOR38
Table
Revision (T87)
New Variable must be reported. |
2.4 Derived tumour variables
The derived tumour variables are variables related to the tumour and copied/derived/calculated by the CCR system through various processes such as data loading, record linkage and death clearance. Table 13 lists all the derived tumour variables; the following pages describe these variables in more detail.
For convenience, variables are presented in order by variable number. The reader can easily find the page corresponding to any variable by looking for the variable number in the title. For example, age at diagnosis is described on page TD3 – Age at diagnosis.
Table 13
List of the derived tumour variables
Variable N° |
Variable |
Acronym |
---|
TD1 |
Processing date – Tumour record |
TDCCRDATPROC |
---|
TD2 |
Sequence number |
TDCCRSEQNUM |
---|
TD3 |
Age at diagnosis |
TDCCRAGEDIAG |
---|
TD4 |
Age group at diagnosis |
TDCCRAGEGRP |
---|
TD5 |
Survival interval |
TDDCSURVINT |
---|
TD6 |
Survival censor |
TDDCCENSOR |
---|
TD7 |
Derived AJCC T |
TDCSAJCCT |
---|
TD8 |
Derived AJCC N |
TDCSAJCCN |
---|
TD9 |
Derived AJCC M |
TDCSAJCCM |
---|
TD10 |
Derived AJCC T descriptor |
TDCSAJCCTDESC |
---|
TD11 |
Derived AJCC N descriptor |
TDCSAJCCNDESC |
---|
TD12 |
Derived AJCC M descriptor |
TDCSAJCCMDESC |
---|
TD13 |
Derived AJCC stage group |
TDCSAJCCSG |
---|
TD14 |
Derived AJCC flag |
TDCSAJCCF |
---|
TD15 |
Derived SS1977 |
TDCSSS1977 |
---|
TD16 |
Derived SS1977 flag |
TDCSSS1977F |
---|
TD17 |
Derived SS2000 |
TDCSSS2000 |
---|
TD18 |
Derived SS2000 flag |
TDCSSS2000F |
---|
TD19 |
CS version derived |
TDCSVERDER |
---|
TD20 |
Filler |
Not applicable |
---|
TD1 – Processing date – tumour record
Acronym: TDCCRDATPROC
Description: The date any action was last taken on the tumour record by Statistics Canada.
Effective: Reference year 1992 and onwards.
Length: 8
Format: YYYYMMDD where YYYY stands for the year, MM stands for the month and DD stands for the day.
Table
Used by (TD1)
No |
Yes* |
No |
Yes* |
No |
Yes* |
Yes |
No |
* See corresponding section for calculation details.
Table
Specific values & meaning
YYYY (TD1)
Year of the last action |
Table
MM (TD1)
Month of the last action (January – December) |
Table
DD (TD1)
Day of the last action |
Table
Revision (TD1)
Acronym changed: Formerly known as TDATPROC |
TD2 – Sequence number
Acronym: TDCCRSEQNUM
Description: A chronologic sequence number of multiple primaries for this patient since 1992.
This number does not represent an absolute sequence order of multiple primaries for this patient, as it does not consider any primary cancers that may have been diagnosed for this patient prior to 1992.
Note: The sequence number may change depending on the Multiple primary rules used ( CCR or IARC). As of 2007 the CCR has adopted SEER rules.
Effective: Reference year 1992 and onwards.
Length: 2
Table
Used by (TD2)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD2)
Sequence number |
Sequence number higher than 99 |
Table
Revision (TD2)
Acronym changed: Formerly known as TSEQNUM |
TD3 – Age at diagnosis
Acronym: TDCCRAGEDIAG
Description: The patient's age in years at the time of diagnosis of the tumour.
Effective: Reference year 1992 and onwards.
Length: 3
Format: NNN (fixed-Length, zero-left-padded)
Table
Used by (TD3)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD3)
Age |
Age unknown (assigned when Date of birth is unknown) |
Table
Revision (TD3)
Acronym changed: Formerly known as AGEDIAG |
TD4 – Age group at diagnosis
Acronym: TDCCRAGEGRP
Description: A code that represents the range of years in which the Age at diagnosis falls.
Effective: Reference year 1992 and onwards.
Length: 2
Table
Used by (TD4)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
*See corresponding section for calculation details.
Table
Specific values & meaning (TD4)
<1 |
1 to 4 |
5 to 9 |
10 to 14 |
15 to 19 |
20 to 24 |
25 to 29 |
30 to 34 |
35 to 39 |
40 to 44 |
45 to 49 |
50 to 54 |
55 to 59 |
60 to 64 |
65 to 69 |
70 to 74 |
75 to 79 |
80 to 84 |
85 to 998 |
999 (Age unknown) |
Table
Revision (TD4)
Acronym changed: Formerly known as AGEGRP |
TD5 – Survival interval
Acronym: TDDCSURVINT
Description: The number of days between the Date of diagnosis and the first of the following events: Death clearance cut off date or Date of death.
Effective: Reference year 1992 and onwards.
Length: 5
Table
Used by (TD5)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD5)
Number of days. |
Survival interval cannot be computed: Death Certificate Only (DCO) records, corresponding patient record never underwent Death clearance process or Date of diagnosis is after the Death clearance cut-off date. |
Survival interval cannot be computed: Corresponding patient Date of death is unknown. |
Table
Revision (TD5)
Specific values & meaning: The survival interval for DCO cases cannot be computed and is subsequently recorded as '99998'. Text revised for clarification. |
Acronym changed: Formerly known as SURVINT. |
TD6 – Survival censor
Acronym: TDDCCENSOR
Description: A code indicating whether the Survival interval was computed using the Date of death or the Death clearance cut-off date.
Effective: Reference year 1992 and onwards.
Length: 1
Table
Used by (TD6)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD6)
Survival interval was not computed. |
Survival interval was computed using Date of death. |
Survival interval was computed using Death clearance cut-off date. |
Table
Revision (TD6)
Acronym changed: Formerly known as CENSOR. |
TD7 – Derived AJCC T
Acronym: TDCSAJCCT
Description: A code that represents the AJCC 'T' component that is derived from CS coded fields using the CS algorithm. Derived AJCC T can be used to evaluate disease spread at diagnosis, plan and track treatment patterns, and analyze outcomes.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Used by (TD7)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD7)
TX |
T0 |
Ta |
Tis |
Tispu |
Tispd |
T1 |
T1mic |
T1a |
T1a1 |
T1a2 |
T1b |
T1b1 |
T1b2 |
T1c |
T1NOS |
T2 |
T2NOS |
T2a |
T2b |
T2c |
T3 |
T3NOS |
T3a |
T3b |
T3c |
T4 |
T4NOS |
T4a |
T4b |
T4c |
T4d |
Not applicable |
CS algorithm was not run |
* The meaning of the Display strings is explained for each site in the AJCC Cancer staging manual, sixth edition.
Table
Revision (TD7)
Not applicable |
TD8 – Derived AJCC N
Acronym: TDCSAJCCN
Description: A code that represents the AJCC 'N' component that is derived from CS coded fields using the CS algorithm. Derived AJCC N can be used to evaluate disease spread at diagnosis, plan and track treatment patterns, and analyze outcomes.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Used by (TD8)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD8)
NX |
N0 |
N0NOS |
N0(i-) |
N0(i+) |
N0(mol-) |
N0(mol+) |
N1 |
N1NOS |
N1a |
N1b |
N1c |
N1mi |
N2 |
N2NOS |
N2a |
N2b |
N2c |
N3 |
N3NOS |
N3a |
N3b |
N3c |
Not applicable |
CS algorithm was not run |
* The meaning of the Display strings is explained for each site in the AJCC Cancer staging manual, sixth edition.
Table
Revision (TD8)
Not applicable |
TD9 – Derived AJCC M
Acronym: TDCSAJCCM
Description: A code that represents the AJCC 'M' component that is derived from CS coded fields using the CS algorithm. Derived AJCC M can be used to evaluate disease spread at diagnosis, plan and track treatment patterns, and analyze outcomes.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Used by (TD9)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD9)
MX |
M0 |
M1 |
M1a |
M1b |
M1c |
M1NOS |
Not applicable |
CS algorithm was not run |
* The meaning of the Display strings is explained for each site in the AJCC Cancer staging manual, sixth edition.
Table
Revision (TD9)
Not applicable |
TD10 – Derived AJCC T descriptor
Acronym: TDCSAJCCTDESC
Description: A code that represents the AJCC 'T descriptor' component that is derived from CS coded fields using the CS algorithm. Derived AJCC T descriptor can be used in analysis to differentiate the timing of staging with respect to the treatment process.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD10)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD10)
Clinical stage |
Pathologic stage |
Autopsy stage |
Cases in which staging classification is performed during or following initial multimodality therapy. Surgical resection performed after pre-surgical systemic treatment or radiation; tumour size/extension based on pathologic evidence. |
Not applicable |
CS algorithm was not run |
Table
Revision (TD10)
Not applicable |
TD11 – Derived AJCC N descriptor
Acronym: TDCSAJCCNDESC
Description: A code that represents the AJCC 'N descriptor' component that is derived from CS coded fields using the CS algorithm. Derived AJCC N descriptor can be used in analysis to differentiate the timing of staging with respect to the treatment process.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD11)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD11)
Clinical stage |
Pathologic stage |
Autopsy stage |
Cases in which staging classification is performed during or following initial multimodality therapy. Lymph nodes removed for examination after pre-surgical systemic treatment or radiation and lymph node evaluation based on pathologic evidence. |
Not applicable |
CS algorithm was not run |
Table
Revision (TD11)
Not applicable |
TD12 – Derived AJCC M descriptor
Acronym: TDCSAJCCMDESC
Description: A code that represents the AJCC 'M descriptor' component that is derived from coded fields using the CS algorithm. Derived AJCC M descriptor is used in analysis to differentiate the timing of staging with respect to the treatment process.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD12)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD12)
Clinical stage |
Pathologic stage |
Autopsy stage |
Cases in which staging classification is performed during or following initial multimodality therapy. Pathologic examination of metastatic tissue performed after pre-surgical systemic treatment or radiation and extension based on pathologic evidence. |
Not applicable |
CS algorithm was not run |
Table
Revision (TD12)
Not applicable |
TD13 – Derived AJCC stage group
Acronym: TDCSAJCCSG
Description: A code that represents the AJCC 'stage group' component that is derived from CS coded fields using the CS algorithm. Derived AJCC stage group can be used to evaluate disease spread at diagnosis, plan and track treatment patterns, and analyze outcomes.
Effective: Reference year 2004 and onwards.
Length: 2
Table
Used by (TD13)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD13)
0 |
0a |
0is |
I |
INOS |
IA |
IA1 |
IA2 |
IB |
IB1 |
IB2 |
IC |
IS |
ISA |
ISB |
IEA |
IEB |
IE |
II |
IINOS |
IIA |
IIB |
IIC |
IIEA |
IIEB |
IIE |
IISA |
IISB |
IIS |
IIESA |
IIESB |
IIES |
III |
IIINOS |
IIIA |
IIIB |
IIIC |
IIIEA |
IIIEB |
IIIE |
IIISA |
IIISB |
IIIS |
IIIESA |
IIIESB |
IIIES |
IV |
IVNOS |
IVA |
IVB |
IVC |
Not applicable |
OCCULT |
UNK |
CS algorithm was not run |
* The meaning of the Display strings is explained for each site in the AJCC Cancer staging manual, sixth edition.
Table
Revision (TD13)
Not applicable |
TD14 – Derived AJCC flag
Acronym: TDCSAJCCF
Description: A code that indicates whether AJCC stage group was coded directly or derived from collaborative staging.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD14)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD14)
AJCC 6th edition derived from Collaborative Staging Manual and Coding Instructions, version 01.04.01 |
Not valid for CCR |
CS algorithm was not run |
Table
Revision (TD14)
Not applicable |
TD15 – Derived SS1977
Acronym: TDCSSS1977
Description: A code that represents the SEER Summary Stage 1977 component (anatomic extent of disease at diagnosis for cases diagnosed prior to January 1st, 2001) that is derived from CS coded fields using the CS algorithm.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD15)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD15)
IS (In Situ) |
L (Localized) |
RE (Regional, direct extension) |
RN (Regional, lymph nodes only) |
RE+RN (Regional, extension and nodes) |
RNOS (Regional, NOS) |
D (Distant) |
NA (Not applicable) |
U (Unknown/Unstaged) |
CS algorithm was not run |
Table
Revision (TD15)
Not applicable |
TD16 – Derived SS1977 flag
Acronym: TDCSSS1977F
Description: A code that indicates whether Derived SS1977 was derived from collaborative staging.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD16)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD16)
SS1977 derived from Collaborative Staging Manual and Coding Instructions, version 01.04.01. |
Not valid for CCR. |
CS algorithm was not run. |
Table
Revision (TD16)
Not applicable |
TD17 – Derived SS2000
Acronym: TDCSSS2000
Description: A code that represents the SEER Summary Stage 2000 component (anatomic extent of disease at diagnosis for cases diagnosed on or after January 1st, 2001) that is derived from CS coded fields using the CS algorithm.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD17)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD17)
IS (In Situ) |
L (Localized) |
RE (Regional, direct extension) |
RN (Regional, lymph nodes only) |
RE+RN (Regional, extension and nodes) |
RNOS (Regional, NOS) |
D (Distant) |
NA (Not applicable) |
U (Unknown/Unstaged) |
CS algorithm was not run |
Table
Revision (TD17)
Not applicable |
TD18 – Derived SS2000 flag
Acronym: TDCSSS2000F
Description: A code that indicates whether Derived SS2000 was derived from collaborative staging.
Effective: Reference year 2004 and onwards.
Length: 1
Table
Used by (TD18)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD18)
SS2000 derived from Collaborative Staging Manual and Coding Instructions, version 01.04.01. |
Not valid for CCR. |
CS algorithm was not run. |
Table
Revision (TD18)
Not applicable |
TD19 – CS version derived
Acronym: TDCSVERDER
Description: The version of the collaborative staging used most recently to derive the CS output fields at the CCR. This data item is recorded the first time the CS output fields are derived and should be updated each time the CS derived items are re-computed. The CS version number is returned as part of the output of the CS algorithm. The returned value from the program should be automatically stored as CS version derived. This item should not be updated manually.
Effective: Reference year 2004 and onwards.
Length: 6
Table
Used by (TD19)
No |
No |
No |
No |
No |
No |
Yes |
Yes* |
* See corresponding section for calculation details.
Table
Specific values & meaning (TD19)
Version number |
CS algorithm was not run or field not implemented |
Table
Revision (TD19)
Changed variable name: Was formerly CS version latest. Acronym changed from TDCSLVER to TDCSVERDER |
CS version latest (Formerly known as TD20 – CS version latest) replaces TD19. Name: Formerly known as TD19 – CS Version 1st. Description: Data concerning CS version 1st is now collected as a tumour input variable as T52 – CS version input original (CS version 1 st). |
TD20 –Filler
Acronym: Not applicable
Description: Filler: free space reserved for future requirement implementation.
This field will not be processed or returned by the CCR System.
Effective: Reference year 2006 and onwards.
Length: 6
Used by: Not applicable
Specific values & meaning: Not applicable
Table
Revision (TD20)
Name: Formerly known as TD20 – CS version latest (CS version derived). Description: Field now converted to filler. Data concerning CS version latest is now derived as TD19 – CS version latest. |