1. Virginia Cancer Registrars Association and Virginia Cancer Registry Annual Meeting October 3, 2007

2. SAMPLE EDITS GENERATED FOR NEW 2007 DATA ITEMS AND DISCUSSION OF 2008 DATA ITEMS Topic presented by: Michael Peyton, CTR, Virginia Cancer Registry

3. I: NEW DATA ITEMS EFFECTIVE 2007 DX YEAR SCENARIO 1: WHEN ALL FIELDS ARE LEFT BLANK

4. 000000001-00 CASE, TEST POS=00000001 Ambiguous Terminology DX, Date of DX (SEER IF157) E: If year of Date of Diagnosis > 2006, then Ambiguous Terminology DX cannot be blank Date of Diagnosis (283) = 01012007 Ambiguous Terminology DX (324) = Date of Conclusive DX, Date of DX (SEER IF164) E: If year of Date of Diagnosis > 2006, then Date of Conclusive DX cannot be blank Date of Diagnosis (283) = 01012007 Date of Conclusive DX (325) = Date of Multiple Tumors, Date of DX (SEER IF165) E: If year of Date of Diagnosis > 2006, then Date of Multiple Tumors cannot be blank Date of Diagnosis (283) = 01012007 Date of Multiple Tumors (335) = Mult Tum Rpt As One Prim, Date of DX (SEER IF155) E: If year of Date of Diagnosis > 2006, then Mult Tum Rpt as One Prim cannot be blank Date of Diagnosis (283) = 01012007 Mult Tum Rpt as One Prim (333) = Multiplicity Counter, Date of DX (SEER IF156) E: If year of Date of Diagnosis > 2006, then Multiplicity Counter cannot be blank Date of Diagnosis (283) = 01012007 Multiplicity Counter (343) =

5. II: DATE OF CONCLUSIVE TERMINOLOGY VS. AMBIGUOUS TERMINOLOGY CODE SCENARIOS 2, 3, and 4

6. SCENARIO 2: MISCODED DATE OF CONCLUSIVE TERMINOLOGY WHEN 00000000 SHOULD BE 88888888. 000000001-00 CASE, TEST POS=00000001 Ambig Term DX, Date of Conclusive DX (SEER IF162) E: Date of Conclusive DX and Ambiguous Terminology DX conflict Date of Conclusive DX (325) = 00000000 Ambiguous Terminology DX (324) = 0

7. SCENARIO 3: MISCODED DATE OF CONCLUSIVE TERMINOLOGY WHEN 00000000 SHOULD BE 99999999. 000000001-00 CASE, TEST POS=00000001 Ambig Term DX, Date of Conclusive DX (SEER IF162) E: Date of Conclusive DX and Ambiguous Terminology DX conflict Date of Conclusive DX (325) = 00000000 Ambiguous Terminology DX (324) = 9

8. SCENARIO 4: MISCODED DATE OF CONCLUSIVE TERMINOLOGY WHEN 88888888 SHOULD BE 99999999. 000000001-00 CASE, TEST POS=00000001 Ambig Term DX, Date of Conclusive DX (SEER IF162) E: Date of Conclusive DX and Ambiguous Terminology DX conflict Date of Conclusive DX (325) = 88888888 Ambiguous Terminology DX (324) = 9

9. III: DATE OF MULTIPLE TUMORS VS. MULTIPLE TUMORS REPORTED AS 1 PRIMARY SCENARIOS 5, 6, AND 7

10. SCENARIO 5: MISCODED DATE OF MULTIPLE TUMORS WHEN 88888888 SHOULD BE A DATE OR 99999999. 000000001-00 CASE, TEST POS=00000001 Mult Tum Rpt as One Prim, Date of Mult Tum(NAACCR) E: Date of Multiple Tumors and Mult Tum Rpt as One Prim conflict Date of Multiple Tumors (335) = 88888888 Mult Tum Rpt as One Prim (333) = 99

11. SCENARIO 6: MISCODED DATE OF MULTIPLE TUMORS WHEN 00000000 SHOULD BE A DATE OR 99999999. 000000001-00 CASE, TEST POS=00000001 Mult Tum Rpt as One Prim, Date of Mult Tum(NAACCR) E: Date of Multiple Tumors and Mult Tum Rpt as One Prim conflict Date of Multiple Tumors (335) = 00000000 Mult Tum Rpt as One Prim (333) = 99

12. SCENARIO 7: MISCODED DATE OF MULTIPLE TUMORS WHEN A DATE OR 99999999 SHOULD BE 00000000. 000000001-00 CASE, TEST POS=00000001 Mult Tum Rpt as One Prim, Date of Mult Tum(NAACCR) E: Date of Multiple Tumors and Mult Tum Rpt as One Prim conflict Date of Multiple Tumors (335) = 01082007 Mult Tum Rpt as One Prim (333) = 00

13. IV: MULTIPLICITY COUNTER SCENARIO 8

14. SCENARIO 8: MISCODED MULTIPLICITY COUNTER WHEN THERE IS A SINGLE TUMOR. 000000001-00 CASE, TEST POS=00000001 Multiplicity Cntr, Date of Mult Tum (SEER IF163) E: Multiplicity Counter and Date of Multiple Tumors conflict Multiplicity Counter (343) = 99 Date of Multiple Tumors (335) = 00000000 Multiplicity Cntr, Mult Tum Rpt as One Prim(NAACCR E: Multiplicity Counter and Mult Tum Rpt as One Prim conflict Multiplicity Counter (343) = 99 Mult Tum Rpt as One Prim (333) = 00

15. V: REQUIRED FOR 2008 BUT RECOMMENDED TO CODE NOW 11 MORE DATA ITEMS ALL RELATING TO NPI #.

16. SEE: FORDS REVISED FOR 2007 FOR THESE FIELDS NATIONAL PROVIDER IDENTIFIER (NPI) NPI MANAGING PHYSICIAN NPI FOLLOWING PHYSICIAN NPI PRIMARY SURGEON NPI PHYSICIAN #3 NPI PHYSICIAN #4

17. (…DEEP BREATH…) NPI INSTITUTION REFERRED FROM NPI PHYSICIAN REFERRED TO NPI FOLLOWING REGISTRY NPI REPORTING FACILITY NPI ARCHIVE FIN Whew!!!! (-:

18. WEBSITE LINK FOR COC’S “IMPLEMENTING FORDS CHANGES FOR 2007” http://www.facs.org/cancer/coc/implementingfords070907.pdf

19. Virginia Cancer Registrars Association and Virginia Cancer Registry Annual Meeting October 3, 2007