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  • North American Association of Central

    Cancer Registries, Inc. (NAACCR)

    2021 Implementation Guidelines and

    Recommendations

    (For NAACCR Data Standards and Data Dictionary, Version 21, effective

    with cases diagnosed on or after January 1, 2021)

    Version 1.1

    August 2020 Revised October 2020

  • Table of Contents 1 Introduction .......................................................................................................................................... 7

    2 New Data Items ..................................................................................................................................... 7

    2.1 SSDI Data Items ............................................................................................................................. 7

    2.2 Neoadjuvant Data Items ............................................................................................................... 9

    2.3 yc Data Items................................................................................................................................. 9

    2.4 Name–Birth Surname .................................................................................................................... 9

    2.5 Versioning Data Items ................................................................................................................. 10

    2.5.1 AJCC API Version Current and Original ............................................................................... 10

    2.5.2 AJCC Cancer Surveillance API Version Current and Original ............................................... 10

    2.5.3 Schema ID Version Current and Original ............................................................................ 11

    2.6 NCDB COVID-related Data Items ................................................................................................ 11

    3 Changed Data Items ............................................................................................................................ 12

    3.1 Name - Alias ................................................................................................................................ 12

    3.2 Radiation Treatment Modality .................................................................................................... 12

    3.3 Name Changes ............................................................................................................................ 12

    3.4 Site-Specific Data Items .............................................................................................................. 12

    4 Other Changes .................................................................................................................................... 13

    4.1 Grade ........................................................................................................................................... 13

    4.2 ICD-O-3 ........................................................................................................................................ 14

    4.3 Site/Histology Validation List ...................................................................................................... 14

    4.4 Solid Tumor Rules ....................................................................................................................... 15

    4.4.1 2021 Updates to 2018 Site-Specific Instructions ................................................................ 15

    4.4.2 2021 Cutaneous Melanoma Solid Tumor Rules .................................................................. 15

    4.4.3 2007 Multiple Primary & Histology Rules (MP/H): Other Sites .......................................... 15

    4.4.4 Solid Tumor Revision History .............................................................................................. 15

    4.5 SEER Hematopoietic and Lymphoid Neoplasm Database........................................................... 15

    4.6 Summary Stage 2018 and EOD 2018 .......................................................................................... 16

    4.7 AJCC Edition ................................................................................................................................ 16

    4.8 Reportability................................................................................................................................ 16

    4.9 Scope of Lymph Node Surgery .................................................................................................... 16

    5 XML ..................................................................................................................................................... 17

    5.1 XML Dictionaries ......................................................................................................................... 17

  • 5.2 XML Software Utilities ................................................................................................................ 17

    5.3 Standards Volume Changes ........................................................................................................ 17

    5.4 Other Considerations .................................................................................................................. 18

    6 EDITS ................................................................................................................................................... 18

    6.1 V21 NAACCR Edits Metafile ........................................................................................................ 18

    6.2 Impact of XML for EDITS ............................................................................................................. 19

    6.2.1 Running EDITS on XML Files ................................................................................................ 20

    6.2.2 Differences Between the NAACCR Edit Metafile Record Layout and the Base Dictionary . 21

    7 Standard Setters Reporting Requirements for 2021 .......................................................................... 21

    7.1 CoC Reporting Requirements ...................................................................................................... 21

    7.1.1 STORE Manual Data Item Reduction .................................................................................. 21

    7.2 CDC NPCR Reporting Requirements ........................................................................................... 22

    7.2.1 Staging Requirements for 2021 Diagnosis .......................................................................... 22

    7.3 NCI SEER Reporting Requirements ............................................................................................. 23

    7.4 CCCR Reporting Requirements ................................................................................................... 23

    8 Summary for Central Cancer Registries .............................................................................................. 23

    8.1 XML, New Data Items, and Changed Data Items ........................................................................ 24

    8.1.1 XML ..................................................................................................................................... 24

    8.1.2 New Data Items ................................................................................................................... 24

    8.1.3 Changed Data Items. ........................................................................................................... 24

    8.2 Other Changes ............................................................................................................................ 24

    8.2.1 AJCC Current Edition ........................................................................................................... 24

    8.2.2 Site-Specific Data Items (SSDIs) .......................................................................................... 24

    8.2.3 ICD-O-3 Histologies ............................................................................................................. 25

    8.2.4 SEER Site/Histology Validation List ..................................................................................... 25

    8.2.5 2018 Solid Tumor Coding Rules (formerly known as Multiple Primary and Histology Rules)

    25

    8.2.6 SEER Hematopoietic and Lymphoid Neoplasm Database ................................................... 25

    8.2.7 Summary Stage 2018 and EOD 2018 .................................................................................. 25

    8.2.8 Scope of Lymph Node Surgery ............................................................................................ 25

    8.3 Central Registry Edits .................................................................................................................. 25

    8.4 Software Implementation Plan ................................................................................................... 26

    8.5 Communication with Reporting Facilities and Software Vendors .............................................. 26

  • 8.6 Education and Training ............................................................................................................... 27

    9 Summary for Software Developers and Vendors ................................................

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