FROM: Serban Negoita (NCI SEER): Co-chair NAACCR Mid-Level Tactical Group
Manxia Wu (NPCR): Co-chair NAACCR Mid-Level Tactical Group
SUBJECT: 2024 Field Testing
DATE: August 12, 2024
The High-Level Strategic (HLSG) and Mid-Level Tactical Groups (MLTG) are requesting sample cases that may be used for conducting field testing on proposed new data items for 2026 implementation. The field test assessments ask registrars to code the proposed new data items using original medical records. Records are not to be submitted without following the specific instructions below.
The purpose of field testing is to assess the feasibility of collecting new information and the accuracy and consistency of coding. Feedback from the field testing will guide revisions, as needed, to codes and coding instructions and assist with determining educational needs.
This field test will inform the MLTG in its determination of implementing the proposed new/revised data items and provide the NAACCR SSDI work group and the Standard Setters information for developing and refining new proposed SSDIs and other data items.
- Description of Cases Requested
- Confidentiality-Cases must be de-identified before submitting.
- Remove/delete all personal identifying information to protect privacy and assure confidentiality.
· Personal identifiers include:
· Patient name
· Physician names
· Healthcare facility name
· Any address and/or geographic information (street, city, state, zip code)
· Telephone numbers
· Date of birth
· Social security number
· Medical record number
· Any other identifying information
Remove or delete all personal identifiers from each page of the medical record.
Types of Cases Requested
- Single primary only: The cases should be reportable cases that are single primary only
- Difficulty Level: Most of the cases should be among the common, not rare or difficult. These cases should be typical cases registries can expect in their overall caseload.
- Diagnosis Date: Please send 2024 cases if possible. If enough 2024 cases cannot be found, it is acceptable to send 2022-2023 cases.
- Specific data items/reports: Submit at least 1 case for the data items listed below when possible. There is no minimum or maximum number of cases that can be sent.
| Site | Data Item | Type of Cases | CAP Protocol |
| Lung | Method of Detection | Imaging for any case (can be same case used for STAS) Other cases that don't have imaging, but lung cancer is diagnosed, e.g., incidental finding | N/A |
| STAS (spread through air spaces) | Resection of the lung tumor, e.g., segmentectomy, wedge resection, or other lung resections | Lung_4.3.0.1.REL_CAPCP.pdf See page 7 (right under Histologic grade) Note: When sending in cases, the CAP protocol/Synoptic report must be included |
| Breast | Residual Cancer Burden | Surgical resection of invasive breast cancer AFTER neoadjuvant therapy | Breast.Invasive_4.10.0.0.REL.CAPCP.pdf See page 9: Residual Cancer Burden (RCB) Parameters Note: When sending in cases, the CAP protocol/Synoptic report must be included |
| Residual Cancer Burden Class |
| Greatest Dimension of Primary Tumor Bed Area in Millimeters (mm) (involved by residual viable carcinoma) |
| Second Greatest Dimension of Primary Tumor Bed Area in Millimeters |
| Percentage of Overall Cancer Cellularity (in the area measured above) |
| Percentage of Cancer that is In Situ Disease |
| Number of Positive Lymph Nodes |
| Diameter of Largest Nodal Metastasis in Millimeters |
| Breast | Method of Detection-Breast | Imaging for any case (can be same case used for the post neoadjuvant therapy cases) Other cases that don't have imaging, but breast cancer is diagnosed, e.g., incidental finding | N/A |
| | Date of Prior imaging | Imaging for any case (can be same case used for the post neoadjuvant therapy cases) Other cases that don't have imaging, but breast cancer is diagnosed, e.g., incidental finding | N/A |
| Corpus Uteri | Microsatellite instability (MSI) Status | Endometrial cases that have results for MSI, MMR, including positive, negative, indeterminate, unknown | Gynecologic.Bmk_1.1.0.0.REL_CAPCP.pdf |
- Case Preparation and Submission for Testing
- Electronic submission to IMS (see instructions for how to send cases below). If you do not have cases in electronic format, then please scan the records into pdf or OCR format to send electronically.
- Remove all personal identifiers from all reports.
- Number the cases sequentially, beginning with Case 1 (Case 1, Case 2, Case 3, etc.) on electronic file name, not on inside of document.
- Please retain for future uses, the patient ID or medical record number or any other useful information that will help you identify the original source. Please do not transmit these numbers.
Case Submission: Please do not hold cases until the deadline. Send cases as soon as you locate them.
Last Day to Submit Cases: September 13, 2024
When to send: Please send cases as they are identified. Multiple submissions are preferred rather than waiting to send them all right before the deadline
How to send: Instructions for submitting cases
Case data will be collected by Information Management Services, Inc., who provides technical support for SEER.
- When you are ready to transmit the case data, please email Nicki Schussler (SchusslerN@imsweb.com). Please include your organization's name and that the data is ready for transmission. DO NOT include the case data on this initial email.
- You will then receive an email via the IMS Encrypted data exchange server referencing the call for data. Please respond to this email from the encrypted data exchange, attaching your data file. If you are required to encrypt the file by your organization's policies, please provide a phone number and Nicki will contact you to get the password.
- If you have any questions regarding the call for cases, please contact Jim Hofferkamp at jhofferkamp@naaccr.org.
Jim Hofferkamp, ODS
NAACCR Program Manager of Education and Training