American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

NCDB: The Corner STORE

STORE Data Item Clarification: Cancer Status

Coding examples and rationale for the new STORE Data items, Cancer Status [1770], Date of Last Cancer (tumor) Status [1772], and Date of Last Cancer (tumor) Status Flag [1773], have been created to assist the registrar in the coding of these new data items.

The rationale for the development of the new data items, Cancer Status [1770], Date of Last Cancer (tumor) Status [1772] and Date of Last Cancer (tumor) Status Flag [1773] is to track recurrence after the completion of first course of treatment. The use of the Date of Last Cancer (tumor) Status Flag [1773] should be infrequent, as there should always be a relevant date from the medical information which is used to assign the cancer status. Please view the examples on how to code these data items.

1)      Never disease-free:

Cancer Status [1770] = 2 (cancer)

Date of First Recurrence [1860] = BLANK, as per existing STORE instructions because it records date of recurrence after disease-free period which in this scenario there never was a disease-free period)

Recurrence Date 1st Flag [1861] = code 11 “patient never disease free” (STORE code 11 presently combines disease free after treatment and never disease free)

Date of Last Cancer (tumor) Status [1772] = record date of the last note stating the patient status (not disease free). In cases when the only information is a diagnosis, use the date of diagnosis.

2)      Patient receiving treatment:

Cancer Status [1770] = 2 (cancer)

Date of First Recurrence [1860] = BLANK, as per existing STORE instructions because it records date of recurrence after disease-free period which in this scenario is unknown.

Recurrence Date 1st Flag [1861] = 10 (unknown if patient was never disease free or had first recurrence-patient receiving treatment)

Date of Last Cancer (tumor) Status [1772] = record date of last note stating patient has disease and undergoing treatment. 

3)      Disease-free:

Cancer Status [1770] = 1 (no cancer)

Date of First Recurrence [1860] = BLANK (as per existing STORE instructions because it records date of recurrence after disease-free period)

Recurrence Date 1st Flag [1861] = code 11 to “patient disease free” (STORE code 11 presently combines disease free after treatment and never disease free)

Date of Last Cancer (tumor) Status [1772] = record date of last note stating patient is disease-free.

4)      Not disease-free after a period of being disease-free:

Cancer Status [1770] = 2 (cancer) changed from 1 (patient initially disease free)

Date of First Recurrence [1860] = valid date entered for first recurrence date, or if no date see Recurrence Date 1st Flag [1861]

Recurrence Date 1st Flag [1861] = 12 (a proper value is applicable but not known)

Date of Last Cancer (tumor) Status [1772] = record date of last note stating patient has disease.