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

NCDB News: RQRS Updates and Cancer Status

Files/cases submitted to RQRS are processing in both v18 and v16.  In order to ensure all cases that were originally submitted in v16 are processed correctly in v18, all 2018 data items including AJCC 8th Edition TNM and Stage groups, radiation data items if applicable, and cancer status will need to be updated and the cases resubmitted. Once these data items are updated in the vendor software and resubmitted to RQRS, the dashboards, alerts, and case list will update.  Please review the RQRS User Guide for the RQRS Minimum EPR Calculation Fields required to run the measure algorithms.

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 on the Cancer Programs News page.

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.

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.

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.

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.