Keeping you updated on 2010 Data Changes.
Updates & Resources: View all news
& resources.
Partners: See the collaborative
organizations.
Updates & Resources
03/01/10
CSv2 PART I Available for Download!
Part I, Section 1: General Rules [125 pgs] & Part I, Section 2: Lab Tests, Tumor Markers,
and Site-
Specific Factor Notes [130 pgs] PDFs.
Download now.
02/18/10
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: GIST/Neuroendocrin
Order past Webinars! Learn more @ Archived Webinars
02/04/10
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: Liver/Biliary
Order past Webinars! Learn more @ Archived Webinars
01/14/10
The Collaborative Stage Version 2 Work Group announces the release of Collaborative Stage version 02.00.01
(CSv2), which collects cancer data among several standard-setting organizations. The staging system has been
renamed the Collaborative Stage (CS) Data Collection System.
The new version incorporates significant changes to collaborative staging that are effective for cases
diagnosed on or after January 1, 2010, and are based on the American Joint Committee on Cancer's (AJCC)
Cancer Staging Manual, 7th edition. Available at http://cancerstaging.org/cstage/index.html, CSv2 contains software programs and tools,
general instructions and implementation guidelines, site-specific codes and coding instructions for the new
variables, and standard-setter requirements.
Cases diagnosed in 2010 must be coded using the revised version. Commission on Cancer (CoC)-accredited
programs should install software updates before abstracting 2010 diagnoses. The CSv2 software will include
new staging algorithms and will utilize the data elements as defined in the North American Association of
Central Cancer Registries (NAACCR) Inc.?s Record Layout Standards, Volume II, Version 12. Registry software
systems must incorporate the new CSv2 software. In addition, current registry data will need to be converted
to the new CSv2 and NAACCR version 12 standards prior to using CSv2. Specifications for the data conversion
will be available on the CS Web page. The Centers for Disease Control and Prevention will provide a program
for the conversion of the staging data elements.
If abstracting of 2010 cases begins before the software is updated, it will be necessary to review those
cases after the update to code the new items and ensure that converted items have specific codes assigned.
Electronic conversion of Class of Case and Race items may result in broader categories than the items
require for 2010 cases. Cases diagnosed prior to 2010 may be coded using the new layout, but it is not
necessary to code the items with a 2010 implementation date.
To ensure correct conversion and derivation of CS data, all records in the registry database with staging
information diagnosed from 1/1/2004 through the date of implementation must be processed through the CSv2
conversion algorithm. AJCC 6 stage and SS1977 and SS2000 will be re-derived on all cases where sufficient
information is available. Registries are urged to identify all edits developed for use with CSv1 on the
fields they collect and re-edit all cases before implementation of CSv2. CSv1 edits were added to the
standard NAACCR metafile at intervals from 2004 through mid-2009; all CSv1 cases in the registry database
may not have passed through all available CS edits. Users can expect fewer conversion problems with edited
data.
Once CSv2 is installed, it will be the only CS version used for all cases diagnosed from the year 2004 to
the present, regardless of diagnosis year.
The CSv2 algorithm for AJCC 6 and 7 will be applied to cases as described below:
+ The AJCC 7th edition mapping algorithm will be applied only to cases diagnosed from January 1, 2010, and
forward.
+ Cases diagnosed before January 1, 2010 can be coded using CSv2, but the mapping algorithm will only
calculate AJCC 6th edition for these cases.
+ Site-specific factors may be coded for any year?that is, new site-specific factors can be coded for pre-
2010 cases.
+ Blanks will be allowed for data collected under CSv2 for Site-Specific Factors 1-25. For data converted
from CSv1 to CSv2, SSFs 1-25 may also be left blank.
All programming files for this release are available for
download from the CS Web page of the
American Joint Committee on Cancer's (AJCC) Web site. It is recommended that vendors deliver these
updates to their clients as soon as possible.
The CS Implementation Guide, CSv2 User Documentation, and other tools will provide detailed
information to ensure a smooth transition from CSv1 to CSv2. These documents are also available on the CS Web
page.
Recommendations and Requirements for Implementation of CS Version 02.00.01
Each standard-setting organization has specific requirements and recommendations for applying the CS Version
2. Visit the CS Web pages to view and download the individual requirements. Refer to individual program or
central cancer registry requirements for additional information.
Vendor and general questions regarding the CS release can be submitted to CSv2@facs.org. All technical
and coding questions should be submitted to the Inquiry and
Response (I&R) System.
Note: The CS Web pages have been redesigned for CSv2, and any bookmarks for pages within the Web
site may need to be reset.
01/07/10
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: Lymphoma/Hematopoietic (120 minutes)
Order past Webinars! Learn more @ Archived Webinars
12/09/09
SEER announced the Hematopoietic Database (DB) is now available on the SEER website. The
Hematopoietic and Lymphoid Neoplasm Case Reportability and Coding Manual is embedded in the Hematopoietic
DB. The Manual can be accessed from the first screen of the Hematopoietic DB by clicking on the Hemato
Manual button located on the lower-right of the screen.
A total of 13 hematopoietic educational presentations will be available on the SEER website. There is no
charge for the Hematopoietic DB, the manual, or any of the presentations.
Download Hematopoietic DB
with the embedded Manual. Main contact: NCISEERQI@mail.nih.gov.
12/08/09
NAACCR's 2010 Implementation Guidelines and Recommendations (For NAACCR Standards Volume II, Data
Standards and Data Dictionary, Version 12, effective with cases diagnosed on or after January 1, 2010) have
been released. They have been completed to the best of the ability of the work group. At the time the
guidelines were released the materials for CSV2 and Hematopoietic MP/H Rules were not finalized; therefore,
more detailed information could not be incorporated in to the guidelines. As updated information is received
it will be shared with the NAACCR membership through the NAACCR listserv.
Access NAACCR's 2010 Implementation Guidelines and Recommendations (PDF).
12/07/09
CSv2 Speakers Bureau members were trained to deliver presentations and case exercises that address the
following sites included in version two of the Collaborative Stage Data Collection System.
View Speakers
Bureau lists.
View 2009-2010
training calendar.
12/03/09
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: Head & Neck (120 minutes)
Pre-Order the Archived Webinars
11/23/09
A Case Data Collection Web Site for CSv2 is available. Be sure to read the site's instructions before
submitting cases.
Go to the Case Data
Collection Site. (account required)
11/05/09
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: Lung (120 minutes)
Pre-Order the Archived Webinars
10/22/09
NCRA's CSv2 LIVE Webinar continues today!
TOPIC: Colorectal (120 minutes)
Pre-Order the Archived Webinars
10/14/09
CHICAGO: The American Joint Committee on Cancer (AJCC) released the seventh edition of the AJCC Cancer Staging
Manual. The manual is intended to provide physicians and health care professionals around the world
with a tool to facilitate the uniform description and reporting of cancer. The manual was last updated in
2002.
Considered the gold standard in cancer staging, the AJCC Cancer Staging Manual brings together the
appropriate and evidence-based criteria for the staging of cancer for 52 anatomic primary sites, which
includes the rational and rules for staging; the background explanation of the changes between the sixth and
seventh editions; the definitions of tumor, lymph node involvement, and metastasis; stage groupings; and
histologic grade. “The AJCC believes this newly released Edition of the AJCC Cancer Staging Manualwill
enhance the utility of the TNM* staging to patients and clinicians,” said Stephen Edge, MD, FACS, the
publication’s editor. “This seventh edition is also a springboard to the exciting future of personalized
cancer care using data to more specifically define prognosis and the potential for benefit from specific
therapies,” Dr. Edge said.
Published by Springer, the manual, handbook, and
atlas are all prepared by the AJCC in collaboration with its member organizations, including the
American Cancer Society, which provided primary funding for the development. These organizations work with
the AJCC in the promotion of staging at the time of diagnosis in order to achieve better patient
outcomes.
10/08/09
Another NCRA CSv2 LIVE Webinar is today!
TOPIC: Prostate/GU (120 minutes)
Pre-Order the Archived Webinars
10/2/2009
Published updates from NCRA's The Connection (fall 2009):
- Pages 1,4: Implementation: Brief Review of Site-Specific
Factors for the Colon/Rectum Schema by Suzanna S. Hoyler, CTR [CSV2 PROJECT LEADER & Valerie J. Vesich,
RHIT, CTR [CSV2 MAPPING TEAM MEMBER]
- Page 5: CAP Cancer Committee by Rose Ross, RHIT, CTR [NCRA's CAP Liaison]
- Pages 10: CSv2 Web Site: View the
Latest
Enhancements by Cynthia Boudreaux, LPN, CTR [CSV2 EDUCATION & TRAINING TEAM LEADER]
Read full articles...
09/24/09
Another NCRA CSv2 LIVE Webinar is today!
TOPIC: Breast (120 minutes)
Pre-Order the Archived Webinars
09/17/09
A new forum topic - 2010 Changes - was added to the very popular Online Discussion Forum, the
resource for NCRA members to share info, ask questions, search topics & monitor the latest hot issues.
Access
the Online Discussion Forums 
09/3/09
First NCRA CSv2 LIVE Webinar is today! TOPIC:
Introduction, Overview; Developed & Presented by: April Fritz. (120 minutes)
Pre-Order the Archived Webinars
09/2/09
NAACCR announces Webex series - 3-hour class will present information about the data collection changes
and additions included in Standards Volume II, Version 12 and scheduled to be collected for cases diagnosed
January 1, 2010 and after. This will include Collaborative Stage Data Collection System Version 2 (CSv2) and
other changes and additions identified in Standards Volume II, Version 12.
TOPIC: Session Information: 2010 Cancer Data Collection Updates: Standards Volume II, Version
12.
09/01/09
In preparation for the release of CSv2 effective with 2010 cases, AJCC seeks your feedback on the
availability of the data in the medical record for the new Site-Specific Factors for the select
cancer primary sites. (One questionnaire submission per facility)
Take the
Online Survey. Survey deadline = 9/15/09
08/29/09
NCRA: Your CSv2 Resource (advance magazine) by Lilly Grossman.
"Webinar series will provide educational opportunities that are accessible and cost appropriate...NCRA
has been involved in understanding these changes to be fully prepared to ascertain and deliver on the
educational needs of the members and greater cancer registry community."
Read full article...
8/15/2009
Published updates from NCRA's The Connection (summer 2009):
- Pages 1,4: New Version of Collaborative Stage...Let’s Get Ready by Suzanna S. Hoyler, CTR [CSV2 PROJECT
LEADER & Valerie J. Vesich, RHIT, CTR [CSV2 MAPPING TEAM MEMBER]
- Page 5: Education and Training for Collaborative Stage Version 2 by Cynthia Boudreaux, LPN, CTR [CSV2
EDUCATION AND TRAINING TEAM LEADER]
- Pages 11-12: Hematopoietic Project by Carol Hahn Johnson, CS, CTR [CHAIR, HEMATOPOIETIC WORKING GROUP
QUALITY IMPROVEMENT PROGRAM, NCI SEER]
Read full articles...
08/05/09
The first CSv2 training for the NPCR
Education & Training Coordinators (ETCs) conducted in Atlanta.
07/31/09
Train-the Trainers program
by the CSv2 Education & Training Team conducted in Chicago.
07/16/09
NCRA offers cost-effective & CE-worthy Webinar training for CSv2.
06/10/09
Cancer Registrars Prepare for Sweeping Changes: Six activities need to be on every registrar's 2010
readiness action plan. (advance magazine); Laurie Hebert interviewed.
"Six activities need to be on every registrar's 2010 readiness action plan:
1. Read: Registrars can expect a lot of communication coming at them from a variety of sources such as ACoS,
state associations and registries, NCRA, NAACCR, etc. To stay on top of what's happening, the following Web
sites and resources are a must:
• ACoS CoC
• NCRA
• NAACCR
• NCI/SEER
• State association registry meetings
2. Plan: Create an implementation plan and timeline once all communication and deadlines have been
finalized.
3. Prioritize: Determine what needs to occur and when and how current work will be accomplished while
preparing for upcoming changes. There are a lot of moving parts and it will be important for registrars to
be clear on priorities and to secure buy-in on those priorities from their organization.
4. Manage time: Time management skills will be essential during the transition to updated standards. Time
management goes hand and hand with setting priorities and then being disciplined enough to not be distracted
and veer off plan.
5. Educate: Educate early and often and that includes educating leadership on the upcoming changes.
6. Update: Update internal policy and procedure manuals."
Read full article...
06/01/09
NCRA welcomes attendees to the 35th Annual Conference in New Orleans.
Seek to virtually attend the conference?
Pre-Order the Encore Sessions of presentations.
05/20/09
Concerns on Cancer Registry Changes for 2010 (advance magazine) by By Lynn Jusinski.
"NAACCR and standard setters in cancer surveillance chose to implement major changes every 3 years to
hopefully lighten the load on registrars and give them time to get ready for the new guidelines. Some in the
cancer registry field have expressed concerns about the bulk of the changes coming in 2010..."
Read full article...
4/01/2009
Published update from NCRA's The Connection (spring 2009) - "Collaborative Stage Version 2: Who’s Doing the
Work?" by Suzanna S. Hoyler, CTR [CSV2 PROJECT LEADER] & Lynda L. Douglas, CTR [CHAIR, CS FIELD TEST TEAM]
The latest revision of Collaborative Staging (CS) has provided an opportunity for many standards-setters,
vendors, and other interested organizations to work together towards a new version of the Collaborative
Staging that is compatible with the AJCC Cancer Staging Manual, 7th Edition. The AJCC manual will be
published in summer 2009 and be effective with January 1, 2010, cancer cases.
The Collaborative Staging system is a joint effort between all standards-setting agencies and
organizations involved in cancer surveillance in North America. These include AJCC, CoC, CDC/NPCR, NCI/SEER,
NCRA, NAACCR, and Canadian Council of Cancer Registries. Several teams are involved in creating the changes
necessary for CSv2—read about them in detail below...
Read full article...pages 1 & 4.
02/01/09
Topics at NCRA's 35th Annual Conference (June 2009 in New Orleans) offers a tremendous amount of
presentations on 2010 Data Changes.
Unable to attend the conference?
Pre-Order the Encore Sessions of presentations.
12/31/08
Stephen B Edge, MD, FACS, Editor of AJCC Staging Manual 7th edition, wrote an article "Collaborative Staging
Site-Specific Factors and Other New Data Items: Understanding Their Importance and Impact on Patient Care"
published in NCRA's The Connection (winter 08-09).
"Advances in cancer medicine necessitate changes in how cancer data is
collected. Some of these changes include the study of new biomarkers or
existing tests that have new prognostic meaning. Diagnostic workup will
begin to include the new markers that guide treatment decisions resulting
in prognostic changes. These biomarkers and other significant prognostic
information will be incorporated into the Site-Specific Factors (SSFs) of
Collaborative Staging Version 2 (CSv2).
Cancer Registrars play an important role in collecting and reporting data
vital to providing quality care, understanding incidence and mortality, and
patterns of care and outcomes."
Read full article...pages 16-17.
12/01/08
Changes for 2010 (advance magazine) by Lynda Douglas.
"Changes to The North American Association of Central Cancer Registries (NAACCR) record layout that will
affect coding and abstracting for the year 2010 are being developed. Several years ago, national standard
setters for cancer surveillance agreed major changes needed to be curtailed to once every 3 years. This was
to allow for all the difficulties in making programmatic changes, education to learn new standards, labor
costs, etc.
We are now preparing for our first 3-year cycle when major changes can happen. Consequently, we have 3
major changes happening at one time."
Read
full article...
Partners
Tips on news &/or resources to be shared? Contact NCRA's Advocacy & Technical Practice Directors.