1 / 22

2010 Hematopoietic and Lymphoid Neoplasm Project

2010 Hematopoietic and Lymphoid Neoplasm Project. Maneuvering the Hemato DB and Rules. Maneuvering the Hemato DB & Rules. New Version of Hemato Manual Posted to SEER website http://seer.cancer.gov/tools/heme/ index.html Sign up for e-mail notifications. Maneuvering the Hemato DB & Rules.

delphine
Download Presentation

2010 Hematopoietic and Lymphoid Neoplasm Project

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. 2010 Hematopoietic and Lymphoid Neoplasm Project Maneuvering the Hemato DB and Rules

  2. Maneuvering the Hemato DB & Rules • New Version of Hemato Manual • Posted to SEER website • http://seer.cancer.gov/tools/heme/ index.html • Sign up for e-mail notifications

  3. Maneuvering the Hemato DB & Rules • Multiple primaries calculator replaces the 2001 Single versus Subsequent Primaries pull-out table • Two references do not match • Replaces the 2002 Abstracting and Coding Guide (“the Red Book”) • Does not replicate ICD-O-3 • Obsolete terms and codes deleted

  4. Maneuvering the Hemato DB & Rules • Primary Site Code Display • One correct primary site code - WHO and ICD-O-3 • Abstractor notes list common and rare primary sites • Notes do not display on default view • Used by data collectors, QI staff and data matching/consolidation staff

  5. Maneuvering the Hemato DB & Rules • Five Steps of Navigation: • Provisional histology; primary site/hist • Reportability Instructions • MP Rules • PH Rules • Grade Rules • Phenotype/lineage for hematopoietic and lymphoid neoplasms

  6. Maneuvering the Hemato DB & Rules • 1: Provisional histology; site/hist • “Smart” searches • Ex: Use “histiocytic, diffuse” to locate histiocytic, diffuse lymphoma • Use quotation marks • Matched term and sort feature • Warnings display for unlikely terms of site/hist combinations

  7. Maneuvering the Hemato DB & Rules • Example: • Search “marginal zone” • Select marginal zone lymphoma • Display disease information • Display abstractor notes • Review common and rare primary sites

  8. Maneuvering the Hemato DB & Rules • 2: Reportability Instructions: • Not rules nor hierarchical • Informational • Abiguous terms; usual treatment(s) • Clinical diagnoses • Smoldering, early, evolving, indolent and pre-diagnoses

  9. Maneuvering the Hemato DB & Rules • 2: Reportability Instructions • Newly reportable neoplasms • Documentation of definitive Dx • ICD-O /1 an MD calls malignant • New terms and codes (Appendix D) • When to query the Hemato DB

  10. Maneuvering the Hemato DB & Rules • 3: MP Rules • M1: Minimal info; single primary • M2: Single histology; single primary • M3-M12: Multiple histologies • M13: Last resort • Use MP calculator

  11. Maneuvering the Hemato DB & Rules • 4: PH Rules PH1-PH3 • Path report is not an auto-default • PH 1: Code primary site from scans, documentation, path, Hemato DB Path not automatic default • PH 2: Dx of inclusion/exclusion • Equivocal tests + clincal presentation = Dx • PH 3: Minimal information: use documentation, clinical impression, death certificate, office or out-pt report

  12. Maneuvering the Hemato DB & Rules • PH Modules 1-9: • Module 1: Generl instructions • Modules 2-6: Histology-specific; based on provisional Dx established in Step 1 • Modules 7-8: Speciality modules • 7: Primary site for lymphoma (PH25 - 37) • 8: Histology (PH 38 - 39) • Module 9: Last resort • Hemato DB • Numerically higher code

  13. Maneuvering the Hemato DB & Rules • 5: Assigning grade: phenotype/lineage • Notes 1 & 2: Assign grade; do not use ICD-O-3 table 13 • Use rules; need not be specified on path report • Phenotype/lineage inherent in histologic type

  14. Maneuvering the Hemato DB & Rules • 5: Grade and lineage/phenotype • Grade 9: not applicable • Myeloproliferative, myeloproliferative / myelodysplastic, myelodysplastic, histiocytic, dendritic, ambiguous lineage • Use path or H&P, consult, final Dx, face sheet

  15. Maneuvering the Hemato DB & Rules • 5: Grade and lineage/phenotype • Valid codes are 5-9 • Do not use low, intermediate and high grade to code lineage/phenotype • Numeric lists of neoplasm lineages • T-cell • B-cell • Null-cell • NK cell • “Clean up” rule for inadequate documentation, mixed phenotypes

  16. Maneuvering the Hemato DB & Rules • Diagnostic confirmation • Read diagnostic confirmation, genetic data, disease immunophenotyping • Are genetics or immunophenotyping part of dx criteria? • Need immunohistochemistry (tests tissue, BM, or blood for antigens by staining • Was it ordered? • Are results available? • Dx conf. Code 3: histology and immunohistology (HP/L cases only)

  17. Maneuvering the Hemato DB & Rules • Treatment: • Read abstractor notes • High-level information only • Use MP calculator • Check rules M1 - M12 • Follow-back on suspected treatment(s)

  18. Maneuvering the Hemato DB & Rules • Case Walk-Through • Dx: Duodenum: Multiple polyps with intestinal follicular lymphoma • Look up “intestinal follicular” • Display abstractor notes • Read variant information

  19. Maneuvering the Hemato DB & Rules • Case Walk-Through • Read reportability instructions included in histology code range • Review MP rules • Stop at rule M2: single histology = single primary

  20. Maneuvering the Hemato DB & Rules • Determine primary histology • Open PH modules • Find follicular lymphoma code 9690/3 • Check module 6, PH 16 and 17

  21. Maneuvering the Hemato DB & Rules • Determine grade/phenotype/lineage • Codes are numerically arranged • Look up 9690/3 • Stop at rule G6: T-cell neoplasm

  22. Maneuvering the Hemato DB & Rules • Questions? This work was supported by Contract HHSN26120000024C between the National Cancer Institute and the Connecticut Department of Public Health.

More Related