1 / 18

Hematopoietic Database

Hematopoietic Database. Texas Cancer Registry. Purpose. Case Reportability Histology Primary Site Grade (N/A for cases dx 2018 and forward) Alternative Names Promotes accuracy and consistency in coding Hematopoietic Coding Manual Rules and instructions. Heme DB.

morse
Télécharger la présentation

Hematopoietic Database

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. Hematopoietic Database Texas Cancer Registry

  2. Purpose • Case Reportability • Histology • Primary Site • Grade (N/A for cases dx 2018 and forward) • Alternative Names • Promotes accuracy and consistency in coding • Hematopoietic Coding Manual • Rules and instructions Texas Cancer Registry | Hematopoietic Database

  3. Heme DB Hematopoietic & Lymphoid Neoplasm Database (Heme DB) https://seer.cancer.gov/seertools/hemelymph Hematopoietic & Lymphoid Neoplasm Coding Manual https://seer.cancer.gov/tools/heme/Hematopoietic_Instructions_and_Rules.pdf Note: The stand-alone, downloadable version of the Hematopoietic Database is no longer available Texas Cancer Registry | Hematopoietic Database

  4. Texas Cancer Registry | Hematopoietic Database

  5. Heme DBSearch for histology 1. Search for Working Histology code(s) • Use name, key term, histology code, acronym • A list of neoplasms will appear on the screen in the order of most relevance • Click in the desired term to display the record Texas Cancer Registry | Hematopoietic Database

  6. Heme DBSearch for histology Texas Cancer Registry | Hematopoietic Database

  7. Heme DBSearch histology Texas Cancer Registry | Hematopoietic Database

  8. Heme DB • Diagnosis year • Morphology by Effective date • Effective date will tell you which code to use • Reportability • Primary Site • Certain histologies point to only one primary site • Grade • Not applicable for 2018 • Exception: Lymphoma Ocular Adnexa • Module Rule • Will direct you to Module # in Heme Manual • Abstractor Notes Texas Cancer Registry | Hematopoietic Database

  9. Heme DBSearch for # of primaries 2. Multiple Primary Rules • Start with M1 • Continue in consecutive order • STOP at the first one that applies! • Use Hematopoietic Multiple Primaries Calculator • ONLY when instructed to do so Texas Cancer Registry | Hematopoietic Database

  10. Multiple Primary Calculator • Used with Hematopoietic Coding Manual • Only when Rules instruct you to do so • Only for cases diagnosed from 2010 and forward • Otherwise use ICD-O-3 Hematopoietic Primaries Table Texas Cancer Registry | Hematopoietic Database

  11. Heme DBConfirm histology 3. Verify or revise the working histology(s) • Use the Primary Site and Histology Rules • If the PH Rules lead you to a different histology code, go to that histology in the Heme DB Texas Cancer Registry | Hematopoietic Database

  12. Heme DBDetermine Primary Site 4. Determine primary site • If primary site is displayed in the Heme DB, it is the only code to be used • Otherwise, use the Primary Site and Histology Rules • Read Abstractor Notes to find information and confirm site/histology combination 5. Determine the Grade • Applicable only for cases diagnosed (2010-2017) • Exception: Lymphoma Ocular Adnexa Texas Cancer Registry | Hematopoietic Database

  13. Diagnostic Confirmation: Hematopoietic or Lymphoid Tumors Texas Cancer Registry | Cancer Information

  14. Diagnostic Confirmation: Hematopoietic & Lymphoid Tumors • Priority Order: Microscopic (1-4) takes priority over clinical only (5-8) • Use Code 1 if ONLY tissue was used to diagnose • Use Code 3 ONLY when both • Tissue PLUS • POSITIVE immunophenotyping, genetic testing or JAK2 confirmation (not proceeded by ambiguous terminology) • Not if “patchy weak staining” Texas Cancer Registry | Cancer Information

  15. Diagnostic Confirmation Alphabet Soup=Code 3 • B lymphoblastic leukemia/lymphoma with t(9;220(q34;q11.2); BCR-ABL1 • Definitive Diagnostic Methods • Genetics Data • ABL-1 at 9q34 • BCR-ABL fusion protein • Fusion of BCR at 22q11.2 • p190 kd BCR-ABL1 fusion protein • p210 kd fusion protein • Immunophenotyping • CD10+ • CD19+ • TdT+ Texas Cancer Registry | Hematopoietic Database

  16. Transformations ToTransformations From • Transformations To • Chronic neoplasm to acute neoplasm • Transformations From • Acute neoplasm to chronic neoplasm • After treatment • Code chronic as second primary M13 • No treatment • Same primary, code the acute M12 • Follow back recommended Texas Cancer Registry | Hematopoietic Database

  17. Summary You should now be able to discuss and understand: • Purpose of the Hematopoietic and Lymphoid Database (Heme DB) • Purpose of the Hematopoietic and Lymphoid Manual (Heme Manual) • How to use the Heme DB • Histology • Module Rules/Abstractor Notes • Number of Primaries/Transformations • Primary Site • When to use the Multiple Primaries Calculator Texas Cancer Registry | Hematopoietic Database

  18. Thank you Texas Cancer Registry | Hematopoietic Database

More Related