Policies & Procedures Manual
Resources & References
This section contains useful reference material, study guides, sites of interest, and contact information.Guide To Effective Dates: Standard References, New Data Fields, and New Codes
International Classification of Diseases for Oncology, (ICD-) books: ICD-O-1, First Edition: 1976 – 1991 ICD-O-2, Second Edition: 1992 – 2000 ICD-O-3, Third Edition: 2001 – 2017 ICD-O-3, Third Edition Histology Revisions 2018-2023 https://iris.who.int/bitstream/handle/10665/96612/9789241548496_eng.pdf?sequence=1&isAllowed=y |
SEER Extent of Disease Manuals (EOD) First Edition: 1988 – 1991 Second Edition: 1992 – 1997 Third Edition: 1998 – 2003 Extent of Disease 2018 General Instructions https://seer.cancer.gov/tools/staging/ |
Collaborative Staging System:2004–2017 CS Version 02.02 effective 2010 CS Version 02.03 effective 2011 CS version 02.04 effective 2012 CS version 02.05 effective 2014 - 2017 |
Summary Staging Summary Staging Guide, General Stage, field N760, 1977 – 2000 SEER Summary Staging, Summary Stage 2000, field N759, 2001 – 2003 and 2015-2017 SEER Summary Stage 2018 Manual https://seer.cancer.gov/tools/staging/ |
SEER Rx Interactive Antineoplastic Drugs Database Application first available 2005. Link to download application and to sign up for email updates: https://seer.cancer.gov/tools/seerrx/ |
SEER Hematopoietic Project: Hematopoietic and Lymphoid Database Application for cases diagnoses January 1, 2010 and later. Replaces ICD-O-3 for hematopoietic and lymphoid neoplasms https://seer.cancer.gov/seertools/hemelymph/ |
Effective Date | Field Name (s) | NAACCR Item Number or Other Comments |
2000 | Race 2, 3, 4, 5 | 161, 162, 163, 164 |
2001 | Histology ICD-O-3 | 522 |
Behavior ICD-O-3 | 523 | |
Summary Stage 2000 | 759 | |
2003 | Rx Summ – Surg Primary Site | 1290 |
Rx Summ – Scope Reg LN Surg | 1292 | |
Rx Summ – Surg Oth Reg/Dis | 1294 | |
2004 | Benign Brain | Behavior code 0 or 1; Sequence number starts at 60 |
Collaborative Stage coded EOD 10-digit no longer coded | ||
2006 | Case Finding Source | 501 |
Primary Payer at Diagnosis | 630 | |
Rx Sum Systemic Surg Seq | 1639 | |
2007-2012 | Ambiguous Terminology DX | 442 |
Date Conclusive DX and Flag | 443, 448 | |
Mult Tum Rpt as One Primary | 444 | |
Date of Mult Tumors and Flag | 445, 439 | |
Multiplicity Counter | 446 | |
Multiple Primary/Histology Rules | ||
2010 | Grade Path Value 2010 - 2013 | 441 |
Grade Path System 2010 - 2013 | 449 | |
Lymphovascular Invasion | 1182 | |
CS Mets at Dx – Bone, Brain, Liver, Lung 2010 - 2015 | 2851 - 2854 | |
Laterality code 5 added Midline tumor | 410 | |
Race Code 15 added | Code 15: Asian Indian or Pakistani | |
Race Code 16 added | Code 16: Asian Indian | |
Race Code 17 added | Code 17: Pakistani | |
2016 | Tumor Size Clinical | 752 |
Tumor Size Pathologic | 754 | |
Tumor Size Summary | 756 | |
Mets at DX-Bone, Brain, Distant LN, Liver, Lung, Other | 1112 - 1117 | |
2018 | Collaborative Stage no longer coded | |
ICD-O-3 histology and behavior update | ||
2018 Solid Tumor Coding Rules and SEER Hematopoietic Database update | ||
Date Reg Lymph Node Dissection and Flag | 682, 683 | |
Summary Stage 2018 | 764 | |
EOD Primary Tumor, Reg Nodes and Mets | 772, 774, 776 | |
Date of Sentinel Lymph Node Biopsy and Flag (Breast and Skin Melanoma) | 832, 833 | |
Sentinel Lymph Nodes Pos and Examined | 835, 834 | |
Phase I – Phase III Radiation fields | 1501 - 1533 | |
SEER Site-Specific Factor 1 | 3700 | |
Site-Specific Data Items (SSDIs), includes Grade Clinical, Grade Pathological and Grade Post Therapy | 3800 - 3937 | |
2021 | ICD-O-3 histology and behavior update | |
2018 Solid Tumor Rules Update and 2021 Cutaneous Melanoma Rules | ||
SEER Hematopoietic Database update | ||
NAACCR XML Data Transmission Format | ||
Grade Post Therapy Clin (yc) | 1068 | |
Neoadjuvant Therapy | 1632 | |
Neoadjuvant Therapy-Clinical Response | 1633 | |
Neoadjuvant Therapy-Treatment Effect | 1634 | |
Name--Birth Surname | 2232 | |
New Site-Specific Data Items (SSDIs) | 3938 - 3942 | |
NCDB--SARSCoV2--Test | 3943 | |
NCDB--SARSCoV2--Pos | 3944 | |
NCDB--SARSCoV2--Pos Date | 3945 | |
NCDB--COVID19--Tx Impact | 3946 | |
2022 | ICD-O-3 histology and behavior update | |
Solid Tumor Rules Update | ||
SEER Hematopoietic Database update | ||
Tobacco Use Smoking Status | 344 | |
Macroscopic Evaluation of Mesorectum | 3950 | |
New Site-Specific Data Items (SSDIs) | 3956 - 3959 | |
Cancer Status | 1770 * | |
Date of Last Cancer (tumor) Status and Flag | 1772, 1773 * | |
Recurrence Date--1 st and Flag | 1860, 1861* | |
Recurrence Type--1st | 1880* | |
2023 | All date flag data items retired | |
ICD-O-3 histology and behavior update | ||
Solid Tumor Rules Update | ||
RX Hosp--Surg Prim Site 2023 | 671 | |
RX Summ--Surg Prim Site 2023 | 1291 | |
New Site-Specific Data Items (SSDIs) | 3960-3961 | |
Secondary Diagnosis 1-10 | 3780-3798* | |
2024 | ICD-O-3 histology and behavior update | |
Solid Tumor Rules Update | ||
Cancer PathCHART ICD-O-3 Site Morphology Validation List (SMVL). | ||
RX Hosp-Recon Breast | 751 | |
RX Summ-Recon Breast | 1335 | |
New Site-Specific Data Item (SSDI) | 3964 | |
*New GA requirement |
Useful References for Cancer Registrars: Resource List
- Anatomy book
- Medical dictionary
- AJCC Manual for Staging of Cancer - current edition
- SEER Self Instructional Manuals (1-5, and 7)
- American Cancer Society Textbook of Clinical Oncology
- Physician's Desk Reference or other drug reference book, current edition
- Cancer Registry Management Principles and Practice, Carol L. Hutchison, Steven D. Roffers, April G. Fritz.
SEER Self Instructional Manuals (Book 1 – Book 8) for Tumor Registrars:
To download manuals, go to https://seer.cancer.gov/archive/training/manuals/
Book 1 - Objectives and Functions of a Tumor Registry (1999) Self-instructional Manual, describes the functions, objectives, activities required to run a tumor registry, and the various portions of a registry. (e.g. describes the various record systems required to run a registry accession file, case file, follow-up cards).
Book 2 - Cancer Characteristics and Selection of Cases (1991) Self-instructional Manual, provides instruction in the terminology associated with cancer. Brief description of the natural history of the major cancer types. Introduces the use of ICD-O.
Book 3 - Tumor Registrar Vocabulary: The Composition of Medical Terms (1992) Self-instructional Manual, medical terminology.
Book 4 - Human Anatomy as Related to Tumor Formation (1995) Self-instructional Manual, introduction to human anatomy and neoplasm(s) associated with each body system.
Book 5 - Abstracting Medical Record: Patient Identification, History, and Examinations (1993) Self- instructional Manual, describes the medical record, how to locate and record the information related to a cancer registry (abstract case information).
Book 6 - Out of print, substitute: Summary Staging Guide (1977) Provides anatomical diagrams and rules for determining localized, regional, and distant stage for major cancer sites.
Book 7 - Statistics and Epidemiology for Cancer Registries (1994) Self-instructional Manual, introduces tumor registrar to the statistics required to run a registry: includes discussion of incidence, mortality, and survival.
Book 8 – Antineoplastic Drugs (Third Edition, 1993) See SEER*Rx - Interactive Antineoplastic Drugs Database, which was developed to replace Book 8 as an annually updated list of oncology drug and regimen treatment categories.
Study Guides for The Oncology Data Specialist (ODS) Examination
ODS Workshops by NCRA:https://www.ncra-usa.org/Education .
North American Association of Central Cancer Registries (NAACCR:https://www.naaccr.org/
Click on Education
ODS Exam Prep and Review Webinar Series:https://education.naaccr.org/CTR .
SEER*Educate ODS Exam Prep Module:https://educate.fredhutch.org/LandingPage.aspx .
Internet Sites of Interest
AJCC COC Cancer Forum AJCC COC Cancer Forum http://cancerbulletin.facs.org/forums/ .
American Cancer Society: Cancer statistics, information, research, and community activities:
https://www.cancer.org/ .
American College of Surgeons (ACOS):
www.facs.org .
Brain Tumor Foundation:
https://www.braintumorfoundation.org/ .
Cancer Quest: Information on cancer biology, treatment, and more:
https://cancerquest.org .
Central Brain Tumor Registry of the US:
https://cbtrus.org .
Collaborative Stage Data Collection System: latest version CS coding manual Part I & II, other information:
http://www.cancerstaging.org/cstage/ .
FFIEC County Look Up:
https://geomap.ffiec.gov/ffiecgeomap/ .
GA Center for Cancer Statistics (GCCS):
https://sph.emory.edu/GCCS/ .
GCCS NAACCR Webinars:
https://labkey.emory.edu/project/RSPH_GCCS/_Webinar/NAACCR%20Webinar/begin.view? .
Georgia Composite Medical Board:
https://medicalboard.georgia.gov/ .
GA Comprehensive Cancer Registry (GCCR):
https://dph.georgia.gov/chronic-disease-prevention/georgia-comprehensive-cancer-registry .
GA Tumor Registrar’s Association (GATRA):
https://www.gatraweb.org/ .
National Cancer Institute (NCI): Cancer information, research, cancer statistics and resources.
https://www.cancer.gov/ .
National Cancer Registrar’s Association (NCRA):
https://www.ncra-usa.org/ .
National Comprehensive Cancer Network (NCCN):
https://www.nccn.org/professionals/physician_gls/default.aspx .
National Library of Medicine:
https://www.nlm.nih.gov/ .
National Program Cancer Registries (NPCR):
https://www.cdc.gov/cancer/npcr/index.htm .
North American Association of Central Cancer Registries (NAACCR):
https://www.naaccr.org/ .
NPI Registry Search:
https://npiregistry.cms.hhs.gov/search .
Online ICD-10 codes:
https://www.icd10data.com/ .
SEER Training:
https://seer.cancer.gov/training/ .
SEER*Educate
https://educate.fredhutch.org/LandingPage.aspx .
Zip Code Look Up: look up zip and county w known address, or know zip and find city and county
https://www.zipinfo.com/search/zipcode.htm .
Regional Coordinators
Region 1 Cancer Registry Coordinator
LeRue Perry, CTRNorth Region Coordinator
284 First St. Statham GA 30666
Phone/Fax: 770-725-6258 Cell: 706-983-2676
LeRue.Perry@dph.ga.gov
Facility Name | County | Health District |
AdventHealth Gordon | Gordon | Northwest (Rome) Health District (1-1) |
AdventHealth Murray | Murray | North Georgia (Dalton) Health District (1-2) |
Cartersville Medical Center | Bartow | Northwest (Rome) Health District (1-1) |
Chatuge Regional Hospital | Towns | North (Gainesville) Health District (2-0) |
CHI Memorial (formerly Hutcheson) | Catoosa | Northwest (Rome) Health District (2-0) |
Elbert Memorial Hospital | Elbert | Northeast (Athens) Health District (10-0) |
Fannin Regional Hospital | Fannin | North Georgia (Dalton) Health District (1-2) |
Floyd Medical Center | Floyd | Northwest (Rome) Health District (1-1) |
Habersham County Medical Center | Habersham | North (Gainesville) Health District (2-0) |
Hamilton Medical Center | Whitfield | North Georgia (Dalton) Health District (1-2) |
Harbin Clinic | Floyd | Northwest (Rome) Health District (1-1) |
Mountain Lakes Medical Center | Rabun | North (Gainesville) Health District (2-0) |
Northeast Georgia Medical Center, Inc. | Hall | North (Gainesville) Health District (2-0) |
Northeast Georgia Medical Center Barrow (previously Barrow Regional) | Barrow | Northeast (Athens) Health District (10-0) |
Northridge Medical Center | Jackson | Northeast (Athens) health District (10-0) |
Northside Hospital – Cherokee (reports through Metro region: Contact Metro Reg Coord) | Cherokee | North Georgia (Dalton) Health District (1-2) |
Northside Hospital – Forsyth (reports through Metro region: Contact Metro Reg Coord) | Forsyth | North (Gainesville) Health District (2-0) |
Piedmont Athens Regional Medical Center | Clarke | Northeast (Athens) Health District (10-0) |
Piedmont Mountainside Hospital | Pickens | North Georgia (Dalton) Health District (1-2) |
Piedmont Walton (previously Clearview Medical Center) | Walton | Northeast (Athens) Health District (10-0_ |
Polk Medical Center | Polk | Northwest (Rome) Health District (1-1) |
Redmond Regional Medical Center | Floyd | Northwest (Rome) Health District (1-1) |
Saint Mary’s Health Care System, Inc. | Clarke | Northeast (Athens) Health District (10-0) |
Saint Mary’s Good Samaritan Hospital | Greene | Northeast (Athens) Health District (10-0) |
Saint Mary’s Sacred Heart (formerly TyCobb) | Franklin | North (Gainesville Health District (2-0) |
Stephens County Hospital | Stephens | North (Gainesville Health District (2-0) |
Tanner Health System – Higgins General Hospital (reports through Central region: Contact Central Regional Coord) | Rabun | Northwest (Rome) Health District (1-1) |
Union General Hospital | Union | North (Gainesville) Health District (2-0) |
Vantage Oncology @ Blairsville | Union | North (Gainesville) Health District (2-0) |
Wildwood Lifestyle Center and Hospital | Dade | Northwest (Rome) Health District (1-1) |
Region 2 Cancer Registry Coordinator
Lisa Connor, CTRGeorgia Center for Cancer Statistics
1518 Clifton Road NE Atlanta, GA 30322
Phone: 706-975-8951 Fax: 404-712-8609
Lisa.connor@emory.edu
Facility Name | County | Health District |
Atlanta Oncology Associates – Atlanta Medical Center | Fulton | Fulton Health District (3-2) |
Children’s Healthcare of Atlanta | Fulton | Fulton Health District (3-2) |
Eastside Medical Center | Gwinnett | East Metro (Lawrenceville) Health District (3-4) |
Emory Decatur Hospital | DeKalb | DeKalb Health District (3-5) |
Emory Hillandale Hospital | DeKalb | DeKalb Health District (3-5) |
Emory John’s Creek Hospital | Fulton | Fulton Health District (3-5) |
Emory Saint Joseph’s Hospital Atlanta | Fulton | Fulton Health District (3-5) |
Emory University Hospital | DeKalb | DeKalb Health District (3-5) |
Emory University Midtown Hospital | Fulton | Fulton Health District (3-5) |
Grady Health System | Fulton | Fulton Health District (3-5) |
Gwinnett Health System | Gwinnett | East Metro (Lawrenceville) Health District (3-4) |
Kaiser Permanente Network | Fulton | Fulton Health District (3-5) |
Northside Hospitals | Fulton | Fulton Health District (3-5) |
Piedmont Hospital | Fulton | Fulton Health District (3-5) |
Piedmont Newton Hospital | Newton | East Metro ((Lawrenceville) Health District (3-4) |
Piedmont Rockdale Hospital | Rockdale | East Metro (Lawrenceville) Health District (3-4) |
Piedmont Radiation Oncology Services | Clayton | Clayton (Morrow) Health District (3-3) |
Southern Regional Medical Center | Clayton | Clayton (Morrow) Health District (3-3) |
VA Medical Center Atlanta | DeKalb | DeKalb Health District (3-5) |
Vantage Oncology | DeKalb | |
Vantage Oncology Cancer Center at Lawrenceville | Gwinnett | East Metro (Lawrenceville) Health District (3-4) |
Wellstar Atlanta Medical Center Main | Fulton | Fulton Health District (3-5) |
Wellstar Atlanta Medical Center South | Fulton | Fulton Health District (3-5) |
Wellstar Health System - Cobb | Cobb | Cobb/Douglas Health District (3-1) |
Wellstar Health System - Douglas | Douglas | Cobb/Douglas Health District (3-1) |
Wellstar Health System - Kennestone | Cobb | Cobb/Douglas Health District (3-1) |
Wellstar Health System - North Fulton Hospital | Fulton | Fulton Health District (3-5) |
Wellstar Health System - Paulding | Paulding | Cobb/Douglas Health District (3-1) |
Wellstar Health System – Windy Hill | Cobb | Cobb/Douglas Health District (3-1) |
Region 3 Cancer Registry Coordinator
Debbie Chambers, CTRNorth Central Georgia Health District
950 Ousley Place Macon, GA 31210
Phone: 478-319-3450 Cell: 478-319-3450
Fax: 478-599-9833
Debbie.Chambers@dph.ga.gov
Facility Name | County | Health District |
Augusta State Medical Prison | Richmond | East Central (Augusta) Health District (6-0) |
Augusta University Medical Center | Richmond | East Central (Augusta) Health District (6-0) |
Coliseum Health System | Bibb | North Central (Macon) Health District (5-2) |
Coliseum Northside Hospital | Bibb | North Central (Macon) Health District (5-2) |
Crisp Regional Hospital | Crisp | West Central (Columbus) Health District (7-0) |
CTCA at Southeastern Regional Medical Ctr | Coweta | LaGrange Health District (4-0) |
Doctor’s Hospital – Augusta | Richmond | East Central (Augusta) Health District (6-0) |
Donalsonville Hospital | Seminole | Southwest (Albany) Health District (8-2) |
Dwight D. Eisenhower Army Medical Center | Richmond | East Central (Augusta) Health District (6-0) |
Houston Medical Center | Houston | North Central (Macon) Health District (5-2) |
Jasper Memorial Hospital | Jasper | North Central (Macon) Health District (5-2) |
Lifebrite Community Hospital of Early County | Early | Southwest (Albany) Health District (8-2) |
Medical Center - Navicent Health | Bibb | North Central (Macon) Health District (5-2) |
Medical Center Peach County – Navicent Health | Peach | North Central (Macon) Health District (5-2) |
Memorial Hospital and Manor | Decatur | Southwest (Albany) Health District (8-2) |
Monroe County Hospital | Monroe | North Central (Macon) Health District (5-2) |
Morgan Memorial Hospital | Morgan | Northeast (Athens) Health District (10) |
Navicent Health Baldwin | Baldwin | North Central (Macon) Health District (5-2) |
Perry Hospital | Houston | North Central (Macon) Health District (5-2) |
Phoebe Putney Memorial Hospital | Dougherty | Southwest (Albany) Health District (8-2) |
Phoebe Sumter Medical Center | Sumter | West Central (Columbus) health District (7-0) |
Piedmont Columbus Regional - Midtown | Muscogee | West Central (Columbus) Health District (7-0) |
Piedmont Fayette Hospital | Fayette | LaGrange Health District (4-0) |
Piedmont Henry Hospital | Henry | LaGrange Health District (4-0) |
Piedmont Newnan Hospital | Coweta | LaGrange Health District (4-0) |
Putnam General Hospital | Putnam | North Central (Macon) Health District (5-2) |
Saint Francis Hospital | Muscogee | West Central (Columbus) Health District (7-0) |
Southwest Georgia Regional Medical Center | Randolph | West Central (Columbus) Health District (7-0) |
Tanner Health System | Carroll | LaGrange Health District (4-0) |
Tanner Medical Center/Carrollton | Carroll | LaGrange Health District (4-0) |
University Hospital | Richmond | East Central (Augusta) Health District (6-0) |
Upson Regional Medical Center | Upson | LaGrange Health District (4-0) |
VA Medical Center Augusta | Richmond | East Central (Augusta) Health District (6-0) |
Warm Springs Medical Center | Meriwether | LaGrange Health District (4-0) |
Washington County Regional Medical Center | Washington | Northeast (Athens) Health District (5-2) |
Wellstar Spalding Regional Hospital | Spalding | LaGrange Health District (4-0) |
Wellstar West Georgia Health System | Troup | LaGrange Health District (4-0) |
Wills Memorial | Wilkes | East Central (Augusta) Health District (6-0) |
Region 4 Cancer Registry Coordinator
Sheree Holloway, RN, CTRSoutheast Georgia Health District
1856 Wilmington Island Rd. Savannah, GA 31410
Cell: 912-663-8721
Sheree.Holloway@dph.ga.gov
Facility Name | County | Health District |
Appling Health Care System | Camden | Southeast (Waycross) Health District (9-2) |
Bacon County Health Services | Glynn | Southeast (Waycross) health District (9-2) |
Bleckley Memorial Hospital | Bleckley | South Central (Dublin) Health District (5-1) |
Brooks County | Brooks | Southeast (Waycross) Health District (9-2) |
Burke Medical Center | Burke | East Central (Augusta) Health District (6-0) |
Candler County Hospital | Candler | South Central (Dublin) Health District (5/1) |
Clinch Memorial Hospital | Clinch | Southeast (Waycross) Health District (9-2) |
Coffee Regional Medical Center | Coffee | Southeast (Waycross) Health District (9-2) |
Colquitt Regional Medical Center | Colquitt | Southeast (Waycross) Health District (9-2) |
Cook Medical | Cook | South (Valdosta) health District (8-1) |
Dodge County Hospital | Dodge | South Central (Dublin) health District (5-1) |
Dorminy Medical | Ben Hill | South (Valdosta) health District (8-1) |
East Georgia Regional Medical Center | Bulloch | Southeast (Waycross) Health District (9-2) |
Effingham Health System | Effingham | East (Savannah) Health District (9-1) |
Emanuel Medical Center | Emanuel | East Central (Augusta) health District (6-0) |
Evans Memorial Hospital | Evans | Southeast (Waycross) Health District (9-2) |
Fairview Park Hospital | Laurens | South Central (Dublin) Health District (5-1) |
Grady General | Grady | Southeast (Waycross) Health District (9-2) |
Irwin County | Irwin | Southeast (Waycross) Health District (9-2) |
Jeff Davis Hospital | Jeff Davis | Southeast (Waycross) Health District (9-2) |
Jefferson County Hospital | Jefferson | East Central (Augusta) Health District (6-0) |
Jenkins Hospital | Jenkins | East Central (Augusta) Health District (6-0) |
John D. Archbold Memorial Hospital | Thomas | Southeast (Waycross) Health District (9-2) |
Liberty Regional Medical Center | Liberty | East (Savannah) Health District (9-1) |
Meadows Regional Medical Center | Toombs | Southeast (Waycross) Health District (9-2) |
Memorial Health UMC | Chatham | East (Savannah) Health District (9-1) |
Memorial Satilla Health | Ware | Southeast (Waycross) Health District (9-2) |
Miller County | Miller | Southwest (Albany) Health District (8-2) |
Mitchell County | Mitchell | Southwest (Albany) Health District (8-2) |
Optim Medical Center - Screven | Screven | East Central (Augusta) Health District (6-0) |
Optim Medical - Tattnall | Tattnall | Southeast (Waycross) Health District (9-2) |
Phoebe Worth Medical Center | Worth | Southwest (Albany) Health District (8-2) |
Saint Joseph Candler Health Systems | Chatham | East (Savannah) Health District 9-1) |
Southeast GA Health Sys-Brunswick Campus | Glynn | East (Savannah) Health District 9-1) |
Southeast GA Health Sys-Camden Campus | Camden | East (Savannah) Health District 9-1) |
South Georgia Medical Center | Lowndes | South (Valdosta) Health District (8-1) |
Taylor Regional Hospital | Pulaski | South Central (Dublin) Health District (5-1) |
Tift Regional Medical Center | Tift | South (Valdosta) Health District (8-1) |
VA Medical Center Dublin | Laurens | South Central (Dublin) Health District (5-1) |
Wayne Memorial Hospital | Wayne | Southeast (Waycross) Health District (9-2) |
Winn Army Community Hospital | Liberty | East (Savannah) Health District 9-1) |