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Data Standards and Data Dictionary

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Length: 2
Source of Standard: CoC
Section Name: Treatment-1st Course
Year Implemented: 2018
Version Implemented: 18
Record Types: A, M, C, I

XML NAACCR ID: phase1RadiationTreatmentModality

Parent XML Element: Tumor

Required Status:

NPCR Collect: R - Required
CoC Collect: R - Required
SEER Collect: R - Required
CCCR Collect: . - No recommendations

Description:

Identifies the radiation modality administered during the first phase of radiation treatment delivered as part of the first course of treatment. This data item is required for CoC-accredited facilities as of 01/01/2018.

Rationale:

Radiation modality reflects whether a treatment was external beam, brachytherapy, a radioisotope as well as their major subtypes, or a combination of modalities. This data item should be used to indicate the radiation modality administered during the first phase of radiation.

Historically, the previously-named Regional Treatment Modality data item [1570] utilized codes that were not mutually exclusive. Rather, it included codes describing a mix of modalities, treatment planning techniques, and delivery techniques that are commonly utilized by radiation oncologists. However, every phase of radiation treatment will include a specific modality, planning technique, and delivery technique. The goal of the 2018 implementation of separate phase-specific data items for the recording of radiation modality and radiation treatment planning techniques is to clarify this information and implement mutually exclusive categories. A separate data item for delivery technique has not been implemented because this information is not consistently reported in end treatment summaries.

Item Data Type:

digits

Allowable Values

00-16, 98, 99

Codes:

00

No radiation treatment

01

External beam, NOS

02

External beam, photons

03

External beam, protons

04

External beam, electrons

05

External beam, neutrons

06

External beam, carbon ions

07

Brachytherapy, NOS

08

Brachytherapy, intracavitary, LDR

09

Brachytherapy, intracavitary, HDR

10

Brachytherapy, interstitial, LDR

11

Brachytherapy, interstitial, HDR

12

Brachytherapy, electronic

13

Radioisotopes, NOS

14

Radioisotopes, radium-223

15

Radioisotopes, strontium-89

16

Radioisotopes, strontium-90

98

Radiation therapy administered but treatment modality is not specified or unknown

99

Unknown if radiation treatment administered