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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.

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Hematopoietic Database

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  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

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