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Framework that allows defining file formats (layouts) and use them to read and write data files.

There is a newer version: 5.5


    
        Alternate Name
        Item #
        Length
        Source of Standard
        Column #
    
    
        Chemotherapy at this Facility (CoC)

        700
        2
        CoC
        790 - 791
    


Description
Records the type of chemotherapy administered at the reporting facility as a part of first course therapy or the reason chemotherapy was not given.
Rationale
Systemic therapy may involve the administration of one or a combination of agents. This data item allows for the evaluation of chemotherapeutic agents given as part of the first course of therapy. Furthermore, it is useful to know the reason chemotherapy was not administered when evaluating quality of care.
    

If central registries wish to study the treatment given at particular facilities, the facility-level treatment fields must be used. The summary treatment fields, conversely, combine information for all facilities that provide first course of treatment for the tumor. Facility-specific fields allow studies of detailed referral patterns and treatment by type of healthcare setting. Knowing what part of the treatment was given at a particular facility also helps resolve consolidation issues.


    Note: Prior to 2013, targeted therapies that invoke an immune response, such as Herceptin, had been coded as chemotherapy. Effective with cases diagnosed January 1, 2013, and forward these therapies are classified as biological response modifiers. Coding instructions for these changes have been added to the remarks field for the applicable drugs in the SEER*RX Interactive Drug Database (

    http://seer.cancer.gov/tools/seerrx/).

Codes (Refer to the most recent FORDS and SEER RX for additional complete coding directions.) 

    
        
            00
            None, chemotherapy was not part of the first course of therapy or there was progression of disease prior to administration; Not customary therapy for this cancer. Diagnosed at autopsy.
        
        
            01
            Chemotherapy was administered, but type and number of agents is not documented in patient record.
        
        
            02
            Chemotherapy, single agent.
        
        
            03
            Chemotherapy, multiple agents.
        
        
            82
            Chemotherapy was not recommended/administered because it was contraindicated due to patient risk factors (comorbid conditions, advanced age) or there was progression of disease prior to planned administration.
        
        
            85
            Chemotherapy was not administered because the patient died prior to planned or recommended therapy.
        
        
            86
            Chemotherapy was recommended by the patient's physician, but was not administered as part of first-course therapy. No reason was stated in the patient record.
        
        
            87
            Chemotherapy was not administered; it was recommended by the patient's physician, but this treatment was refused by the patient, the patient's family member, or the patient's guardian. The refusal was noted in the patient record.
        
        
            88
            Chemotherapy was recommended, but it is unknown if it was administered.
        
        
            99
            It is unknown whether chemotherapy was recommended or administered because it is not stated in patient record. Death certificate-only case

00	None, chemotherapy was not part of the first course of therapy or there was progression of disease prior to administration; Not customary therapy for this cancer. Diagnosed at autopsy.
01	Chemotherapy was administered, but type and number of agents is not documented in patient record.
02	Chemotherapy, single agent.
03	Chemotherapy, multiple agents.
82	Chemotherapy was not recommended/administered because it was contraindicated due to patient risk factors (comorbid conditions, advanced age) or there was progression of disease prior to planned administration.
85	Chemotherapy was not administered because the patient died prior to planned or recommended therapy.
86	Chemotherapy was recommended by the patient's physician, but was not administered as part of first-course therapy. No reason was stated in the patient record.
87	Chemotherapy was not administered; it was recommended by the patient's physician, but this treatment was refused by the patient, the patient's family member, or the patient's guardian. The refusal was noted in the patient record.
88	Chemotherapy was recommended, but it is unknown if it was administered.
99	It is unknown whether chemotherapy was recommended or administered because it is not stated in patient record. Death certificate-only case