WCRSRequired Data Items for Early Case Capture Pediatric Reporting

Key Criteria for Early Case Capture (ECC) of Pediatric and Young Adult Cancers (PYAC)

  1. All PYAC cases diagnosed January 1, 2015, or later.
  2. All cases for patients ages 0-19 at diagnosis.
  3. The ECC pediatric reportable case definitions are the same as those for regular reporting (see WCRS Coding Manual, Chapter 1 -
  4. Both clinically and pathologically diagnosed cases are eligible for ECC reporting.
  5. Cases need to be submitted to WCRS within 30 days of diagnosis. (The following complete report, with stage and treatment data, is due within the normal WCRS reporting timeframe.)

NAACCR

Data ItemField NumberComments

Record ID Section

Record Type10WCRS Requires Type A Layout

NAACCR Record Version50code = 150

Demographic Section

Address @ Diagnosis – City70

Address @ Diagnosis – State80

Address @ Diagnosis – Zip Code100

County @ Diagnosis90

Race1 - 5160, 161, 162, 163, 164

Spanish/Hispanic Origin190

Sex220

Age at Diagnosis230

Birth Date240

Birth Date Flag241

Current Address - City1810Only required if different from Dx address

Current Address – State1820Only required if different from Dx address

Current Address – Zip Code1830Only required if different from Dx address

Current County1840Only required if different from Dx address

Cancer Identification Section

Date of Diagnosis390

Date of Diagnosis Flag391

Primary Site400

Laterality410

Histology Type ICD-O3522

Behavior ICD-O3523

Diagnostic Confirmation490

Facility-Specific Section

WCRS Facility Number540

Accession Number550

Tumor Sequence Number560

Date of First Contact580

Date of First Contact Flag581

Type of Reporting Source500

Patient – Confidential Section

Last Name2230

First Name2240

Middle Name2250

Social Security Number2320

Address @ Diagnosis – Street2330

Address @ Diagnosis – Supp.2335

Current Address – Street2350Only required if different from Dx address

Current Address – Supplemental2355Only required if different from Dx address

Patient Phone Number2360

Follow up Contact – City1842Only required if available at time of submission

Follow up Contact – State1844Only required if available at time of submission

Follow up Contact – Zip Code1846Only required if available at time of submission

Follow up Contact – Street2392Only required if available at time of submission

Follow up Contact – Supplemental2393Only required if available at time of submission

Follow up Contact –Name2394Only required if available at time of submission

Follow up Contact – PhoneN/AAn alternative to Follow up Address – put in

Text Remarks field

Physician – Confidential Section

Follow-up Physician2470WI Dept. of Safety and Professional Services

or name and city in text field if available

NPI Managing Physician2465Recommended if available (number or name)

Text – Diagnosis Section

History and Physical (PE)2520Race, age, sex

X-Ray/Scan2530Only required if available within 30 days

Pathology 2570Only required if available within 30 days

Primary Site2580

Histology2590

Place of Diagnosis2690

Text – Remarks Section

Miscellaneous/Remarks2680Physician name and city, any info on referring

facilities, follow up phone number if address

not available.

*The NAACCR Vol. II Data Standards and Data Dictionary Nineteenth Edition, Record Layout Version 15.0 can be accessed on the NAACCR Web site:

Click on Standards and Registry Operations

Volume II, Data Standards and Data Dictionary

Version 15 Data Standards and Data Dictionary

Page 1