Date

9/25/2015

11/3/2015
11/11/2015

11/20/2015

1/26/2016

4/1/2016
4/12/2016

4/22/2016
4/22/2016

7/28/2016

8/9/2016
2/28/2017

10/18/2017
Change description
Added the column "Required to submit a transaction; this column indicates the minimum required attributes
to create an exam/follow-up record with "incomplete" status

Added mapping for CT_Exam_Result_Modifier_S

Added valid value and mapping for Years_Since_Prior_Diagnosis

Changed business rule for Location_Other_Spec; this attribute becomes "Conditional; Required if
Location_From_Sample_Obtained = "Other"

Added definition for the Transaction Header data elements

Previous_Transaction_ID is no longer used in LCSR
Removed Examination_ID
Removed Unique_Exam_ID
Max length for Other_ID is changed to 50 characters
Valid values for Refused_To_Answer_SSN is changed to 'Y' and 'N'
Refused_To_Answer_SSN is no longer required to submit a transaction; however it is still require to complete
an exam record
Valid values for Refused_Medicare_ID is changed to 'Y' and 'N'
Refused_Medicare_ID is no longer required to submit a transaction; however it is still require to complete an
exam record
Max length for Medicare_Beneficiary_ID is changed to 12 characters
Max length for Other_Method_Of_Determining is changed to 50 characters
Max length for Non_Lung_Cancer_Cause is changed to 50 characters
Valid values for Death_Within_30_Days is changed to 'N', 'Y', and 'U'
Valid values for Patient_Sex is changed to 'M', 'F', 'O' and 'U'
Valid values for Patient_Race is changed to 1,2,3,4,5,6,9, and 10
Valid values for Health_Insurance is changed to 1,2,3,4, and 5
Business rule for Number_Of_Packs_Year_Smoking is changed to: Required if Smoking_Status is "Current
smoker", "Former smoker", or "Smoker, current status unknown"

Valid values for Did_Physician_Provide_Guidance is changed to 'N', 'Y', and 'U'

Valid values for Doc_Of_Shared_Dec_Making is changed to 'N', 'Y', and 'U'
Valid values for Patient_Other_Comorbidities is changed to 0,1,2,3,4,5,6,7, and 8
Max length for Patient_Other_Comorbidities_Spec is changed to 50 characters
Valid values for Cancer_Related_History is changed to 0,1,2,3,4,5,6, and 7
Max length for Cancer_Related_History_Other_Spec is changed to 50 characters
Valid values for Signs_Or_Symptoms_Of_Lung_Cancer is changed to 'Y' and 'N'
Format for Pitch is changed to nn.nnn
Valid values for CT_Exam_Result_Modifier_S is changed to 'Y' and 'N'
Valid values for What_Were_The_Other_Findings is changed to 0,1,2,3, and 4
Valid values for CT_Exam_Result_Modifier_C is changed to 'N', 'Y', and 'U'
Lower bound for Years_Since_Prior_Diagnosis is changed to 1; new valid range is 1 <=
Years_Since_Prior_Diagnosis <= 99
Max length for Education_Level_Other_Spec is changed to 50 characters
Valid value for Radon_Exposure is changed to 'Y' and 'N'
Valid value for Occupational_Exposures is changed to 0,1,2,3,4,5,6,and 7
Valid value for History_Of_Cancers is changed to 0,1,2,3, and 4
Max length for Other_Smoking_Cancers_Spec is changed to 50 characters
Valid value for Lung_Cancer_In_First_Deg_Rel is changed to 'N', 'Y', and 'U'
Valid value for Lung_Cancer_Other_First_Deg_Rel is changed to 'N', 'Y', and 'U'
Valid value for COPD is changed to 'Y' and 'N'
Valid value for Pulmonary_Fibrosis is changed to 'Y' and 'N'
Valid value for Second_Hand_Smoke_Exposure is changed to 'N', 'Y', and 'U'
Mapping value for Tissue_Diagnosis is changed: options 3 and 4 are swapped:
3 - 'Malignant - Minimally invasive lung cancer' ;
4 - 'Malignant - NON-lung cancer' ;

Valid value for Location_From_Sample_Obtained is changed to 0,1,2,3,4,5,6,7,8,9,10, and 11

Business rule for Location_Other_Spec is changed to: Required if Location_From_Sample_Obtained = "Other"

Mapping value for Histology_Non_Small_Cell_LC is changed: options 4 and 5 are swapped:

4 - 'Undifferentiated or poorly differentiated carcinoma' ;
5 - 'Large cell carcinoma' ;
Max length for Period_Of_Follow_Up_For_Incidence is 2 characters

Added Ordering_Practitioner_First_Name and Ordering_Practitioner_Last_Name fields under

Exam
Changed the Location_From_Sample_Obtained (Follow-up section) type from Array of Number to
String. This data element now only accepts one value; its mapping is changed from "Select all that
apply" to "Select one".
Removed data element "Period of follow-up for incidence (months)"
Added Exam_unique_ID
Added 2 decimal place for Scanning_Time. The valid range is 0.01 <= Scanning_Time <= 999.99. It
accepts values without decimal as well.

Added 2 decimal place for Scanning_Volumn. The valid range is 0.01 <= Scanning_Volumn <=
999.99. It accepts values without decimal as well.

Added clarifications on business rules

Increased the length of the "other, specify" text field to 255 characters
While we were adding clarifications on the business rules we accidentally changed the
optional data elements to required. This version changed the below data elements back
to optional:
Other_Method_Of_Determining
Patient_Other_Comorbidities_Spec,
Cancer_Related_History_Other_Spec,
What_Were_The_Other_Findings,
Other_Int_Lung_Disease,
Education_Level_Other_Spec,
Other_Smoking_Cancers_Spec

Fixed typo on business rule for Patient_Other_Comorbidities_Spec. It should be read as

"If Patient_Other_Comorbidities is 8, then Patient_Other_Comorbidities_Spec is
applicable;"

Fixed typo on Location_From_Sample_Obtained. It should be read as "If Tissue_Diagnosis

is populated, then Location_From_Sample_Obtained is required;"
Changed valid values list for Reason_For_Recall (Oba to OBa) and T status (T99 to 99).

1. Added extra conditions for all date fields

2. Changed first name condition to only 1 character needed
3. Changed middle name condition to only 1 character needed
Added additional conditions for Date_Of_Follow_Up
1. Changed patient height and weight conditions
1) Patient Height: 0-99
2) Patient Weight: 0-999
2. Changed Overall Stage, T/N/M status conditions for Tissue Diagnosis
If Tissue_Diagnosis is 'Non diagnostic', the following data elements should be enabled:
1. Overall Stage
2. T Status
3. N Status
4. M Status

1. Patient_Height and Patient_Weight: added 2 decimal points. Valid values have

been updated to 0.00<=Patient_Height<=99.99, 0.00<=Patient_Weight<=999.99. Integer
value can be used (without decimal points).
2. Tube_Current_Time: format have been updated to ‘nnn.n’ (added decimal points).
Valid values: 0.0-999.9. Integer value can be used (without decimal points).
3. CT_Exam_Result_Lung_RADS: option U='Unknown' has been added as one of Valid
Values.
4. What_Were_The_Other_Findings: 5 ('Other clinically significant abnormalities')
and 9 ('Unknown') options have been added to the set of Valid Values.
5. Tissue_Diagnosis: 8 ('Clinical - without histology') and 99 ('Unknown') options have
been added to the set of Valid Values.
 Required to submit a
transaction

Note: The required data

elements in this column
are the minimum data
LCSR Data Element Attribute Format elements required to Valid Values/format
submit an exam record
and create a "skeleton"
exam record in the LCSR

Transaction Header (This section is required by transactions submitted via theweb services call; ignore it if you are submitting data using file upload method)

Transaction ID Transaction_ID string Y max length is 50 characters

Transaction date time Transaction_DateTime string Y format: <mm/dd/yyyy hh24:mi:ss>

Number of exam included Num_of_Exam_included string Y

Facility ID Facility_ID string Y 6-digits

Partner ID PartnerID string Y 5-digits

Application ID AppID string Y

Previous transaction ID Previous_Transaction_ID string N max length is 50 characters

Exam Data (Required)
Exam_Unique_ID Exam_Unique_ID string N max length is 50 characters

Patient's first name Patient_First_Name string N max length is 45 characters

Patient's middle name Patient_Middle_Name string N max length is 45 characters

Patient's last name Patient_Last_Name string N max length is 45 characters

Patient ID Other_ID string We require to have a max length is 50 characters

patient identifier; you can
provide either the
Other_ID, Patient_SSN or
Medicare_Beneficiary_ID.
see Business Rule

Refuesed to provide patient's social security number Refused_To_Answer_SSN string N Y, N

Patient Social Security Number Patient_SSN string We require to have a 9-digits, nnn-nn-nnnn
patient identifier; you can
provide either the
Other_ID, Patient_SSN or
Medicare_Beneficiary_ID.
see Business Rule

Refuesed to provide patient's medicare beneficiary ID Refused_Medicare_ID string N Y, N

Medicare Beneficiary ID Medicare_Beneficiary_ID string We require to have a max length is 12 characters
patient identifier; you can
provide either the
Other_ID, Patient_SSN or
Medicare_Beneficiary_ID.
see Business Rule

Patient's date of birth Date_Of_Birth string N format mm/dd/yyyy

Patient's date of death Date_Of_Death string N format mm/dd/yyyy

How cause of death was determined How_Cause_Was_Determined string N 1,2,3,4,5,6,8

Other method of determining cause of death, specify Other_Method_Of_Determining string N max length is 255 characters

Cause of death Cause_Of_Death string N 1,2,9

Non lung-cancer cause, specify Non_Lung_Cancer_Cause string N max length is 255 characters

Invasive procedure within in the 30 days preceding date of Death_Within_30_Days string N N, Y, U

death

Patient sex Patient_Sex string N M,F,O,U

Patient race Patient_Race array of N 1,2,3,4,5,6,9,10

number

Patient ethnicity (Hispanic origin) Patient_Ethnicity string N 0,1,8,9

Health insurance Health_Insurance array of N 1,2,3,4,5

number
Smoking status Smoking_Status string N 1,2,3,4,9

Number of packs-year of smoking Number_Of_Packs_Year_Smoking number N between 1 and 999

Number of years since quit Number_Of_Years_Since_Quit number N between 1 and 99

Did physician provide smoking cessation guidance to Did_Physician_Provide_Guidance string N N,Y,U

patient?

Is there documentation of shared decision making? Doc_Of_Shared_Dec_Making string N N,Y,U

Patinet height (inches) Patient_Height string N format nn.nn, integer value is valid
Patient weight (lbs) Patient_Weight string N format nnn.nn, integer value is valid
Other comorbidities listed on patient record that limit life Patient_Other_Comorbidities array of N 0,1,2,3,4,5,6,7,8
expectancy number
Other comorbidities, other specify Patient_Other_Comorbidities_Spec string N max length is 255 characters

Cancer related history Cancer_Related_History array of N 0,1,2,3,4,5,6,7

number

Cancer related history, other specify Cancer_Related_History_Other_Spec string N max length is 255 characters

Radiologist (reading) NPI Radiologist_Reading_NPI string N 10-digits

Ordering practitioner first name Ordering_Practitioner_First_Name string N max length is 50 characters

Ordering practitioner last name Ordering_Practitioner_Last_Name string N max length is 50 characters
Ordering practitioner NPI Ordering_Practitioner_NPI string N 10-digits
Exam date Exam_Date string Y format mm/dd/yyyy

Signs or symptoms of lung cancer Signs_Or_Symptoms_Of_Lung_Cancer string N Y, N

Indication of exam Indication_Of_Exam string N 1,2

Modality Modality string N 1,2

CT scanner manufacturer CT_Scanner_Manufacturer string N max length is 50 characters

CT scanner model CT_Scanner_Model string N max length is 50 characters
CTDlvol (mGy) CTDIvol string N format nnn.nn

DLP (mGy*cm) DLP string N format nnnn.nn

Tube current-time (mAs) Tube_Current_Time string N format nnn.n, integer value is valid
Tube voltage (kV) Tube_Voltage string N format nnn
Scanning time (s) Scanning_Time string N format nnn.nn

Scanning volume (cm) Scanning_Volume string N format nnn.nn

Pitch Pitch string N format nn.nnn

Reconstructed image width (nominal width of Reconstructed_Image_Width string N format n.nn
reconstructed image along z-axis) (mm)
CT exam result by Lung-RADS category CT_Exam_Result_Lung_RADS string N 0,1,2,3,4A,4B,4X,U

Reason for recall Reason_For_Recall string N I,N,M,E,OBa

Other clinically significant or potentially significant CT_Exam_Result_Modifier_S string N Y, N

abnormalities - CT exam result modifier S

What were the other findings What_Were_The_Other_Findings array of N 0,1,2,3,4,5,9

number

Mass, specify Mass_Spec string N max length is 255 characters

Other interstitial lung disease Other_Int_Lung_Disease string N 1,8,9

Other interstitial lung disease, specify Other_Int_Lung_Disease_Spec string N max length is 255 characters

Prior history of lung cancer - CT exam result modifier C CT_Exam_Result_Modifier_C string N other findings

Year since prior diagnosis of lung cancer Years_Since_Prior_Diagnosis string N format: nn

Education level Education_Level string N 1,2,3,4,5,6,7,8,99

Education level, other Education_Level_Other_Spec string N max length is 255 characters

Radon exposure - documented high exposure levels Radon_Exposure string N Y, N

Occupational exposures to agents that are identified Occupational_Exposures array of N 0,1,2,3,4,5,6,7
specifically as caarcinogens targeting the lungs number

History of cancers that are associated with an increased History_Of_Cancers array of N 0,1,2,3,4
risk of developing a new primary lung cancer number

History of cancers that are associated with an increased Other_Smoking_Cancers_Spec string N max length is 255 characters
risk of developing a new primary lung cancer - other
smoking-related cancers, specify

Lung cancer in first-degree relative (mother, father, sister, Lung_Cancer_In_First_Deg_Rel string N N,Y,U
brother, daughter or son with history of lung cancer)

Family history of lung cancer, other than first-degree Lung_Cancer_Other_First_Deg_Rel string N N,Y,U
relative

COPD COPD string N Y, N

Pulmonary fibrosis Pulmonary_Fibrosis string N Y, N

Second hand smoke exposure Second_Hand_Smoke_Exposure string N N,Y,U

 Follow-up Data (optional)
Date of follow-up Date_Of_Follow_Up string Y format mm/dd/yyyy

Follow-up diagnostic Follow_Up_Diagnostic string Y 1,2,3,4,5,6,7

Follow-up diagnostic other, specify Follow_Up_Diagnostic_Other_Spec string N max length is 255 characters

Tissue diagnosis Tissue_Diagnosis string N 1,2,3,4,5,6,7,8,99

Tissue diagnosis method Tissue_Diagnosis_Method string N 1,2,3

Location from which sample was obtained Location_From_Sample_Obtained string N 0,1,2,3,4,5,6,7,8,9,10,11

Location other, specify Location_Other_Spec string N max length is 255 characters

Histology Histology string N 1,2,3,4

Histology - Non-small cell lung cancer Histology_Non_Small_Cell_LC string N 1,2,3,4,5,6

Other non-small cell lung cancer histology, specify Other_Non_Small_Cell_LC_Histology_Spec string N max length is 255 characters

Stage - Clinical or pathologic? Stage_Clinical_Or_Pathologic number N 1,2,9

Overall stage Overall_Stage string N IA,IB,IIA,IIB,IIIA,IIIB,IV,N3

T status T_Status string N TX,T1a,T1b,T2a,T2b,T3,T4,99

N status N_Status string N NX,N0,N1,N2,N3

M status M_Status string N MX,M0,M1a,M1b
 Business Rules

Note: the data elements indicated as Required

in this column are required to create a
complete exam/follow-up record in LCSR.

Mappings/Definitions If you do not have values for the required

elements you will receive warning messages
but the exam record will still be created.

are submitting data using file upload method)

Required

A unique identifier to a LCSR transaction within

the partner network. This identifier is
generated by the partner

Required

The data and time a transaction is submitted to

LCSR

Required

The number of exam records submitted in a

transaction

Required

NRDR facility ID
Required

Unique identifer to a partner; this ID is provided

by NRDR

Required

LCSR identifier; this ID is provided by NRDR

Not Used
 Optional

You may provide an identifer to link back to

your internal record.

Note that this is not the key identifier of an

exam record in LCSR. The exam date and
patient ID make up the key identifier.

Optional Changed
If providing first name, at least 1 characters are
needed.
Optional
If providing middle name, at least 1 characters
are needed.
Optional
If providing last name, at least 2 characters are
needed.
One of the following patient identifiers must be
provided: Other_ID, Patient_SSN,
Medicare_Beneficiary_ID.

You may use the patient's MR# as Other_ID

Select one: Required

Y - Yes;
N - No
if Refused_To_Answer_SSN is 'Y' then you must
leave this field blank;

if Refused_To_Answer_SSN is 'N' then you must

provide Patient_SSN;

One of the following patient identifiers must be

provided: Other_ID, Patient_SSN,
Medicare_Beneficiary_ID

Select one: Required

Y - Yes;
N - No
 You must provide Medicare_Beneficiary_ID if
this is for Medicare reimbursement.

if Refused_Medicare_ID is 'Y' then you must

leave this field blank;

if Refused_Medicare_ID is 'N' then you must

provide Medicare_Beneficiary_ID;

One of the following patient identifiers must be

provided: Other_ID, Patient_SSN,
Medicare_Beneficiary_ID

Required

Cannot be a future date; must be <=

Date_Of_Death

Optional

Cannot be a future date; must be >=

Date_Of_Birth

Select one: Optional

1 - 'Autopsy Report';
2 - 'Death Certificate' ; Only applicable if Date_of_Death is provided
3 - 'Medical Record' ;
4 - 'Physician';
5 - 'Relative or Friend';
6 - 'Social Security Death Index';
8 - 'Other'

Optional

If How_Cause_Was_Determined is 8, then
Other_Method_Of_Determining is applicable

otherwise, this field should be left blank

Select one: Required if Date_of_Death is provided

1 -'Lung cancer' ;
2- 'Non-lung cancer cause, specify if known' ;
9- 'Cannot determine'
 Optional

If Cause_of_Death is 2 then
Non_Lung_Cancer_Cause is applicable;

otherwise, this field should be left blank

Select one: If Date_of_Death is provided then

N - No; Death_Within_30_Days is required.
Y - Yes;
U - 'Unknown' Otherwise, this field should be left blank

Select one: Required

M - 'Male';
F - 'Female';
O - 'Other';
U - 'Unknown'

Select all that apply: Optional

1 - American Indian
2 - Alaska native
3 - Asian
4 - Black or African American
5 - Native Hawaiian or Pacific Islander
6 - White
9 - Not reported
10 - Unknown

Select one: Optional

0 - 'Not Hispanic or Latino';
1 - 'Hispanic or Latino' ;
8 - 'Not reported' ;
9 - 'Unknown'

Select all that apply: Optional

1 - 'Medicare';
2 - 'Medicaid';
3 - 'Private insurance';
4 - 'Self pay ';
5 - 'Unknown '
Select one: Required
1 - 'Current smoker';
2 - 'Former smoker' ;
3 - 'Never smoker' ;
4 - 'Smoker, current status unknown';
9 - 'Unknown if ever smoked'

If Smoking_Status is 1, 2 or 4 then
Number_Of_Packs_Year_Smoking is required;

otherwise, this field should be left blank.

If Smoking_Status is 2 then
Number_Of_Years_Since_Quit is required.

otherwise, this field should be left blank.

Select one: Required

N - No;
Y - Yes;
U - 'Unknown'

Select one: Required

N - No;
Y - Yes;
U - 'Unknown'

0 - Unknown, 0.00<=Patient_Height<=99.99 Required

0 - Unknown, 0.00<=Patient_Weight<=999.99 Requried
Select all that apply: Optional
0 - 'COPD' ;
1 - 'Emphysema';
2 - 'Pulmonary fibrosis';
3 - 'Coronary artery disease';
4 - 'Congestive heart failure ';
5 - 'Peripheral vascular disease';
6 - 'Lung cancer';
7 - 'Cancer other than lung cancer ';
8 - 'Other, please specify'
 Optional

If Patient_Other_Comorbidities is 8, then
Patient_Other_Comorbidities_Spec is
applicable;

otherwise, this field should be left blank

Select all that apply: Optional

0 - Prior history of lung cancer
1 - lymphoma
2- H&N cancer
3 - bladder cancer
4 - esophageal cancer
5 - Pulmonary fibrosis
6 - Other cancer, please specify
7- Other

Optional Changed

If Cancer_Related_History is 6, then
Cancer_Related_History_Other_Spec is
required;

otherwise, this field should be left blank

Required

Reading radiologist must exist in the NRDR

Physician dictionary.

Optional
Optional
Required
Required

Cannot be a future date

Select one: Requried
Y - Yes;
N - No
Select one: If Signs_Or_Symptoms_Of_Lung_Cancer is 'N',
1 - 'Baseline scan' ; then Indication_Of_Exam is required;
2 - 'Annual screen'
otherwise, this field should be left blank

Select one: Required

1 - 'Low dose chest CT' ;
2 - 'Routine chest CT'
Requried
Requried
0.01<= CTDlvol <= 999.99 Required

Whole number is acceptable. Decimal place is

optional, if provided limit to 2 digits.

0.01<= DLP <= 9999.99 Required

Whole number is acceptable. Decimal place is

optional, if provided limit to 2 digits.

0.0<= Tube_Current_Time <= 999.9 Optional

0<= Tube_Voltage <= 999 Optional
0.01<= Scanning_Time <= 999.99 Optional

Whole number is acceptable. Decimal place is

optional, if provided limit to 2 digits.

0.01<= Scanning_Volume <= 999.99 Optional

Whole number is acceptable. Decimal place is

optional, if provided limit to 2 digits.

0.000<= Pitch <= 99.999 Optional

0.01<= Reconstructed_Image_Width <= 9.99 Required

Whole number is acceptable. Decimal place is

optional, if provided limit to 2 digits.
 Required

Select one:
0 - 'recalls (incomplete screen)';
1 - 'normal, continue annual screening';
2 - 'benign appearance or behavior, continue annual
screening';
3 - '6 month CT recommended';
4A - '3 month CT recommended; may consider
PET/CT';
4B - 'Additional diagnostics and/or tissue sampling
recommended';
4X - 'Additional diagnostics and/ortissue sampling';
U - 'Unknown'.
Select one: If CT_Exam_Result_Lung_RADS is 0, then
I - 'Incomplete coverage' ; Reason_For_Recall is required;
N - 'Noise' ;
M - 'Respiratory motion'; otherwise, this field should be left blank.
E - 'Expiration';
OBa - 'Obscured by acute abnormality'

Select one: Required

Y - Yes;
N - No
Select all that apply: Optional Changed
0 - 'Aortic aneurysm' ;
1 - 'Coronary arterial calcification moderate or If CT_Exam_Result_Modifer_S is 'Y', then
severe'; What_Were_Other_Findings is required;
2 - 'Pulmonary fibrosis ' ;
3 - 'Mass (check neck, mediastinum, liver, kidneys, otherwise, this field should be left blank
other) ';
4- 'Other interstitial lung disease';
5 - 'Other clinically significant abnormalities';
9 - 'Unknown'.

Optional

If What_Were_The_Other_Findings is 3, then
Mass_Spec is required;

otherwise, this field should be left blank

Select one: Optional
1 -'UIP/IPF' ;
8 - 'ILD, other, please specify ' ; If What_Were_The_Other_Findings is 4, then
9 - 'ILD, unknown'; Other_Int_Lung_Disease is applicable;

otherwise, this field should be left blank

If Other_Int_Lung_Disease is 8, then
Other_Int_Lung_Disease_Spec is required;

otherwise, this field should be left blank

Select one: Required

N - No;
Y - Yes;
U - 'Unknown'

1 <= Years_Since_Prior_Diagnosis <= 99 Optional

Select one: Optional
1 - '8th grade or less' ;
2 - '9-11th grade' ;
3 - 'High school graduate or high school
equivalency' ;
4 - 'Post high school training, other than college' ;
5 - 'Associate degree / some college' ;
6 - 'Bachelor’s degree';
7 - 'Graduate or Professional school' ;
8 - 'Other, specify';
99 - 'Unknown / I prefer not to answer'

Optional Changed

If Education_Level is 8, then
Education_Level_Other_Spec is required;

otherwise, this field should be left blank

Select one: Optional

Y - Yes;
N - No
Select all that apply: Optional
0 - 'Silica';
1 - 'Cadmium';
2 - 'Asbestos';
3 - 'Arsenic';
4 - 'Beryllium' ;
5 - 'Chromium ';
6 - 'Diesel fumes';
7 - 'Nickel '

Select all that apply: Optional

0 - 'Prior lung cancer';
1 - 'Lymphoma' ;
2 - 'Head and neck;
3 - 'Bladder cancer ';
4 - 'Other smoking-related cancers, specify '

Optional Changed

If History_Of_Cancers is 4, then
Other_Smoking_Cancers_Spec is required;

otherwise, this field should be left blank

Select one: Optional

N - No;
Y - Yes;
U - 'Unknown'

Select one: Optional

N - No;
Y - Yes;
U - 'Unknown'

Select one: Optional

Y - Yes;
N - No
Select one: Optional
Y - Yes;
N - No
Select one: Optional
N - No;
Y - Yes;
U - 'Unknown'
 Required when submitting Follow-Up for a case;
cannot be a future date
Select one: Required
1 -'Low dose chest CT';
2 - 'Routine chest CT' ;
3 - 'PET/CT' ;
4 - 'Bronchoscopy' ;
5 - 'Non-surgical biopsy' ;
6 - 'Resection' ;
7 - 'Other, specify '

If Follow_Up_Diagnostic is 7, then
Follow_Up_Diagnostic_Other_Spec is required;

otherwise, this field should be left blank

Select one: If Follow_Up_Diagnostic is 4, 5 or 6 then

1 - 'Benign'; Tissue_Diagnosis is required;
2 - 'Malignant - invasive lung cancer' ;
3 - 'Malignant - Minimally invasive lung cancer' ; If Follow_Up_Diagnostic is 7 then
4 - 'Malignant - NON-lung cancer' ; Tissue_Diagnosis is optional;
5 - 'Malignant - adenocarcinoma in situ' ;
6 - 'Premalignancy - atypical adenomatous otherwise, this field should be left blank
hyperplasia' ;
7 - 'Non-diagnostic';
8 - 'Clinical - without histology';
99 - 'Unknown'.

Select one: If Tissue_Diagnosis is populated, then

1 - 'Percutaneous' ; Tissue_Diagnosis_Method is required;
2 - 'Bronchoscopic' ;
3 - 'Surgical' otherwise, this field should be blank
Select one: If Tissue_Diagnosis is populated, then
0 - 'Left Hilum '; Location_From_Sample_Obtained is required;
1 - 'Lingula of the Lung ';
2 - 'Left Lower Lobe of Lung '; otherwise, this field should be blank
3 - 'Left Upper Lobe of Lung ';
4 - 'Right Hilum';
5 - 'Right Lower Lobe of Lung ';
6 - 'Right Middle Lobe of Lung ' ;
7 - 'Right Middle and Right Lower Lobes of Lung ';
8 - 'Right Upper and Right Middle Lobes of Lung ';
9- 'Right Upper Lobe of Lung';
10 - 'Other';
11 - 'Unknown'

If Location_From_Sample_Obtained is 10, then

Location_Other_Spec is required;

otherwise, this field should be left blank

Select one:
1 - 'Non-small cell lung cancer' ;
2 - 'High grade neuroendocrine tumor (small cell
lung cancer)' ;
3 - 'Low grade neuroendocrine tumor (carcinoid)';
4 - 'Intermediate grade neuroendocrine tumor
(Atypical carcinoid)'
If Tissue_Diagnosis is 2, 3, or 5 then, Histology is
required;
If Tissue_Diagnosis is 4 then, Histology is
applicable but optional;
otherwise, this field should be blank

Select one: Required & Conditional

1 - 'Invasive adenocarcinoma' ;
2 - 'Squamous cell carcinoma' ; If Histology is 1, then
3 - 'Adenosquamous cell carcinoma'; Histology_Non_Small_Cell_LC is required;
4 - 'Undifferentiated or poorly differentiated
carcinoma' ; otherwise, this field should be blank
5 - 'Large cell carcinoma' ;
6 - 'Other, specify'
 If Histology_Non_Small_Cell_LC is 6, then
Other_Non_Small_Cell_LC_Histology_Spec is
required;

otherwise, this field should be left blank

Select one:
1 - 'Clinical' ; If Tissue_Diagnosis is 2, 3, or 5 then,
2 - 'Pathologic' ; Stage_Clinical_Or_Pathologic is required;
9 - 'Unknown'
If Tissue_Diagnosis is 4 then,
Stage_Clinical_Or_Pathologic is applicable but
optional;

otherwise, this field should be blank

Select one:
IA If Tissue_Diagnosis is 2, 3, or 5 then,
IB Overall_Stage is required;
IIA
IIB If Tissue_Diagnosis is 4 or 7 then, Overall_Stage
IIIA is applicable but optional;
IIIB
IV otherwise, this field should be blank
N3

Select one: Optional & Conditional

Tx
T1a if Tissue_Diagnosis is populated then T_Status is
T1b applicable;
T2a
T2b otherwise, this field should be blank
T3
T4
99

Select one: Optional

NX
N0 if Tissue_Diagnosis is populated then N_Status
N1 is applicable;
N2
N3 otherwise, this field should be blank
Select one: Optional
MX
M0 if Tissue_Diagnosis is populated then M_Status
M1a is applicable;
M1b
otherwise, this field should be blank