Online Adaptive Radiation Therapy. Need coding advice
So:
NAACCR ITEM 1502 Phase I External Beam Radiation Planning Technique
NAACCR ITEM 1512 Phase II External Beam Radiation Planning Technique
NAACCR ITEM 1522 Phase II| External Beam Radiation Planning Technique
All have the possible values:
| Code | Label |
|---|---|
| 00 | No radiation treatment |
| 01 | External beam, NOS |
| 02 | Low energy x-ray/photon therapy |
| 03 | 2-D therapy |
| 04 | Conformal or 3-D conformal therapy |
| 05 | Intensity modulated therapy |
| 06 | Stereotactic radiotherapy or radiosurgery, NOS |
| 07 | Stereotactic radiotherapy or radiosurgery, robotic. |
| 08 | Stereotactic radiotherapy or radiosurgery, Gamma Knife? |
| 09 | CT-guided online adaptive therapy |
| 10 | MR-guided online adaptive therapy |
| 88 | Not Applicable |
| 98 | Other, NOS |
| 99 | Unknown |
Thus, once NAACCR is ingested into the OMOP vocabulary tables, it seems that either ‘09’ ‘CT-guided online adaptive therapy’ or ‘10’ MR-guided online adaptive therapy’ would be the right choice.
Beyond assessing NAACCR for its suitability for supporting the encoding of oncology diagnosis modifiers, could you please assess NAACCR for its suitability for encoding oncology diagnosis treatments and oncology treatment modifiers?
See here for the most easily inspectable representation of NAACCR treatment variables:
https://www.facs.org/~/media/files/quality%20programs/cancer/ncdb/store_manual_2018.ashx
NAACCR/SSER/AJCC are what we use for all our data. Once NAACCR is in OMOP most our issues will go away. The next hurdle will be the NGS testing for Immuno-oncology