Get Required Data Items (in Order As They Appear On Metriq Screens) - Maine

This guide provides a clear and straightforward approach to completing the Required Data Items for the Maine Cancer Registry. By following these instructions, users can effectively navigate the process online and ensure that all necessary data is accurately reported.

Follow the steps to successfully complete the Required Data Items.

1. Click the ‘Get Form’ button to access the Required Data Items form. This will allow you to open the document and begin filling it out.
2. Begin with filling in the patient demographics. Ensure that you accurately provide the patient's accession number, name (including last, first, and middle), maiden name, and any alias if applicable. Include the social security number and medical record number where required.
3. Next, complete the address fields. Include the number and street name, city, state, postal code, and county for the patient's current address.
4. Enter the patient's vital statistics such as birth date, birthplace, and the date of last contact. Ensure that these details are correct as they are crucial for accurate reporting.
5. Proceed to the cancer identification section. Provide necessary information regarding the primary site of cancer, sequence number, histologic type, and behavior code.
6. Include the staging data by completing the relevant fields, including SEER summary stage and CS tumor size/extension evaluation, as applicable.
7. Fill in the treatment information. This includes dates and summaries of surgeries, radiation, chemotherapy, and other treatments provided to the patient.
8. If there are any physicians involved, provide their details, such as managing physician and referring physician information.
9. Finally, review all entered data for accuracy. Once confirmed, you can save changes, download, print, or share the form as required.

Complete the Required Data Items for the Maine Cancer Registry online to ensure accurate cancer reporting.