Year Started- Ended. Ad Hoc Dataset 20 Patient ID Number 1981 X X. 90 County at DX 2001 X X 100 Addr at DX--Postal Code X. 192 IHS Link 1995 X

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1 70 Addr at D--City Addr at D--State County at D Addr at D--Postal Code Addr at D - Country Census Tract 1970/80/ Census Cod Sys 1970/80/ Census Tract Census Tract Marital Status at D Race Spanish/Hispanic Origin IHS Link Sex Age at Diagnosis Birth Date ( Only) 1981 (Birth year ) NAACCR 20 Patient ID Number Birthplace Birthplace - State Birthplace - Country Occupation Code Census Industry Code Census Occup/Ind Coding System Census Tract Block Group Census Block Group Census Tr Certainty 1970/80/ Census Tr Certainty GIS Coordinate Quality Census Tr Certainty Census Block Group Sequence Number--Central Date of Diagnosis Date of Diagnosis Flag 2010

2 410 Laterality Grade Diagnostic Confirmation Type of Reporting Source Histologic Type ICD-O Behavior Code ICD-O Date of 1st Contact Date of 1st Contact Flag Primary Payer at D SEER Summary Stage 2000 (FCDS will derive from CS, post dx year 2004) SEER Summary Stage 1977 (FCDS will derive from CS, post dx year 2004) EOD--Tumor Size (FCDS will derive from CS, see item 2800) NAACCR 400 Primary Site , Regional Nodes Positive Regional Nodes Examined TNM Clin T (as available) 950 TNM Clin N (as available) 960 TNM Clin M (as available) 970 TNM Clin Stage Group (as available) 980 TNM Clin Descriptor (as available) 990 TNM Clin Staged By (as available) 1060 TNM Edition Number (as available) 1182 Lymph-vascular Invasion R Date--Surgery R Date--Surgery Flag R Date--Radiation R Date--Radiation Flag R Date--Chemo R Date--Chemo Flag R Date--Hormone R Date--Hormone Flag R Date--BRM R Date--BRM Flag R Date--Other 1995

3 NAACCR 1251 R Date--Other Flag Date of Initial R--SEER Date of Initial R Flag R Summ--Treatment Status R Summ--Surg Prim Site R Summ--Scope Reg LN Sur R Summ--Surg Oth Reg/Dis Reason for No Surgery R Summ--Radiation R Summ--Surg/Rad Seq R Summ--Chemo R Summ--Hormone R Summ--BRM R Summ--Other Reason for No Radiation 1570 Rad--Regional R Modality R Summ--Systemic Sur Seq Date of Last Contact Date of Last Contact Flag Vital Status Cancer Status Addr Current--City Addr Current--State Addr Current--Postal Code Addr Current - Country County--Current Cause of Death ICD Revision Number Autopsy Place of Death Place of Death - Country Place of Death - State Over-ride Age/Site/Morph Over-ride SeqNo/DxConf Over-ride Site/Lat/SeqNo Over-ride Surg/DxConf Over-ride Site/Type Over-ride Histology Over-ride Report Source Over-ride Ill-define Site Over-ride Leuk, Lymphoma 1981

4 2074 Over-ride Site/Lat/Morph ICD-O-3 Conversion Flag R Summ Date --Transplnt/Endocr NAACCR 2071 Over-ride Site/Behavior R Date--Transplnt/Endocr Flag FCDS Age Group (5 years) FCDS Site Group FCDS Tobacco Use - Cigarette 2220 FCDS Tobacco Use - OthSmoke 2220 FCDS Tobacco Use - Smokeless Tob 2220 FCDS Tobacco Use - NOS 2230 Name--Last Name--First Name--Middle Addr at D--No & Street Addr at D--Supplement Addr Current--No & Street Telephone Latitude Longitude DC State File Number Name--Maiden CS Tumor Size CS Extension CS Tumor Size/Ext Eval CS Lymph Nodes CS Reg Nodes Eval CS Mets at D CS Mets Eval CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor

5 NAACCR 2872 CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Site-Specific Factor CS Version 1st CS Version Latest CS Version Input Current Derived AJCC T Derived AJCC T Descriptor Derived AJCC N Derived AJCC N Descriptor Derived AJCC M Derived AJCC M Descriptor Derived AJCC Stage Group Derived AJCC--Flag Derived SS1977--Flag Derived SS2000--Flag R Summ--Transplnt/Endocr Derived AJCC-7 T Derived AJCC-7 T Descript Derived AJCC-7 N Derived AJCC-7 N Descript Derived AJCC-7 M Derived AJCC-7 M Descript Derived AJCC-7 Stage Grp Height Weight 1

6 Notes: 1 Require approval from the Florida Department of Health (DOH) Cancer Registry Program and DOH Institutional Review Board. Please see "Procedure Guide for studies that utilize FCDS for patient identifiable data". 2 Will require additional approvals from the Florida Office of Vital Statistics