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STORE 2023 Manual: A Comprehensive Overview (Updated 02/17/2026)
STORE Manual Version 2023, updated February 17, 2026, provides crucial definitions and coding instructions for VCR data items, ensuring accurate case eligibility determination.
The STORE Manual, currently in its 2023 version (with updates through February 17, 2026), serves as the definitive guide for data abstractors and professionals involved in cancer registry operations. This comprehensive resource, available as a PDF from the American College of Surgeons (facs.org), details the standardized procedures for collecting and interpreting crucial data elements required by the VCR (Vital Cancer Registry).
It’s designed to promote consistency and accuracy in cancer data reporting, ultimately supporting vital research and public health initiatives. The manual’s evolution, including Version 2024 (dated January 23, 2024, effective January 1, 2024), reflects ongoing refinements and clarifications to coding guidelines. Understanding the principles outlined within is paramount for maintaining data integrity and facilitating meaningful analysis.
What is the STORE Manual?
The STORE Manual is a detailed reference document – currently at Version 2023, with updates as recent as February 17, 2026 – specifically created to standardize cancer data collection. It contains definitions and detailed coding instructions for nearly all data items mandated by the VCR. This 158-page, 10MB document, accessible via the FACS website, clarifies ambiguous terminology and guides users through determining case eligibility.
Essentially, it’s a crucial tool for ensuring consistent and accurate cancer registry data. While portions, like Appendix C (Solid Tumor Rules), are helpful generally, it’s particularly relevant for SEER states. The manual’s purpose is to provide a single, authoritative source for coding guidelines, promoting data quality and comparability across institutions.
Purpose and Scope of the 2023 Version
The primary purpose of the STORE Manual 2023 version is to maintain and enhance the quality of cancer data submitted through the VCR. This edition, with its latest update on February 17, 2026, aims to provide clarity and consistency in coding practices. The scope encompasses comprehensive coding instructions, definitions of critical data elements, and guidance on case eligibility criteria.
It builds upon previous versions, incorporating feedback and addressing emerging challenges in cancer data management. The manual also references resources like the CTR Guide to Coding Radiation Therapy and the International Classification of Diseases for Oncology. It’s designed for registrars and coding professionals, ensuring adherence to standardized procedures and facilitating accurate data reporting.

Key Components and Definitions
STORE Manual key components include VCR data item correlation, critical element definitions, and clear case eligibility criteria, vital for accurate data abstraction.
VCR Data Items and STORE Manual Correlation
The STORE Manual meticulously correlates with the data items required by the Vital Cancer Registry (VCR), serving as the primary resource for consistent and accurate cancer data reporting. This correlation ensures that abstractors understand precisely how each VCR data element should be interpreted and coded, minimizing discrepancies and maximizing data quality. The manual contains definitions and detailed coding instructions for nearly all VCR-required data items, offering guidance on complex scenarios and ambiguous terminology.
Specifically, the STORE Manual assists in navigating the nuances of cancer staging, treatment modalities, and patient demographics, aligning these details with the VCR’s standardized format. It’s a critical tool for registrars to ensure compliance with reporting requirements and to contribute to the overall integrity of cancer surveillance systems. Utilizing the manual effectively streamlines the data submission process and supports meaningful cancer research.
Definitions of Critical Data Elements
The STORE Manual provides exhaustive definitions for critical data elements essential for accurate cancer registry reporting. These definitions clarify ambiguous terminology and ensure consistent interpretation across different institutions and abstractors. Key elements, such as primary site, histology, grade, stage, and treatment details, are meticulously defined to minimize subjective coding variations.
Understanding these definitions is paramount for maintaining data quality and comparability. The manual doesn’t just offer basic explanations; it delves into the nuances of each element, providing examples and clarifying potential coding challenges. This detailed approach is particularly valuable when dealing with complex cases or evolving coding guidelines. The STORE Manual serves as the definitive reference for resolving data discrepancies and ensuring adherence to established standards.
Understanding Case Eligibility Criteria
The STORE Manual meticulously outlines case eligibility criteria, defining which cancer cases should be submitted to the registry. This section details inclusion and exclusion rules, clarifying reportable disease sites and histological types. It addresses complexities surrounding in-situ neoplasms, multiple primaries, and uncertain diagnoses, providing guidance for consistent application of eligibility standards.
Properly interpreting these criteria is vital for accurate data collection and analysis. The manual emphasizes the importance of reviewing pathology reports and clinical documentation to determine reportability. It also addresses specific scenarios, such as cases diagnosed at autopsy or during clinical trials, offering clear instructions for handling these situations. Adherence to these guidelines ensures the registry captures a comprehensive and representative sample of cancer incidence.

Coding Instructions and Guidelines
STORE Manual coding guidelines offer detailed instructions for accurate data abstraction, emphasizing consistent application of rules for VCR data items and procedures.
General Coding Principles
General coding principles within the STORE Manual prioritize accuracy and consistency when abstracting data for the VCR. Coders must meticulously follow established guidelines, interpreting ambiguous terminology carefully as defined within the manual itself.

The STORE Manual emphasizes a thorough understanding of case eligibility criteria before commencing coding. Adherence to the International Classification of Diseases for Oncology (ICDO) is crucial, particularly for SEER states, though the manual’s appendices offer broadly applicable coding assistance.
Specifically, Appendix C: Site-Specific Coding Modules, focusing on solid tumor rules, provides invaluable support. Coders should leverage these resources alongside direct links to coding helps and clarifications related to STORE’s surgery codes. Maintaining a clear audit trail and documenting all coding decisions are also fundamental principles.
Specific Coding Instructions for Common Procedures
The STORE Manual delivers detailed coding instructions tailored to frequently encountered procedures. These instructions build upon the General Coding Principles, offering granular guidance for accurate data capture. Coders should consult the manual for specific nuances related to surgical approaches, radiation therapy techniques, and chemotherapy regimens.
Particular attention should be paid to the STORE surgery codes, as clarified within Appendix C: Site-Specific Coding Modules. The manual provides examples and decision trees to navigate complex coding scenarios.
Furthermore, the CTR Guide to Coding Radiation Therapy, referenced within the STORE Manual, offers specialized instruction for radiation-related data elements. Consistent application of these procedure-specific guidelines is paramount for maintaining data quality and comparability across cases.
Appendix C: Site-Specific Coding Modules (Solid Tumor Rules)
Appendix C of the STORE Manual is a critical resource, containing detailed coding rules specifically for solid tumors. These modules provide granular guidance, addressing complexities often encountered when abstracting data for various cancer sites. While initially designed for SEER states, the principles and clarifications are broadly applicable to enhance coding accuracy.
Coders will find direct links to comprehensive Solid Tumor Rules within this appendix, facilitating efficient access to relevant information. These rules cover staging, grading, and other essential data elements.
The modules offer coding helps and clarifications for challenging scenarios, ensuring consistent interpretation of STORE’s surgical codes. Utilizing Appendix C is vital for maintaining data integrity and supporting high-quality cancer registry operations.

Technical Aspects & System Configuration
STORE requires manual configuration of date, time, and Daylight Saving Mode settings; confirm these adjustments to ensure accurate data processing and system functionality.
Manual Configuration Settings
STORE’s manual configuration necessitates precise settings to guarantee seamless operation and data integrity. Users must select the “Manual” option, meticulously input the current date and time, and then confirm these entries. This process establishes the foundational temporal parameters for the system. Incorrect date or time settings can lead to significant discrepancies in data recording and reporting, potentially impacting research outcomes and clinical analyses.
Furthermore, careful attention should be given to the Daylight Saving Mode adjustment. Enabling or disabling this feature, based on the current geographical location and time zone, is critical for maintaining accurate timestamps throughout the year. Failure to adjust for Daylight Saving Time will result in consistently offset data, requiring extensive manual correction. Regularly verifying these settings is recommended, especially after system updates or changes in regional time regulations.
Date and Time Configuration
Accurate Date and Time Configuration within the STORE system is paramount for maintaining data integrity and ensuring correct chronological ordering of records. The manual configuration process requires users to explicitly define the system’s date and time. This is achieved by selecting the “Manual” setting and then carefully inputting the precise current date and time values. Following input, a “Confirm” action must be executed to finalize these settings.
Incorrect date or time settings can introduce substantial errors into the database, potentially compromising data analysis and reporting. It’s crucial to verify these settings regularly, particularly after any system maintenance or updates. Consistent and accurate timekeeping is essential for reliable data tracking and adherence to regulatory requirements, impacting the overall quality and usability of the STORE database.
Daylight Saving Mode Adjustment
Proper Daylight Saving Mode adjustment is critical for maintaining accurate timekeeping within the STORE system, particularly in regions observing this practice. The STORE Manual details how to toggle the “Daylight Saving Mode” setting to reflect the current time zone regulations. This adjustment ensures that all timestamps recorded within the system accurately reflect local time, avoiding discrepancies that could impact data analysis and reporting.
Failure to correctly adjust for Daylight Saving Time can lead to errors in data interpretation and potentially affect compliance with reporting deadlines. Users should consult official time zone resources to confirm the correct setting and implement the change promptly when Daylight Saving Time begins or ends. Regular verification of this setting is recommended to guarantee ongoing data accuracy and system reliability.

Resources and Support
STORE offers historic data standards, the CTR Guide for Radiation Therapy coding, and version history updates (V2024 effective 01/01/2024) for assistance.
Historic Data Standards (Previous STORE Manual Versions)
Access to previous versions of the STORE Manual is a vital resource for maintaining data consistency and understanding the evolution of coding guidelines. These historic standards are particularly useful when dealing with retrospective data analysis or when needing to reconcile coding differences across time periods.
The availability of older manuals allows for accurate data migration and ensures that historical reporting remains aligned with the standards in place during the original data collection. Researchers and data analysts can leverage these resources to conduct longitudinal studies and track trends effectively.
Understanding the changes implemented in each version – such as the transition from STORE Manual 2023 to V2024 (dated 1/23/2024, effective 1/1/2024) – is crucial for interpreting data correctly and avoiding misinterpretations. These resources support data integrity and facilitate meaningful comparisons over time.
CTR Guide to Coding Radiation Therapy
The CTR Guide to Coding Radiation Therapy serves as an essential companion to the STORE Manual, providing specialized guidance for accurately coding radiation treatment procedures. This resource is particularly important given the complexities inherent in radiation oncology and the need for precise data capture to support research and quality reporting.
The guide details specific coding conventions, clarifies ambiguous scenarios, and offers practical examples to assist certified tumor registrars (CTRs) in assigning appropriate codes. It ensures consistency in radiation therapy coding across different institutions and facilitates accurate data aggregation for national cancer registries.

Proper utilization of this guide, alongside the STORE Manual, is critical for maintaining data quality and supporting meaningful analyses of radiation therapy patterns and outcomes. It’s a key component in ensuring comprehensive and reliable cancer surveillance data.
STORE Manual Version History & Updates (V2024, effective 01/01/2024)
Maintaining current knowledge of STORE Manual revisions is paramount for accurate data abstraction. Version 2024, effective January 1, 2024, builds upon the foundation of the 2023 version, incorporating updates based on evolving coding standards and clinical practice. The 2024 release, dated January 23, 2024, addresses clarifications and refinements to existing guidelines.
Access to historic data standards – previous versions of the STORE Manual – is crucial for maintaining consistency when abstracting cases retrospectively; Registrars should be aware of the specific version applicable to the date of diagnosis. Regularly reviewing update notifications ensures adherence to the latest coding requirements.

Staying informed about these changes minimizes errors and supports the integrity of cancer registry data, ultimately contributing to improved cancer control efforts.

STORE House 5 Integration
STORE House 5 utilizes a dictionary for correspondent selection – provider or recipient – streamlining data exchange and ensuring accurate information transfer within the system.
Correspondent Selection (Provider/Recipient)

Within STORE House 5 integration, accurate correspondent selection – identifying either the provider or the recipient – is paramount for successful data transmission. This process fundamentally relies on utilizing the STORE House 5 dictionary, a comprehensive resource containing pre-defined entities. The dictionary ensures standardized identification, minimizing errors and facilitating seamless communication.
The selected correspondent functions as the designated point of contact for specific data exchanges. Proper selection is crucial for directing information to the correct entity, maintaining data integrity, and adhering to established protocols. The manual emphasizes that the correspondent is effectively the chosen provider or recipient from within the STORE House 5 directory. Carefully completing this field, referencing the dictionary, is essential for accurate record keeping and reporting.
Utilizing STORE House 5 Dictionary
The STORE House 5 dictionary serves as the foundational element for standardized data exchange within the system. This comprehensive resource contains a pre-defined list of providers and recipients, ensuring consistency and accuracy in all communications. Effective utilization of this dictionary is critical for proper system function and data integrity.
When completing fields requiring provider or recipient identification, users must select from the options available within the dictionary, rather than manually entering information. This prevents discrepancies and ensures compatibility across different data sets. The dictionary’s structure supports efficient searching and selection, streamlining the data entry process. Referencing the STORE House 5 dictionary is a core requirement for adhering to STORE manual guidelines and maintaining data quality.
