Code of Colorado Regulations
1000 - Department of Public Health and Environment
1006 - Center for Health and Environmental Data (1006, 1009 Series)
6 CCR 1009-3 - THE COLORADO CENTRAL CANCER REGISTRY
Section 6 CCR 1009-3-III - Reporting Required

The following Colorado health care entities shall report all cases of cancer to the Colorado Department of Public Health and Environment: hospitals (except as noted below); free-standing diagnostic and/or treatment clinics; pathology laboratories; and diagnosing and/or treating physicians or other health care practitioners (except as noted below).

Health care entities shall report information concerning all Colorado patients diagnosed as having cancer in a standard electronic format, designated by the Colorado Department of Public Health and Environment. Reports shall include the name and address of the patient, demographic information, medical history, environmental factors, date and method of diagnosis, primary site, stage of disease, tissue diagnosis, laboratory data, methods of treatment, and physician names. CDPHE shall publish a list of required data elements once per year. Reporting entities shall submit case reports no later than six months from the date in which the reporting entity first has contact with a patient who has a definitive diagnosis of cancer (clinical or pathologic).

In lieu of actively reporting cancer cases, Colorado hospitals licensed for fewer than 50 beds shall provide authorized Colorado Department of Public Health and Environment personnel 1) electronic medical record indices (or equivalent) of patients with cancer diagnosis codes for the purpose of case finding. Hospitals shall provide the medical record indices in a structured file format to be determined by each hospital in conjunction with CDPHE staff; and 2) access to any medical record or report pertaining to the diagnosis and/or treatment of cancer patients. Colorado hospitals shall allow secure remote access to electronic records when determined to be feasible by a hospital.

Physicians and other health care practitioners are exempted from actively reporting a new incident cancer case when the cancer patient has been admitted to a Colorado hospital or other Colorado diagnostic or treatment facility for further diagnosis or treatment, or the physician or other health care practitioner has an agreement with a Colorado hospital to report all cancer cases on his/her behalf.