Current through Register Vol. 43, No. 39, September 26, 2024
(a)
(1) Each administrator of a hospital, an
ambulatory surgery center, a radiology oncology center, or a pathology
laboratory shall, within six months of the date of diagnosis, report to the
registry each case of cancer diagnosed or treated, unless exempted under
subsection (d).
(2) Each report
shall provide all required information available in the medical or
administrative records that are under the direct control of the reporting
administrator. No administrator shall be required to contact the patient, the
patient's family, or another health care provider to obtain additional
information not contained in the medical or administrative records.
(b) Each person who is either
licensed to practice medicine and surgery or licensed to practice dentistry and
who practices in a clinic or physician's office and each administrator of a
hospice or adult care home shall provide the following to the registry:
(1) If used to confirm each cancer diagnosis,
a list of in-state and out-of-state pathologists, or pathology laboratories and
dermatopathologists; and
(2) for
each patient for whom a cancer diagnosis has been confirmed pathologically or
clinically, a list that includes the name, social security number, date of
birth, and cancer site. The social security number shall be used only for
confirmation of patient identity.
(c) Upon receipt of any written request for
information from the registry regarding a patient, each reporting party
specified in subsection (a) or (b) shall provide the requested information that
is contained in medical or administrative records under the direct control of
the reporting party. The requested information may consist of either of the
following:
(1) Any information specified in
subsection (e), even if the patient's cancer has not been diagnosed or treated
by the hospice or adult care home or by the health care provider or licensee
specified in subsection (a) or (b); or
(2) annual follow-up information, including
tumor recurrence and follow-up treatment.
(d) The reports specified in this regulation
shall not be required for the following types of cancer:
(1) Squamous cell carcinoma of the skin,
unless located on a lip of the face or in the genital area or unless spread
beyond local tissues at the time of diagnosis;
(2) basal cell carcinoma of the skin, unless
located on a lip of the face or in the genital areas or unless spread beyond
local tissues at the time of diagnosis; and
(3) carcinoma in situ of the uterine
cervix.
(e) Each report
from any reporting party specified in subsection (a) or (b) shall include the
following information, if available:
(1)
Patient identifiers and demographics;
(2) cancer screening history;
(3) cancer diagnosis, including the cancer
site and histology;
(4) personal
and family history;
(5) vital
status, including the date of death and cause of death, if
applicable;
(6) cancer-related
treatment information;
(7)
follow-up information, including the date of last contact with the patient;
and
(8) third-party payer
information; and
(9) risk factors
for cancer.
(f) Each
report to the registry shall be submitted in one of the following formats:
(1) American standard code for information
interchange (ASCII) file in the North American association of central cancer
registries (NAACCR) format;
(2)
electronic or paper forms provided by the registry;
(3) any other format equivalent to any format
specified in this subsection that is acceptable to the cancer registry
director.
(g) All data
transferred to the registry shall be secure and confidential.
(1) All paper data transferred to the
registry shall be sealed in an envelope marked "CONFIDENTIAL" and addressed to
the cancer registry director.
(2)
Electronic data transfer shall be made by a secured electronic transmission,
according to prior instructions from the cancer registry director.
