Cancer Registry Overview
Submitting cancer cases and treatment data to public health agencies electronically to fulfill state cancer reporting requirements is one of the ways you can demonstrate meaningful use of electronic health records (EHR). Cancer reporting from ambulatory providers to state cancer registries is a public health objective for Stage 2 of the meaningful use program.
Reporting to cancer registries by health care providers can enhance reporting of cancers not seen in a hospital setting. While the majority of new cancer cases are reported from hospitals, medical practice is changing rapidly and an increasing number of cancer cases are diagnosed and treated outside the hospital setting. Data collection from providers presents new challenges since the infrastructure for reporting is less mature than it is in hospitals. Certified EHR Technology can address this challenge by identifying reportable cancer cases and treatments for these patients. It can then facilitate electronic reporting to the state cancer registry either automatically or upon verification by the provider.
The electronic reporting of all newly diagnosed cancer cases and first course treatment data fulfills South Carolina's cancer reporting requirements. Messaging from ambulatory providers meets the meaningful use objective.
Data submission is coordinated from DHEC. Your submissions to this central point are disseminated to the appropriate health personnel within public health using centralized data systems with role-based access.
Sending information to DHEC electronically does not by itself satisfy the meaningful use criteria. The information must be sent according to specifications that have been developed to transmit health-related information between health care information systems. DHEC is currently establishing its submission format for Cancer Registry Data.
Cancer Registry Reporting Criteria and Standards
DHEC currently accepts Cancer Registry messages from the following provider types:
- Eligible Providers, limited to Ambulatory Care Providers (includes: urology, dermatology, hematology/medical oncology, radiation oncology, pediatric oncology, surgery centers, and gastroenterology)
DHEC currently accepts Cancer Registry messages for the following Meaningful Use stages:
- Specialized Registry Reporting for Stage 2
- Specialized Registry Reporting for Modified Stage 2 (through 2017)
- Stage 3 Declaration of Readiness: As of July 1, 2016, the DHEC South Carolina Central Cancer Registry declares readiness for Meaningful Use Stage 3. Eligible ambulatory providers who diagnose and/or treat cancer patients may attest to Stage 3 measures for implementation beginning January 1, 2017. Reporting for Meaningful Use Stage 3 will be optional in 2017. Modified Stage 2 reporting will continue to be accepted through 2017.
DHEC currently accepts Cancer Registry messages in the following standard format:
- Health Level 7 Clinical Document Architecture, Release 2 (HL7 CDA R2)
The following documents provide guidance for health care organizations seeking to send Cancer Registry messages to DHEC.
- Registration of Intent (docx)
- Public Health Options: Cancer Reporting - CDC
- Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries, Release 1.0 (pdf) - CDC, 2014 Edition
- HL7 CDA Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, R1, DSTU Release 1.1 - US Realm - Available to download from website
- PHINMS Overview - CDC
- Certified Health IT Product List - ONC
For additional information or questions about Cancer Registry data reporting, you may contact: CancerRegistryMU@dhec.sc.gov or call (803) 898-8000.
This page last updated February 6, 2017