California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
The reporting facility must report every case of cancer first seen as an inpatient or outpatient, either with evidence of cancer or for cancer-directed treatment, on or after the date that mandatory reporting was declared for the region (the region's reference date). Refer to the Regional Registry Reference Date Guide for the specific date when mandatory reporting began in each region.
There are two methods of reporting cancer cases to the CCR:
A Full Abstract is required for any case diagnosed and/or treated at the reporting facility (analytic cases) and for most nonanalytic cases. For the list of required data items included in a full abstract, see Appendix U.
A CMR or other approved notification mechanism is used to identify cancer cases with limited information. These cases are diagnosed and treated elsewhere, however they must be submitted to the regional registry/CCR for incidence reporting. The CCR/Region may request the reporting facility to submit an abstract for incidence reporting if the case submitted via CMR is not found in the CCR database.
A minimum of a CMR or other approved notification mechanism must be submitted for the following types of cases:
Catheter placement for cancer therapy only
Cancer Conference (Tumor Board) presentation only
Hospice only
Note: The CCR/Region may request the reporting facility to submit an abstract for incidence reporting if the case is not found in the CCR database. If an abstract is requested, use Class of Case code 32.
Essentially, Class 33, 40 and 41 are not reportable to the CCR. Class 31 AND Class 32 are to be reported through a full abstract. Additionally, Class 43 is reportable through a CMR. See Section III.3.5 for Class of Case definitions.
REQUIRED METHOD OF REPORTING TO THE CCR |
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Class of Case |
Required by CCR |
Reporting M |
Analytic Cases |
||
Initial Diagnosis at Reporting Facility |
||
00 |
Yes |
Abstract |
10 |
Yes |
Abstract |
11 |
Yes |
Abstract |
12 |
Yes |
Abstract |
13 |
Yes |
Abstract |
14 |
Yes |
Abstract |
Initial Diagnosis at Reporting Facility |
||
20 |
Yes |
Abstract |
21 |
Yes |
Abstract |
22 |
Yes |
Abstract |
Non-Analytic Cases |
||
Patient appears in person at Reporting Facility; Both initial diagnosis and Treatment |
||
30 |
Yes |
Abstract |
31 |
Yes |
Abstract |
32 |
Yes |
Abstract |
33 |
No |
NR |
34 |
Yes |
Abstract |
35 |
Yes |
Abstract |
36 |
Yes |
Abstract |
37 |
Yes |
Abstract |
38 |
Yes |
Abstract |
40 |
No |
NR |
41 |
No |
NR |
42 |
Yes |
Abstract |
43 |
Yes |
CMR |
Regional Registry Responsibility ONLY |
||
49 |
Yes |
Abstract |
Key to Reporting Method:
Abstract – Full abstract required
NR – Not Reportable
CMR – Confidential Morbidity Report/approved notification mechanism