(a)  Health care facilities and providers shall submit a complete abstract for each cancer case that is screened, diagnosed, treated, or followed by its staff and that was initially diagnosed with cancer subsequent to May 7, 1999.  A complete abstract is defined as one that adheres to the standards and definitions of the North American Association of Central Cancer Registries (NAACCR), the World Health Organization (WHO), the American College of Surgeons Commission on Cancer (COC), and the National Cancer Institute Surveillance, Epidemiology, and End Results Program (SEER).  These standards and definitions are delineated in the following publications: the NAACCR Standards for Cancer Registries, the WHO International Classification of Diseases for Oncology; the COC Standards of the Commission on Cancer, Volume II, Registry Operations and Data Standards (ROADS); and the SEER Coding Manuals.  Subsequent amendments and editions of these publications are included.  NAACCR documents are free of charge and may be obtained from the North American Association of Central Cancer Registries, 2121 West White Oaks Drive, Springfield, Illinois 62704.  The International Classification of Diseases for Oncology may be purchased for twenty-seven dollars ($27.00) from WHO Publications Center USA, 49 Sheridan Avenue, New York, NY 12210.  The ROADS publication may be purchased for twenty dollars ($20.00) from ACS Publications Fulfillment Section, Box 92425, Chicago, IL 60675-2425.  SEER publications are free of charge and may be obtained from the National Cancer Institute, Publications Ordering Service, P.O. Box 24128, Baltimore, MD 21227.

(b)  A health care provider or facility may delegate the tasks of reporting cancer cases to office or hospital staff, but the provider or facility shall not delegate the legal responsibility for the reporting of cancer to others.

(c)  A report of cancer shall be submitted to the registry by health care facilities and providers by one of the following methods:

(1)           by submission of an electronic file containing the information required in Paragraph (a) of this Rule;

(2)           for pathology laboratories, by submission of a positive electronic pathology report containing the information required in Paragraph (a) of this Rule; or

(3)           facilities or providers that have fewer than 30 reportable cases per year may submit photocopies of the medical record sufficient to complete a full abstract of the case.

(d)  The following documents shall not constitute a report of cancer:

(1)           a death certificate; and

(2)           a request for authorization submitted to the Cancer program requesting third party reimbursement for treatment of cancer, although a positive pathology report is required by 10 NCAC 8A .0408(f).

(e)  Reports shall be forwarded to the following address:  Central Cancer Registry, State Center for Health Statistics, 1908 Mail Service Center, Raleigh, North Carolina 27699-1908.


History Note:        Authority G.S. 130A‑205; 130A-208 through 130A-213;

Eff. January 1, 1982;

Amended Eff. October 1, 1984; October 1, 1982;

Transferred and Recodified from 10 NCAC 8A .0804 Eff. April 4, 1990;

Amended Eff. April 1, 2001; December 1, 1990;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 20, 2015.