(a) Reportable conditions.
(1) The cases of cancer to be reported to the Texas
Cancer Registry are as follows:
(A) all neoplasms with a behavior code of two or three
in the most current edition of the International Classification on
Diseases for Oncology (ICD-O) of the World Health Organization with
the exception of those designated by the Texas Cancer Registry as
non-reportable in the Cancer Reporting Handbook; and
(B) all benign and borderline intracranial and central
nervous system neoplasms as required by the national program of cancer
registries.
(2) Codes and taxa of the most current edition of the
International Classification of Diseases, Clinical Modification of
the World Health Organization which correspond to the Texas Cancer
Registry’s reportable list are specified in the Cancer Reporting
Handbook.
(b) Reportable information.
(1) Except as provided in paragraph (2) of this subsection
and health care practitioners in §91.5(c) of this title (relating
to When to Report), those data required to be reported for each cancer
case shall include:
(A) name, address, zip code, and county of residence;
(B) social security number, date of birth, gender,
race and ethnicity, marital status, birthplace, and primary payer
at time of diagnosis, to the extent such information is available
from the medical record;
(C) information on industrial and occupational history,
smoking status, height and weight to the extent such information is
available from the medical record;
(D) diagnostic information including the cancer site
and laterality, cell type, tumor behavior, markers, grade and size,
stage of disease, date of diagnosis, diagnostic confirmation method,
sequence number, and other primary tumors;
(E) first course of cancer-related treatment, including
dates and types of procedures;
(F) text information to support cancer diagnosis, stage
and treatment codes;
(G) health care facility or practitioner related information
including reporting institution number, casefinding source, type of
reporting source, medical record number, registry number, tumor record
number, class of case, date of first contact, date of last contact,
vital status, facility referred from, facility referred to, managing
physician, follow-up physician, date abstracted, abstractor, and electronic
record version; and
(H) clinical laboratory related information including
laboratory name and address, pathology case number, pathology report
date, pathologist, and referring physician name and address.
(2) The department or its authorized representative
may exempt a reporting entity from providing specific reportable data
items delineated in paragraph (1) of this subsection to the extent
that those data to be exempted are not collected by the reporting
entity.
(3) Except as provided in §91.6(b) of this title
(relating to How to Report), each report shall:
(A) be electronically readable and contain all data
items required in paragraph (1) of this subsection;
(B) be fully coded and in a format prescribed by the
Texas Cancer Registry;
(C) meet all quality assurance standards utilized by
the Texas Cancer Registry;
(D) in the case of individuals who have more than one
form of cancer, be submitted separately for each primary cancer diagnosed;
(E) be submitted to the Texas Cancer Registry electronically;
and
(F) be transmitted by secure means at all times to
protect the confidentiality of the data.
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Source Note: The provisions of this §91.4 adopted to be effective August 6, 1998, 23 TexReg 7801; amended to be effective November 7, 2002, 27 TexReg 10387; amended to be effective April 24, 2003, 28 TexReg 3332; amended to be effective July 9, 2006, 31 TexReg 5300; amended to be effective August 14, 2011, 36 TexReg 4963; amended to be effective April 2, 2017, 42 TexReg 1450 |