(a) Any newly diagnosed in-situ
or invasive cancer as defined by the TCR Policies and Procedures Manual is
considered a reportable diagnosis. If a patient subsequently develops a new
primary cancer, it shall be reported separately.
Format for Reporting
(a) The format for reporting, the required
codes, and the standards for completeness and quality are defined by the
department in the TCR Policies and Procedures Manual.
Data Items to be Reported
(a) The standardized report of cancer shall
include as a minimum those data items required by the Tennessee Cancer
Registry, a list of which is maintained in the TCR Policies and Procedures
Manual. The report of cancer shall include the listed demographic, diagnostic,
and treatment data as defined by the department.
Deadline for Reporting
(a) Reporting shall occur no later than six
months after the date of diagnosis of cancer in a patient. Reports shall be
submitted to the department according to a time frame communicated by the
department to each hospital, facility, laboratory, and health care
Failure to Report
(a) A hospital, laboratory,
facility, or health care practitioner that fails to report data or allow access
to records, as required by T.C.A. §
shall be informed in writing by the department that compliance is
(b) If a hospital,
laboratory, facility, or health care practitioner fails to provide the required
data by the required deadline in the format specified by the department or if
the data are of unacceptable quality, the Commissioner or the Commissioner's
authorized representative may casefind and abstract the information by a direct
examination of those patients' medical records. In these cases, the facility
shall reimburse the department for the actual cost of casefinding, abstracting,
coding, and editing, a maximum of which is seventy dollars ($70) per hour,
plus, if necessary, reasonable ancillary and travel expenses. A hospital,
laboratory, facility, or health care practitioner from whom reimbursement is
sought may appeal the assessment of expenses under the Tennessee Uniform
Administrative Procedures Act. The appeal shall be to the Commissioner in
writing and within thirty (30) days of receipt of the assessment.
Staff members from the Tennessee Cancer
Registry or their agents shall perform periodic quality assurance studies at
all reporting facilities. These studies shall include:
1. Casefinding to ensure that all cancer
cases have been accessioned; and
Reabstracting the records of cancer patients to ensure that all data have been
transcribed and coded correctly.
(b) Reporting facilities shall assist TCR
staff by providing the necessary medical records and the office space for
conducting quality assurance activities.
(c) In order to improve the quality of the
data, the TCR or their agents shall offer training for reporting facility
Tenn. Comp. R. &
rule filed October 6, 1986; effective November 20, 1986. Amendment filed
September 5, 1990; effective October 20, 1990. Repeal and new rule filed
February 1, 2002; effective April 17, 2002. Amendment filed October 25, 2019;
Authority: T.C.A. §§
68-1-103; 68-1-1001, et seq; and 68-1-1003.