Utah Admin. Code R384-100-6 - Case Report Contents

(1) The contents of the report for each reportable case shall include identifiable health data. This data may include:

(a) facility and provider identifiers;

(b) patient identifiers, demographics;

(c) medical history and risk factors;

(d) date and method of diagnosis;

(e) primary site;

(f) stage of disease;

(g) tissue diagnosis;

(h) laboratory data;

(i) radiology data;

(j) dates and methods of treatment; and

(k) follow-up.

(2) The reportable data for each case shall include information as specified by the registry, according to the type of entity reporting.

(a) Each Utah hospital shall report:

i. each data item identified as reportable by SEER and NPCR;

ii. text documentation to support reportable data items, as described in guidance from national organizations that set standards for cancer registries; and

iii. any additional data items identified as reportable in Utah by the department and the registry.

(b) Each Utah health care provider and non-hospital health care facility shall report:

i. facility, provider, and patient identifiers;

ii. diagnosis;

iii. dates, methods, and results of cancer-directed screening and diagnostic procedures provided under their care;

iv. dates and methods of treatment provided under their care; and

v. follow-up.

(c) Each Utah laboratory shall report:

i. facility, provider and patient identifiers;

ii. diagnosis; and

iii. results of cancer-directed laboratory examinations, assays, and tests performed or reported by that laboratory.

(d) Any laboratory outside Utah may report:

i. facility, provider, and patient identifiers;

ii. diagnosis; and

iii. results of cancer-directed laboratory examinations, assays, and tests performed or reported by that laboratory.

(e) Any cancer registry program in another U.S. state and territory may disclose cancer case report information for Utah residents that have been reported to another state, if both programs are party to a data exchange agreement.

(f) Any federal agency authorized to provide data for public health purposes may disclose demographics, follow-up, or other information relevant to reportable cases who are Utah residents.

(3) The registry provides current, detailed lists of reportable data items and data specifications, which can be obtained:

(a) from the registry's website https://uofuhealth.utah.edu/utah-cancer-registry/;

(b) by contacting the registry by email at ucr.info@hsc.utah.edu; or

(c) by contacting the registry by telephone at 801-581-8407.

Notes

Utah Admin. Code R384-100-6

Amended by Utah State Bulletin Number 2021-16, effective 8/2/2021