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Cancer Reporting Instructions for Physicians, Dentists and Freestanding
Outpatient Clinics
Effective January 1,
1992 cancer became a reportable disease in Arizona. Arizona law* requires
clinics (freestanding outpatient clinics) and physicians to report cancer
cases to the Arizona Cancer Registry (ACR).
Definitions
PHYSICIAN
"Physician"
includes all Doctors of Medicine, Doctors of Osteopathy, and Dentists.
FREESTANDING OUTPATIENT
CLINIC
"Freestanding Outpatient
Clinic" means every health care institution, whether organized for profit
or not, which is not a hospital and which provides outpatient cancer
diagnosis and treatment of 100 or more cancer cases per year, including
outpatient surgical facilities, staff-based health maintenance
organizations, multispecialty clinics, and outpatient radiation therapy
facilities. (Clinics seeing less than 100 cancer cases per year are to
follow the reporting requirements for physicians.)
Reporting
Requirements
PHYSICIANS
Physicians are to report
cancer cases in the following two instances:-
If the ACR receives a
pathology report of a cancer case not already reported by a hospital or
cancer clinic, the ACR will send the physician a partially completed
report form (see attached). The physician is required to verify and correct (if
necessary) the accuracy of the report form, complete any blanks, and send
the form back to the ACR within 30 days.
Physicians are
required to initiate a report within 30 days of diagnosis for cancer cases
meeting all the following criteria:
• Not seen in an Arizona
hospital;
• Not seen in a cancer
clinic (one that sees >100 cases per year);
• Not confirmed by a
pathology lab licensed in Arizona.
FREESTANDING OUTPATIENT
CLINICS
Outpatient clinics are
required to submit a case report for cancer cases not referred to a
hospital. The clinic must designate a doctor or cancer registrar
to submit case reports as described below within 90 days of diagnosis or
initiation of treatment at the clinic. Clinics reporting more than 100
cases yearly must code and submit the information on diskette.
Contact the registry for
details about electronic reporting.
* A.R.S. 36-133; A.A.C.
Chapter 9, Articles 1 and 4. The majority of the cases will be reported by
hospitals and clinics, lessening the
burden on doctors. ACR--21 Rev. June 1996
Which Cancers Are Reportable?
WHAT IS REPORTABLE
A reportable case is defined as: any malignant neoplasm (solid or
hematopoietic); carcinoma in situ; or benign tumor
of the central nervous system and pineal and pituitary glands.
NOTE: Please see below regarding new hematopoietic diseases
reportable as of January 1, 2001.
WHAT IS NOT REPORTABLE
- All non-genital, primary skin (ICD-O Sites C44.0 - C44.9) cancers of the
following types and
histologies (diagnosed on or after January 1, 2003):
•Neoplasms, malignant, NOS of skin (8000-8004)
•Epithelial carcinomas of the skin (8000-8045)
•Papillary and squamous cell carcinomas of the skin (8050-8082)
•Basal cell carcinomas of any site (8090-8110).
NOTE: Prior to January 1, 2003, the above skin cancers were reportable if
staged regional or distant at the time of diagnosis.
Basal or squamous cell cancers of the skin of the lip, eyelid, or nose
ARE NOT reportable, but any cancers of the mucosa of these sites ARE
reportable.
-
Carcinoma in-situ of the cervix (diagnosed on or after January 1,
1994).
HEMATOPOIETIC DISEASES: NEW
CODES OR NEW DIAGNOSIS, REPORTABLE AS OF January 1, 2001
Plasma cell tumors
9733/3 Plasma cell leukemia
Mast cell tumors
9742/3 Mast cell leukemia
Neoplasms of histiocytes (macrophages) and accessory lymphoid
(antigen
presenting) cells
9751/1 – The Langerhans cell histiocytosis
9754/3
9755/3 Histiocytic sarcoma
9756/3 Langerhans cell sarcoma
9757/3 Interdigitating dendritic cell sarcoma
9758/3 Follicular dendritic cell sarcoma
Selected myeloid leukemias
9920/3 Therapy-related acute myeloid leukemia, NOS
Other leukemias
9945/3 Chronic myelomonocytic leukemia
9946/3 Juvenile myelomonocytic leukemia
9948/3 Aggressive NK-cell leukemia
Chronic myeloproliferative disorders
9950/3 Polycythemia vera
9960/3 Chronic myeloproliferative disease
9961/3 Myelosclerosis with myeloid metaplasia
9962/3 Essential thrombocythemia
9963/3 Chronic neutrophilic leukemia
9964/3 Hypereosinophilic syndrome
Myelodysplastic syndromes
9980/3 Refractory anemia
9982/3 Refractory anemia with sideroblasts
9983/3 Refractory anemia with excess blasts
9984/3 Refractory anemia with excess blasts in transformation
9985/3 Refractory cytopenia with multilineage dysplasia
9986/3 Myelodysplastic syndrome with 5-q syndrome
9987/3 Therapy-related Myelodysplastic syndrome, NOS
9989/3 Myelodysplastic syndrome, NOS
Download
the Reporting Form and Reporting
Instructions here!
The reporting form and the
instructions are available here in PDF format. You need Adobe Acrobat
Reader™ to view or download these reports. Adobe
Acrobat Reader™. is free, and freely distributable, software that lets
you view and print Portable Document Format (PDF) files.
QUESTIONS?
If you have questions about how to fill out
the form or where to send the completed form, please call Fatima Benitez at
the Arizona Cancer Registry at (602) 542-7320.
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