Information for Providers

Providers must report all reportable cancers that they diagnose or treat. Detailed information about which conditions are reportable is available on the reportable conditions page. Reports can be selected using reportable ICD-10-CM codes or cancer-related procedure codes.  Each report should include the following data items:

1. 1. Provider information
      • Clinic name and primary provider’s name (first and last)
   2. Patient’s demographic information
      • Name (first, middle, last), date of birth, social security number (if available), sex, race, ethnicity, vital status, address, and phone number
   3. Tumor characteristics
      • Primary site, histologic type, date of diagnosis, cancer type specific information
   4. Treatment known to be administered to the patient
      • Treatment type, specific treatment, date of treatment, name of referred provider