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Cancer Registry

Cancer Registry On-boarding Process:




Step Name





Eligible Providers (EP) wishing to on-board for cancer reporting must register their intent to attest by completing the Meaningful Use Registration Form. Or, if Eligible Providers are wishing to on-board for cancer reporting but not attest for Meaningful use, they should declare their intent via email to the Cancer Registry Coordinator: randi.rycroft@state.co.us



The on-boarding EPs will review the vocabulary and messaging standards and reporting requirements. They will generate and validate test messages using a standard tool, submitting the results to CDPHE.


Initial Submission

Once your agency is ready to generate messages with the required standards, a test message will be sent using one of the secure methods. This HL7 CDA message will be validated by CDPHE.  Completion of Step 3 meets Meaningful Use Stage 1 attestation requirements.


In Queue

If the EP is ready to submit on-going data, but CDPHE is not prepared to perform the validation, the EP may be placed on a wait-list for on-going submission and validation.  EPs placed in the queue can attest for Meaningful Use Stage 2, if that is their goal.



Once your HL7 CDA message has been validated and a secure method of transfer has been successfully tested, on-going production level data will be transferred from your system on at least a monthly basis.  These messages will be evaluated for vocabulary standards.  The reports received will be matched against disease reports received from your facility from traditional methods.


Production & On-going Validation

Once CDPHE is satisfied that your decision engine is appropriately flagging and reporting all reportable conditions, we will certify your feed and move your cancer feed into production.  At this time, your facility can cease its previous method of cancer reporting.

Note: On-boarding facilities should give themselves 9 – 12 months to complete this process.

Messaging and Vocabulary Standards:

Standards for new feeds are the same as Meaningful Use Stage 2 requirements:

Messaging Standard:


Guidance and Resources

·       Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries

·       NAACCR Volume II

·       PHIN Vocabulary Access and Distribution System (VADS)



If you have any additional questions, please contact us at cdphe.pscaregistry@state.co.us