(a) Reportable conditions.
  (1) The cases of cancer to be reported to the Texas Cancer Registry are as follows:
    (A) all neoplasms with a behavior code of two or three in the most current edition of the International Classification on Diseases for Oncology (ICD-O) of the World Health Organization with the exception of those designated by the Texas Cancer Registry as non-reportable in the Cancer Reporting Handbook; and
    (B) all benign and borderline intracranial and central nervous system neoplasms as required by the national program of cancer registries.
  (2) Codes and taxa of the most current edition of the International Classification of Diseases, Clinical Modification of the World Health Organization which correspond to the Texas Cancer Registry’s reportable list are specified in the Cancer Reporting Handbook.
(b) Reportable information.
  (1) Except as provided in paragraph (2) of this subsection and health care practitioners in §91.5(c) of this title (relating to When to Report), those data required to be reported for each cancer case shall include:
    (A) name, address, zip code, and county of residence;
    (B) social security number, date of birth, gender, race and ethnicity, marital status, birthplace, and primary payer at time of diagnosis, to the extent such information is available from the medical record;
    (C) information on industrial and occupational history, smoking status, height and weight to the extent such information is available from the medical record;
    (D) diagnostic information including the cancer site and laterality, cell type, tumor behavior, markers, grade and size, stage of disease, date of diagnosis, diagnostic confirmation method, sequence number, and other primary tumors;
    (E) first course of cancer-related treatment, including dates and types of procedures;
    (F) text information to support cancer diagnosis, stage and treatment codes;
    (G) health care facility or practitioner related information including reporting institution number, casefinding source, type of reporting source, medical record number, registry number, tumor record number, class of case, date of first contact, date of last contact, vital status, facility referred from, facility referred to, managing physician, follow-up physician, date abstracted, abstractor, and electronic record version; and
    (H) clinical laboratory related information including laboratory name and address, pathology case number, pathology report date, pathologist, and referring physician name and address.
  (2) The department or its authorized representative may exempt a reporting entity from providing specific reportable data items delineated in paragraph (1) of this subsection to the extent that those data to be exempted are not collected by the reporting entity.
  (3) Except as provided in §91.6(b) of this title (relating to How to Report), each report shall:
    (A) be electronically readable and contain all data items required in paragraph (1) of this subsection;
    (B) be fully coded and in a format prescribed by the Texas Cancer Registry;
    (C) meet all quality assurance standards utilized by the Texas Cancer Registry;
    (D) in the case of individuals who have more than one form of cancer, be submitted separately for each primary cancer diagnosed;
    (E) be submitted to the Texas Cancer Registry electronically; and
    (F) be transmitted by secure means at all times to protect the confidentiality of the data.

Source Note: The provisions of this §91.4 adopted to be effective August 6, 1998, 23 TexReg 7801; amended to be effective November 7, 2002, 27 TexReg 10387; amended to be effective April 24, 2003, 28 TexReg 3332; amended to be effective July 9, 2006, 31 TexReg 5300; amended to be effective August 14, 2011, 36 TexReg 4963; amended to be effective April 2, 2017, 42 TexReg 1450