To accurately create the records necessary for state reporting, we recognized the need for a quality assurance feedback loop with the oncology providers.



  1. The system records any quality assurance issues discovered when loading data and when preparing data for reporting to the state.

  2. Current issues are provided to the oncology team on a scheduled basis in the form of a Quality Assurance Report.

  3. These Quality Assurance Reports are reviewed by the oncology team.

  4. The oncology team ensures corrections are made in the EMR where necessary – this is done outside of the Cancer Registry system.

  5. The oncology team records the resolutions and optional comments for as many issues as they desire. The resolutions and comments are entered into the Cancer Registry system.

  6. Upon the next load or attempt to prepare data for the state, the system records any issues that have been corrected as complete.

  7. All issues are recorded in a QA Issue table and contain the following data:

  • IssueID – a unique identifier that is assigned incrementally by the system

  • PatientID – the EMR identifier of the patient the issue is associated with

  • IssueTypeCode – for Report 1

  • IssueRecordedDt – the current date/time when the issue was recorded by the system

Report 1 lists patients that may be state-reportable and asks the oncologists if they are. Report 2 documents those patients in the Cancer Registry that are missing a diagnosis date. Report 3 allows the oncologists to specify a patient type (which leads to a Class of Case mapping) for each patient. Report 4 functions as an extract readiness check and details any missing or potentially incorrect data. 

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