CCR Innovations | Volume 2 | Issue 1 - page 9

California Cancer Registry
Volume 2, Issue 1
Jenna Mazreku, CTR
Senior Systems Analyst
California Cancer Reporting and Epidemiologic Surveillance (CalCARES) Program
Institute for Population Health Improvement
UC Davis Health System
Create a valid HL7 CDA, Release two cancer event report
Transmit the cancer event report to CCR over a secure electronic transmission mechanism
Analysis has been done to identify the next steps for how the cancer event reports will be utilized once
they are transmitted to the CCR. The CDC/NPCR eMaRC Plus software is currently utilized to process
pathology reports received in another HL7 format. It identifies reportable cases and maps and
translates the HL7 message into the NAACCR new case abstract format/standards.
eMaRC Plus is now being modified to receive and prepare MU eligible provider cancer event reports
for central cancer registry system processing, including these key functions:
Match multiple event reports for the same patient and diagnosis as they are received
Map and translate event reports from HL7 CDA to NAACCR new case abstract format/
Consolidate translated abstracts for subsequent event reports in case they are not
Configure and perform exports of initial and updated/consolidated abstracts for upload into
the CCR’s Eureka system
CDC/NPCR staff now lead a national working group to take the project beyond creation of the
implementation guide to also define detailed specifications for eMaRC Plus and to create guidelines for
subsequent central registry processing and administrative activities to facilitate MU reporting. While a
small CDC/NPCR subcommittee is actually writing/maintaining the eMaRC Plus specifications, the
larger working group representing state registries and other interested parties is providing a lot of
analysis, input, and feedback for them, and the CCR and its regional registries have been very involved
in this process. Most recently, the CCR provided coordinated feedback for California on the
Mapping/Translation Rules for eMaRC Plus
Data Flow Specifications for Processing CDA Documents
within eMaRC Plus
documents developed thus far.
Finally, since physician offices are now able to register their intent to send data, any questions
regarding the steps they need to take can be directed to the
And any general questions regarding MU can be directed to the CDPH Meaning Use Team via
Also, make sure to check out the
where the implementation guide and general
FAQs can be found.
1,2,3,4,5,6,7,8 10,11,12,13,14