SCHS: CCR: Hospice, Adult Living and Nursing Home (HAN) Reporting

Hospice, Adult Living and Nursing Home (HAN) reporting is a cancer case collection program implemented in 2011 by the N.C. Central Cancer Registry (CCR) to improve the data quality and completeness of cancer data. This page is designed to provide the tools and information needed for HAN facilities to report incidences of cancer for patients admitted to their facility.

Cancer is a reportable disease in North Carolina and the CCR was established in 1986 to monitor the cancer burden in the state. The law that established the registry requires that all health care facilities and health care providers that detect, diagnose, treat or manage patients with cancer or benign brain or central nervous systems tumors report to the CCR within six months of diagnosis or within six months of being seen at your facility.

HAN facilities are required to submit the completed reporting spreadsheet containing eligible cancer cases each quarter. Links to the North Carolina State Statutes are provided below.

CCR Brochure (PDF, 523 KB)

Authority

The Central Cancer Registry is established by North Carolina General Statute Chapter 130A - Article 7. Effective October 1, 2014, legislation mandates electronic reporting to the Central Cancer Registry. Its administrative rules are codified as North Carolina Administrative Code Title 10A - Chapter 47 SubChapter B.

Legal Information (HIPAA)

The following documents explain the public health exemption that allows the disclosure of protected health information to cancer registries (a public health authority) under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

• Letter, Georgetown University Law Center (PDF, 276 KB)
• Legal Letter Interpreting HIPAA (PDF, 132 KB)
• Frequently Asked Questions about Cancer Reporting and the HIPAA Privacy Rule (PDF, 185 KB)
• Research Repositories, Databases, and the HIPAA Privacy Rule (PDF, 219 KB)
• Protecting Personal Health Information in Research: Understanding the HIPAA Privacy Rule (PDF, 748 KB)
• U.S. HIPAA Public Law (PDF, 66 KB)

Reporting Guidelines and Resources

• Guidelines for Reporting (PDF, 256 KB)
• Contact Form (PDF, 100 KB)
• FAQs (PDF, 173 KB)
• Reporting Poster (PDF, 330 KB)
• AxCrypt Encryption Program and Tutorial
• ICD-10-CM Casefinding Codes
• Reporting Spreadsheet (Excel, 139 KB) - This form is required as of April 2019.

Contact Information

Casefinding/HAN Coordinator
Jane Barnhill
Phone: 984-236-7430
Fax: 919-733-2956
Email

• Central Cancer Registry
  • Cancer Statistics and Reports
    • Archived Cancer Reports
  • Cancer Clusters
  • Contacts
  • FAQs
  • Health Atlas Maps
  • Reporting Requirements
    • Electronic Pathology Laboratory (ePath) Reporting
    • Hospice, Adult Living, and Nursing Home (HAN) Reporting
    • Meaningful Use (MU) Reporting
    • Physician Practice Reporting
  • Training Resources
  • More About Cancer

Last Modified: May 22, 2026