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Certified EHR Reporting and Meaningful Use


DSHS Meaningful UsePhysician Reporting | EHR Reporting & MU | Registration & Onboarding | EHR Certification Criteria

The Texas Cancer Registry (TCR) is currently accepting information from Eligible Professionals (EPs) for cancer case reporting to central cancer registries for Meaningful Use (MU).

TCR is declaring readiness for Stage 3 MU measures and specifications the 2014 or 2015 Edition CEHRT beginning January 1, 2017. Please see the DSHS Meaningful Use webpage for additional details on DSHS' Declaration of Readiness for Stage 3 MU.



In order to meet the cancer reporting measure for meaningful use, you must use an EHR with the cancer reporting capabilities and standards of CEHRT 45 CFR 170.314 (f)(5) and (f)(6). The TCR will not onboard providers whose EHR product does not meet certification criteria § 170.314(f)(5) Cancer case information AND
§ 170.314(f)(6) Transmission to cancer registries. 

Please visit our informational EHR Certification Criteria page for instructions on determining if your EHR meets the criteria for cancer reporting or contact your vendor for more information

EHR disclaimer

In support of physician reporting and the Meaningful Use (MU) of electronic health records (EHRs), the Texas Cancer Registry (TCR) has implemented reporting from Certified Electronic Health Record Technology (CEHRT). Texas recognizes the Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries, Release 1.1, March 2014 (IG) as guidance for submitting data through HL7 for Meaningful Use. Submissions to TCR must meet specifications in CFR 170.314 (f)(5) and (f)(6) to be accepted. Please email DSHS Meaningful Use at MeaningfulUseTX@dshs.state.tx.us for additional information about Meaningful Use requirements.

Reporting to the TCR is one way of demonstrating the meaningful use of CEHRT for Eligible Professionals (EPs) participating in the Centers for Medicare and Medicaid Services’ EHR Incentive Payment Programs (Incentive Programs). Eligible Hospital (EH) and Critical Access Hospital (CAH) program participants cannot select cancer reporting to the TCR as an option for meeting an Incentive Program objective. 

 EHR reporting is not intended to replace traditional cancer reporting from hospitals and other facilities. It is meant to supplement existing reporting sources.


Beginning December 15, 2015 to meet Incentive Program requirements, participants must be “actively engaged” with a registry to attest positively to meeting the objective.

There are three ways a participant can be “actively engaged:”

Register their intent to submit data to the registry within 60 days after the start of the reporting period. Once registered, a participant may be placed in a queue for testing/validation. Participants in the queue are considered “actively engaged.”

  • Providers that have registered in previous years do not need to submit an additional registration to meet this requirement for each EHR reporting period.

  • Before a participant registers with the TCR, be sure to visit the DSHS Meaningful Use webpage to view information on the updated MU regulations. The DSHS MU webpage also contains information on other Public Health Reporting options, including ImmunizationsElectronic Lab Reporting, and Syndromic Surveillance.
The EP is in the process of testing and validation of the electronic submission of data. Once a participant has been invited to test by DSHS, they must respond promptly. Once testing criteria are passed, the participant will be moved into production.
Submitting data regularly into the production environment.


Additional Resources for Meaningful Use and Certified EHR Reporting:

  • The TCR has developed a Physician Reporting Dashboard using Tableau® for users to access and visualize TCR data on meaningful use and physician reporting.

  • The Texas Regional Extension Centers (RECs) support physicians with individualized on-site services, technical assistance, and ongoing support to select, implement or upgrade EHRs, and provide guidance for meaningful use.

If you have any questions about physician reporting to the TCR, please send us an email at CancerReporting@dshs.texas.gov.


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Last updated July 7, 2017