Looking to the Future: Changes Approved for 2027 NAACCR Data Standards

By Stephanie M. Hill, MPH, CTR, NAACCR | April 13, 2026

As we move into Spring, many cancer registries are preparing to begin 2026 abstracting, but registry standard setters are already looking ahead to 2027 – and beyond! The High-Level Strategic Group (HLSG) voted last month on changes to the NAACCR Data Standards and Data Dictionary (Standards) for use beginning with the 2027 diagnosis year (NAACCR v27). NAACCR…

NAACCR CPR Guidelines to be Incorporated into HL7 LRI Implementation Guide

By Ashley Knealing | April 6, 2026

The NAACCR Cancer Pathology Reporting (CPR) Guidelines – also known as Laboratory Electronic Pathology Reporting Guidelines Volume V – are being incorporated into HL7’s Laboratory Reporting Interface (LRI) Implementation Guide through the May 2026 HL7 ballot process. This effort is led by Sandy Jones (contractor) in collaboration with NAACCR’s CPR workgroup. HL7’s LRI is a…

Radiation Exposure Compensation Act and Cancer Registries

By Randi Rycroft, MSPH, ODS-C | March 30, 2026

The Radiation Exposure Compensation Act (RECA) is a program operated by the U.S. Department of Justice (DOJ) Civil Division. This restitution program has existed for many years, and our colleagues in several states are probably already familiar with RECA. For years, the RECA program has compensated individuals affected by radiation exposure under three specific categories:…

Artificial Intelligence Resources for Central Registries

By Ashley Knealing | June 8, 2026

Artificial Intelligence (AI) is becoming increasingly prevalent in the cancer data field, expanding rapidly and transforming how data collection is both managed and utilized. With the fast pace of technological advancements, it can be challenging to determine where to begin when exploring or implementing available AI tools related to cancer surveillance. To support this need,…

Looking in from the Outside – a Retiree’s View

By David O'Brien | June 1, 2026

It has been three years now since I retired as the data analyst of the Alaska Cancer Registry in Anchorage. It was a hard decision to make, having been in that position for nearly 25 years and totally loving my job. I had great coworkers and had the privilege of working with amazingly talented colleagues…

New Report Released: Cancer Incidence in the Caribbean, Volume I

By Fernanda Michels | May 25, 2026

The Caribbean Public Health Agency (CARPHA) is proud to present Cancer Incidence in the Caribbean, Volume I—the first comprehensive regional report compiling population-based cancer incidence data from across the Caribbean. This landmark publication represents a major step forward in strengthening cancer surveillance and advancing evidence-based decision-making in the region. Developed through CARPHA’s IARC Caribbean Cancer…

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OUR MISSION

Actionable content that unites cancer registries.

The Narrative strives to provide you with information you can use to enhance and strengthen your cancer registry. Look to the Narrative for the latest cancer surveillance news, trends, advances in technology, and latest educational opportunities.

OUR VISION

Make every cancer count.

Cancer affects thousands of people across North America every year. Each cancer case must contribute to our knowledge and understanding so that we may reduce the burden of these diseases. Narrative provides a platform for the cancer surveillance community to collaborate and share data that will improve health outcomes.

CANCER REGISTRY SPOTLIGHT: MICHIGAN

Successful Linkage Between Registry Database and LexisNexis

In our ongoing commitment to enhance the quality and accessibility of data, we are thrilled to announce the successful linkage between our registry database and LexisNexis. This integration represents a significant step forward in streamlining our data processes and expanding our analytical capabilities.