HIM 231: Cancer Registry Operations

Course Description

This course will focus on the processes used in the daily operations of a cancer registry. There will be an overview of identification of cases, coding, maintaining quality lifetime follow up, and the role these elements play in providing data for analysis. Other topics include legal/ethical issues surrounding a cancer registry, the importance of cancer committees, cancer conferences and quality monitoring. Students will examine the requirements of state and national standard setters as well as voluntary standards for accredited programs of the American College of Surgeons Commission on Cancer.

(3 credits)


  • HIM 230: Introduction to Cancer Registry and Management

Student Learning Outcomes (SLOs)

Upon successful completion of the course, the student will be able to:

  1. Explain the purpose of disease registries and disease surveillance.
  2. Identify appropriate sources for potential cases.
  3. Determine which cases meet criteria for inclusion in the registry.
  4. Define operational requirements of a Cancer Registry.
  5. Identify important references to be included in a procedure manual.
  6. Summarize the ethical standards affecting a cancer registry.
  7. Develop a vocabulary of oncology related terms.
  8. Identify and describe the purpose of a reference date and accession register files.
  9. Recognize and discuss necessary components that ensure compliance with state and national registry rules, regulations and standards.
  10. Differentiate between case finding and suspense lists.
  11. Identify and discuss NCCN guidelines, prognostic indicators and options for clinical trial participation.
  12. Define staff roles and responsibilities.
  13. Identify the components of an approved CoC Cancer Program.
  14. Apply coding and staging knowledge in simple case scenarios.

General Education Outcomes (GEOs)

Please check the applicable GEOs for this course, if any, by outcomes at GEO Category Search, or by subject area at GEO Discipline Search.

Course Activities and Grading

Note: A "C" grade or higher must be earned to pass this course.

Letter GradePercentage
A -90.0-92.9 
B -80.0-82.9 
C +77.0-79.9 
F72.99% and below


Discussions (Weeks 1-8)


Essay (Weeks 1 & 5)


Quizzes (Weeks 1, 2, 3, 4, & 6)


Staging Scenarios (Week 7)


Final Exam (Week 8)




Required Textbooks

Available through Charter Oak State College's online bookstore

  • National Cancer Registrars Association. Cancer Registry Management and Principles and Practice for Hospitals and Central Registries. 4th ed. NCRA, 2021. ISBN-13: 978-1-73291-783-5

  • Amin MB, Edge S, Greene F, Byrd DR, Brookland RK, Washington MK, Gershenwald JE, Compton CC, Hess KR, et al. (Eds.). AJCC Cancer Staging Manual. 8th ed. Springer International Publishing: American Joint Commission on Cancer; 2017. ISBN-13: 978-3-319-40617-6

    Note: These textbooks are used in most of the Cancer Registry Management courses and should be saved for preparation for the CTR exam.

Course Schedule



Readings and Exercises




Topics: CTR Basics

  • Reading:
    • CRM Text - Chapters 4 & 5
  • Review course syllabus
  • Read assigned chapters
  • Participate in discussion
  • Submit Week 1 Quiz - Chapter 5 Review Questions
  • Submit the Week 1 Assignment - Review of Legal/Ethical Issues in the Cancer Registry



Topic: Reportability, Class of Case, and Accession

  • Reading:
    • CRM Text - Chapter 6 & 8
    • STORE Manual 2022 - Pages 38-42 and 69-72 
    • Review 2023-Alpha-ICD-O-Table-2.docx
  • Read assigned chapters
  • Read assigned materials
  • Participate in discussion
  • Submit Week 2 Quiz - Casefinding Reportability



Topic: Disease Registries and Disease Surveillance

  • Reading:
    • CRM Text - Chapter 5 & 12
    • Review Types of Registries
  • Read assigned chapters
  • Read assigned materials
  • Participate in discussion
  • Submit Week 3 Quiz - SEER Registry Info



Topics: Oncology Vocab and NCCN Guidelines

  • Readings:
    • Review NCCN Guidelines
  • Video:
    • Watch Oncology Terminology
  • Read assigned materials
  • Watch assigned video
  • Participate in discussion
  • Submit Week 4 Quiz - Oncology Vocabulary



Topics: American College of Surgeons/Commission on Cancer 2020 Standards

  • Reading:
    • CRM Text - Pages 19-23 and 238 
    • Coc 2020 Standards and Resources
  • Read assigned chapters
  • Read assigned materials
  • Participate in discussion
  • Submit Week 5 Assignment - CoC Standards



Topics: Introduction to Coding and Abstracting

  • Readings:
    • AJCC 8th Edition, Pages 3-10
    • SEER Training - Breast Cancer
  • Video:
    • General Rules for Cancer Staging
  • Read assigned chapters
  • Read assigned materials
  • Watch assigned video
  • Participate in discussion
  • Submit Week 6 Quiz - Coding and Abstracting



Topics: Introduction to Staging

  • Readings:
    • CRM Text - Chapter 9
    • AJCC 8th Edition, Pages 21-30
  • Read assigned chapters
  • Review the lecture material
  • Participate in discussion
  • Submit Week 7 Assignment - Staging Scenarios
 8 1-14

Topic: Final Exam

  • Reading:
    • Review reading assignments and be familiar with where to find material in STORE, our CRM text, and the AJCC Manual.

  • Review assigned chapters and assigned materials
  • Participate in discussion
  • Submit Week 8 Final Exam
  • Complete Course Evaluation

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.