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College of American Pathologists (CAP) Cancer Protocols and the AJCC Cancer Staging Protocols

College of American Pathologists (CAP) Cancer Protocols                   
and the AJCC Cancer Staging Protocols                                         CAS *


The following standards and guidelines were created to facilitate the standardized electronic reporting of cancer pathology and staging data to provincial and territorial cancer registries:

  • College of American Pathologists (CAP) cancer protocols are detailed checklists to capture vital clinical content for all cancer pathology reporting
  • Canadian Cancer Registry is an administrative survey that collects information on cancer incidence in Canada
  • American Joint Commission on Cancer (AJCC) and Union of International Cancer Control (UICC) 7th edition TNM Classification of Malignant Tumours (TNM) brings together information to describe the anatomic extent of cancer at the time of initial diagnosis and before the application of definitive treatment
  • Collaborative Stage version 2 is a carefully selected set of data items that together describe how far a cancer has spread at the time of diagnosis

North American Association of Central Cancer Registries (NAACCR) Volume II includes the Data Standards and Data Dictionary for the collection of reportable cancers.

Supporting Organization

The Canadian Partnership Against Cancer Corporation, the organization funded by Health Canada to advance Canada’s cancer control strategy, sponsored the adoption and implementation support of these protocols through its National Staging Initiative, and worked with Infoway to progress them to become Canadian Approved Standards.

To learn more about these protocols, contact: This email address is being protected from spambots. You need JavaScript enabled to view it.



* Status Definitions

Canadian Draft for Use (CDFU) - The standard has been developed but it may or may not be implemented or be in use. The standard is considered ready to be used by early adopters: however, change is probable as stakeholders begin using the standard in implementations.

Canadian Approved Standards (CAS) - The standard is in use for the purpose(s) or context(s) for which it was intended. Only those parts of the standard that have been implemented or are in use can progress for consideration as CAS. This decision point signifies that the standard has reached a level of stability and is comprehensive enough such that major changes are not expected.

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Questions? Please contact the This email address is being protected from spambots. You need JavaScript enabled to view it. or call 416-595-3417/1-877-595-3417 (toll-free).

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