Background In contrast to the United Kingdom and United States, there is no national framework for the development and dissemination of structured pathology reporting protocols in Australia. The National Round Table (NRT) was established to develop this national framework in addition to a number of cancer specific structured pathology reporting (SPR) standards. Synopsis The project is lead by the Cancer Institute NSW, the Royal College of Pathologists of Australasia (RCPA) and Cancer Australia. Expert, multidisciplinary committees have developed five specific cancer-reporting protocols (Colorectal, Lung, Lymphoma, Melanoma and Prostate) and a generic Framework for the Development of SPR Protocols. A process for the endorsement and revision of the protocols is also under development in conjunction with the Cancer Services Advisory Committee (CanSAC) of the RCPA. Following a period of public consultation the Framework and protocols will be published on the RCPA website. Standards for the secure electronic delivery of these structured reports are also being investigated as part of the project. Structured reporting of cancer cases in anatomical pathology and haematology is likely to contribute to better cancer control through improvements in clinical management and treatment planning, cancer notification, registration and aggregated analyses, and research. In contrast to the United Kingdom and United States, there is no national framework for the development and dissemination of structured pathology reporting protocols in Australia. The National Round Table (NRT) was established to develop this national framework in addition to a number of cancer specific structured pathology reporting (SPR) standards. The project is lead by the Cancer Institute NSW, the Royal College of Pathologists of Australasia (RCPA) and Cancer Australia. Expert, multidisciplinary committees have developed five specific cancer-reporting protocols (Colorectal, Lung, Lymphoma, Melanoma and Prostate) and a generic Framework for the Development of SPR Protocols. A process for the endorsement and revision of the protocols is also under development in conjunction with the Cancer Services Advisory Committee (CanSAC) of the RCPA. Following a period of public consultation the Framework and protocols will be published on the RCPA website. Standards for the secure electronic delivery of these structured reports are also being investigated as part of the project. Structured reporting of cancer cases in anatomical pathology and haematology is likely to contribute to better cancer control through improvements in clinical management and treatment planning, cancer notification, registration and aggregated analyses, and research.