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Surveillance / Informatics: ELDR

Electronic laboratory reporting (ELR) is the electronic transmission of reportable condition results from laboratories to public health. The Electronic Laboratory and Disease Reporting Subcommittee provides a forum for discussing issues specifically related to the implementation of ELR and disease reporting, including the National Electronic Disease Surveillance System (NEDSS).

CSTE aims to share best practices with the CSTE membership and assist states seeking novel surveillance solutions. CSTE routinely collects information on states’ electronic disease surveillance systems. The 2012 NEDSS assessment summary, 2010 NEDSS assessment summary and the 2007 NEDSS assessment summary provide information on state capabilities and recommendations. A recent product created by consensus within the subcommittee is the Establishing ELR Steps and Definitions document which defines common steps throughout the ELR process, from registration to post-production.

For more information about electronic laboratory and disease reporting, please contact Brooke Beaulieu. Click here to view other Surveillance/Informatics Steering Committee activities.
CSTE-CDC Joint ELR Taskforce:
CSTE passed a position statement in 2009 calling for a taskforce to address the challenges states face to achieve full implementation of ELR, which resulted in the CSTE-CDC Joint ELR Taskforce with a vision for successful nationwide implementation of ELR. The Taskforce was composed of workgroups to aid states in moving towards full implementation of ELR by addressing high-level priority areas. Workgroup members represented CDC, CSTE, and APHL, and additional input was provided from standards development organizations (SDOs), vendors and implementers. The Taskforce completed its work in early 2012, but CSTE and CDC continue to work with states and leaders in ELR to make progress in implementing ELR.
The documents and products produced by ELR Taskforce workgroups are living drafts, and the information and points of view expressed are solely those of the workgroups and do not necessarily represent the views of the corresponding organizations (e.g., CSTE, APHL, and CDC). These materials are posted so that they may be available to those engaged in ELR nationwide.
  • Implementation Guides
    • ELR Guide HL7 2.5.1 is an implementation guide for ELR data transactions using version 2.5.1 of the HL7 standard protocol. Adherence to this guide is required to meet the requirements for Meaningful Use Stage I.
  • Tools
    • The Reportable Conditions Mapping Tables (RCMT) provide a map between LOINC test codes, SNOMED result codes, and their associated reportable conditions. The RCMT is now available for use through PHIN VADS and include mappings for all nationally notifiable conditions that have lab tests. In addition, many additional jurisdictionally-reportable conditions have been mapped.
    • The ELR Translation tool downgrades ELR HL7 2.5.1 messages to HL7 2.31 and also upgrades ELR HL7 2.3.1 messages to HL7 2.5.1. This tool has been developed using the Orion™ Health Symphonia Messaging and Mapping Tool and is available for distribution to HL7 members.
  • Training Materials
    • Defining Key Health Information Technology Terms (April 2009) provides a listing of key terms and definitions compiled in the National Alliance for Health Information Technology Report to the Office of the National Coordinator for Health Information Technology.
    • MU FAQs are available to answer questions specific to the three Stage I Public Health objectives.
  • White Papers
    • The ELR Task Force LIS Vendors Whitepaper describes options for LIS Vendors to implement ELR, along with advantages and challenges associated with each option. The paper was developed based on input from the LIS Vendor Survey results. The LIS Vendor Survey Results summarizes results from the 2010 LIS Vendor survey conducted by the Taskforce. The survey was intended to understand LIS Vendors' familiarity with Stage I Meaning Use population health objectives.
    • The ELR Task Force Large Labs Whitepaper describes challenges faced by large labs in implementing ELR and suggests actions that can be taken to alleviate the challenges and streamline ELR nationwide.
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