About Electronic Case Reporting
Historically, communicable disease reporting to state and county health departments was paper-based, relying heavily on FAX, telephone and snail mail. While sophisticated laboratory information systems allow timely and efficient electronic laboratory reporting (ELR), sophisticated electronic health record systems (EHRs) can allow for timely and efficient health information that is not available via ELR. Electronic case reporting (eCR) is the generation and transmission of reportable condition case reports from an EHR to public health for review and action. Both of these reporting tools are critical to Public Health disease surveillance programs and thus to population health.
Because Oregon supports an integrated disease surveillance system, participating in the Oregon eCR Project allows healthcare providers and health systems a way to report cases to the Oregon Public Health Division (OPHD) and Local Public Health Authorities (LPHAs) for further investigation using electronic data interchange. In this system, the OPHD functions as an electronic hub to accept, route, and process eCRs containing critical demographic, clinical, and treatment information not typically included in ELRs.
Legally Mandated eCR Submission
- On March 9, 2020 OPHD adopted temporary rule OAR 333-018-0900 requiring healthcare providers and facilities to report COVID-19 cases. It was updated on March 30, 2020 to require the reporting of individuals with COVID-19 who are hospitalized, those who have died from COVID-19, and cases of Multi-System Inflammatory Syndrome in children (MIS-C).
- Reports may be submitted through the online OHA COVID Reporting Portal (OCRP).
- If the provider's EHR is capable of generating an electronic Initial Case Report (eICR) for Public Health (see the specification below), we strongly encourage this method of reporting. Please contact Oregon's eCR Project for information on pursing this option.
- On October 1, 2020 OHA implemented sections 40-43 of HB 4212 which requires providers to collect and report on expanded race, ethnicity, language and disability (REALD) data for all COVID-19 encounters. For more information please visit the REALD provider page.
- At present, these rules state that REALD must be submitted through OCRP or via SFTP using the OHA REALD CSV Implementation Guide (see below).
- OHA is currently exploring whether it will be possible to report through electronic laboratory reporting (ELR) and electronic case reporting (eCR), but these options are not available at this time.
- There is no legal mandate for any other case report to be submitted electronically at this time. However, sites that are willing and interested are encouraged to pursue this method of reporting. All non-COVID case reports may be manually entered in our online morbidity reporting system, Memento Morbi.
Tools and Standards
- Logical Observation Identifier Names and Codes (LOINC®) for specific laboratory procedure names
- Systematized Nomenclature of Medicine (SNOMED®) for descriptions of findings, specifically for organism names
- Reportable Condition Mapping Tables (RCMT) for mapping between reportable conditions, LOINC test codes, and SNOMED result codes.
Public Health Promoting Interoperability (aka, Meaningful Use)
eCR is an optional Promoting Interoperability (formerly, Meaningful Use) measure for Eligible Providers in Oregon. To meet MU requirements, facilities must send eCRs from an ONC certified EHR. Read more about Oregon Public Health Meaningful Use...