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Electronic Case Reporting (eCR)

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 the 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).
  • At present, these rules state that reports must be submitted through the online OHA COVID Reporting Portal, www.healthoregon.org/howtoreport.
  • We are working on an amendment to that rule that recommends reporting via eCR if the healthcare provider or facility is capable of doing so. Please contact Oregon's eCR Project for information on pursing this option.


Specifications


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.

Additional Resources


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...




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