Registration Form for Reporting COVID-19 (SARS-CoV-2) Lab Testing Data in Texas


 

Who should complete this registration form?

All laboratories (commercial, hospital, public, or non-traditional testing facilities) who are performing tests for COVID-19 (SARS-CoV-2) in their lab facility must register.

If you have not already registered with DSHS to submit COVID-19 laboratory results electronically, please complete the questions below. If you are unsure whether you are registered, please send an email to COVID-19ELR@dshs.texas.gov to verify.

After you submit the below registration form for your facility, you will be contacted within 3-5 business days and receive further instructions on next steps.

Registration Form

All fields marked with an asterisk (*) must be completed.

Submitter Status & Agreement

1. Are you registering your intent with DSHS to initiate electronic laboratory reporting of COVID-19 (SARS-CoV-2)?*
2. Please indicate your facility’s status:*
3. What type of COVID-19 test data will your facility submit?*
If you selected "Other" above, please specify the type of COVID-19 test data your facility will be submitting

Facility Information

7. Address of Reporting Facility
8. Primary Contact
The primary contact here should be the programmatic or administrative lead. This individual will be contacted if there are questions concerning the facility at large.
9. Secondary Contact
The secondary contact should be the technical lead who will conduct all the technical aspects of the onboarding and reporting process. This person will be contacted if there are issues in data reporting.

Interface Details

(DSHS will contact the Primary Contact at your facility for additional information, which will include the name and CLIA number of all additional facilities.)
12. EHR Software
14. If your facility is sending specimens to a reference laboratory for COVID-19 testing, you should verify that those test results are being submitted to DSHS. If you are utilizing a reference lab, have you verified this?
15. If you are a new submitter, do you want to submit via HL7 or via CSV format?
(If you are a current submitter, select N/A.)
16. If you want to submit via HL7, can your system create HL7 version 2.5.1 messages?
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