If your facility is ready to begin eCR, please start by completing the following:
eCR is the generation and transmission of initial case reports from an electronic health record (EHR) to public health for review and action. eCR allows healthcare organizations to report initial cases to DSHS and other local public health entities across Texas for further investigation from their EHR.
Texas (DSHS) will officially declare readiness for eCR on September 1, 2023. Texas is currently accepting eCR messages from organizations seeking to fulfill their CMS Promoting Interoperability public health requirement. For more information, visit Public Health Data Interoperability (cdc.gov).
eCR data is accepted from Eligible Hospitals (EH)s and Critical Access Hospitals (CAH). If you are interested in reporting data to Texas (DSHS), please complete registration form at the Registration Form to Submit Electronic Case Reports (eCR) to Texas DSHS. If you need to register multiple facilities, please complete the facility bulk registration template and submit through that form during registration.
Texas Notifiable conditions should be reported according to the HL7 Standards Product Brief - HL7 CDA® R2 Implementation Guide: Reportability Response, Release 1, STU Release 1.1 - US Realm | HL7 International). Texas can accept all conditions currently published via the Reportable Conditions Knowledge Management System (RCKMS). For reference, a list of Texas Notifiable conditions is also available.
All facilities conducting testing of notifiable conditions in Texas should already be onboarded and reporting to the Texas National Electronic Disease Surveillance System (NEDSS). Please contact TexaseCR@dshs.texas.gov with any questions regarding reporting ELRs or eCRs. The DSHS eCR staff will provide data format specifications and will schedule technical assistance as needed.
For Promoting Interoperability Program (PIP), the acceptable format for DSHS NEDSS ELR is HL7 v2 and CDA messaging following the respective standards and implementation guides. Texas DSHS understands that vendors are implementing processes for generating the eCR standard. Thus, DSHS is prepared to accept the eCR 1.1CDA standard. For the eCR, facilities are asked to reference the HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 – US Realm the Electronic Initial Case Report (eICR).
Yes, we require the use of standard clinical vocabulary and value sets, including but not limited to Logical Observation Identifiers Names and Codes (LOINC), Systematized Nomenclature of Medicine (SNOMED), International Classification of Diseases (ICD)-10 and Unified Code for Unified Measures (UCUM).
Please check the Public Health Information Network Vocabulary Access and Distribution System (PHIN VADS) for the latest Reportable Conditions Trigger Codes (RCTC) at Electronic Reporting & Surveillance Distribution (eRSD) for the latest published trigger codes.
Texas DSHS is accepting eCR messages submitted via CDC AIMS platform.
Note the following:
Applicability under HIPAA