Electronic Transmission of Reportable Laboratory Results to Public Health Agencies

Type	Standard / Implementation Specification	Standards Process Maturity	Implementation Maturity	Adoption Level	Federally required	Cost	Test Tool Availability
Implementation Specification	HL7® Version 2.5.1: Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 with Errata and Clarifications and ELR 2.5.1 Clarification Document for EHR Technology Certification	Final	Production		Yes	Free	Yes
Implementation Specification	HL7 Version 2.5.1 Implementation Guide: Laboratory Results Interface, Release 1 STU Release 4 - US Realm	Final	Production		No	Free	No
Emerging Standard	FHIR® US Lab Report	In Development	Pilot	Feedback Requested	No	Free	No

Limitations, Dependencies, and Preconditions for Consideration	Applicable Value Set(s) and Starter Set(s)
Stakeholders should refer to the health department in their state or local jurisdiction to determine onboarding procedures, obtain a jurisdictional implementation guide if applicable, and determine which transport methods are acceptable for submitting ELR as there may be jurisdictional variation or requirements. While the names differ, please note the content of the Electronic Laboratory Reporting (ELR) implementation specification listed above is now handled as a profile in the Laboratory Results Interface (LRI) implementation specification, using the “LRI_PH_COMPONENT – ID: 2.16.840.1.113883.9.195.3.5” Result Profile Component. Where appropriate, EHRs should consider reporting required public health information directly to public health agencies (PHA) using eCR (electronic case reporting) standards or other appropriate standard from the ISA section “Case Reporting to Public Health Agencies". See FHIR US Lab Report, an emerging standard for electronic lab reporting.	HL7 Version 2 Implementation Guide: Laboratory Value Set Companion Guide Release 2 - US Realm provides cross-implementation guide value set definitions and harmonized requirements.

Limitations, Dependencies, and Preconditions for Consideration

Applicable Value Set(s) and Starter Set(s)

Stakeholders should refer to the health department in their state or local jurisdiction to determine onboarding procedures, obtain a jurisdictional implementation guide if applicable, and determine which transport methods are acceptable for submitting ELR as there may be jurisdictional variation or requirements.
While the names differ, please note the content of the Electronic Laboratory Reporting (ELR) implementation specification listed above is now handled as a profile in the Laboratory Results Interface (LRI) implementation specification, using the “LRI_PH_COMPONENT – ID: 2.16.840.1.113883.9.195.3.5” Result Profile Component.
Where appropriate, EHRs should consider reporting required public health information directly to public health agencies (PHA) using eCR (electronic case reporting) standards or other appropriate standard from the ISA section “Case Reporting to Public Health Agencies".
See FHIR US Lab Report, an emerging standard for electronic lab reporting.

HL7 Version 2 Implementation Guide: Laboratory Value Set Companion Guide Release 2 - US Realm provides cross-implementation guide value set definitions and harmonized requirements.

Comment

Submitted by chris.baumgart… on 2022-09-20

WA State Department of Health ELR Comments

Washington State Department of Health appreciates having the standards listed on the “Electronic Transmission of Reportable Lab Results to Public Health Agencies” page and only has one recommended change at this time. Washington State Department of Health recommends adding FHIR US Lab Report (https://www.hl7.org/FHIR/2016May/uslab/uslabreport-guide.html) as an emerging standard for electronic lab reporting.

Submitted by jkegerize on 2022-08-18

ACLA ISA request to clarity ““Limitations, Dependencies, and Pre

Please add to “Limitations, Dependencies, and Preconditions”

EHRs should report required public health information directly to public health agencies (PHA) using eCR (electronic case reporting) standards or other appropriate standard from the ISA section “Case Reporting to Public Health Agencies”. This will provide the data timelier to the PHA which may support improved patient tracking. This will also curtail proliferation of ancillary information that is not necessary to process laboratory test results being added to the ELR. Additionally, the laboratory will not be required to serve as a data repository and be required to add new fields and/or store and forward to public health agencies.

Please review the “Applicable Security Patterns for Consideration” applicability to the section and if not applicable, remove. This would be more appropriate in an introductory section. This change, if approved, might be applied throughout the document.

Submitted by Katie.Tully on 2022-11-10

Thank you for your comment,…

Thank you for your comment, the above has been incorporated with modification.

Submitted by chris.baumgart… on 2021-09-29

WA State Department of Health ELR Comments

Submitted by shellyspiro on 2018-10-01

Pharmacy HIT Collaborative's Comments on ONC's Proposed 2018 ISA

The Pharmacy HIT Collaborative supports the use of HL7 2.5.1; HL7 Version 2.5.1: Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 with Errata and Clarifications and ELR 2.5.1 Clarification Document for EHR Technology Certification; the balloted drafts of HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory to Public Health, Release (US Realm), Draft Standard for Trial Use, Release 1.1; and emerging implementation specification HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Results Interface Implementation Guide, Release 1 STU Release 2 (US Realm), which is in development.

Submitted by sltaylor2017@ on 2017-03-29

Test Tool Availability Link to NIST Tool is Broken

Link to NIST Tool for HL7 Version 2.5.1: Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 with Errata and Clarifications and ELR 2.5.1 Clarification Document for EHR Technology Certification takes user to "Sorry, we cannot find that page."

Submitted by Brett Andriesen on 2017-04-06

Link updated

Thank you for bringing this to our attention. The link has been updated.