Electronic Laboratory Reporting Information

ELR Legally Mandated for High-Volume Laboratories

Tools for Implementing ELR in Oregon

• OHA Manual for Mandatory Electronic Laboratory Reporting: This docnullument is available by request and contains specific details for setup of ELR in Oregon. Please use our online contact form to request your copy. 
• Laboratory Reporting Poster: Click Lab Poster to jump to that section on this web page.
• Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations:  Navigate to the LOINC site at http://loinc.org/usage to look at this newly-available data set, the "Mapper’s Guide for the Top 2000 plus LOINC Laboratory Observations". You'll need to register on the LOINC site, and then you can download the Mapper's Guide either as a pdf or excel file. First available 6/7/2011.
• Reportable Condition Mapping Tables (RCMT): Tables containing mapping between reportable conditions, LOINC test codes, and SNOMED result codes, developed by the Standards Workgroup under the CDC/CSTE Electronic Laboratory Reporting (ELR) Task Force. Download the tables as well as associated information from http://phinvads.cdc.gov/
• Read more about the general history and background of ELR in Oregon at General Introduction to ELR

Meaningful Use Criteria

ELR can be used by Eligible Hospitals to satisfy the Public Health Menu Item for Stage I.

Why choose ELR? ELR data are critical to Public Health disease surveillance programs and thus to population health. ELR provides a one-stop dropoff point for laboratories to submit all reportable data: incoming laboratory data are translated, processed, and automatically routed to all appropriate public health recipients (Local Health Departments and state program areas) by state ELR. To meet MU requirements, laboratory data must be sent from the hospital’s EHR (usually includes Laboratory Information Systems (LIS)).

Here is a link to Oregon's Meaningful Use page https://public.health.oregon.gov/ProviderPartnerResources/HealthcareProviders/MeaningfulUse/Pages/index.aspx

Laboratory Reporting Poster and Other Disease Reporting Information

Click this link to download a pdf version of the 2011 Laboratory Reporting Poster  (Please note poster size is 11x17)

Some of the changes from previous Laboratory Reporting Posters – please note that this list is provided only to help labs highlight the new requirements, you should refer to the OARs and the new poster for the definitive and complete information.

• Electronic Laboratory Reporting (ELR) continues to be legally mandated for laboratories sending an average of more than 30 records/month to public health (ELR website: http://www.healthoregon.org/elrresources). Failure to seek or obtain ELR approval may result in civil penalties. Civil Penalties for Violations of OAR Chapter 333, Divisions 18 and 19: http://arcweb.sos.state.or.us/pages/rules/oars_300/oar_333/333_026.html
• Telephone icon added for results that must be reported immediately by phone
• New reportables have been added:
• Enterobacteriaceae family isolates found to be non-susceptible to any carbapenem antibiotic (see new CRE poster for details). Genera to exclude from CRE ELR: Proteus, Providencia, Morganella, or Pseudomonas.
• Cryptococcus
• Hepatitis E
• Change in wording: All blood lead testing results [are reportable], but lead poisoning (blood lead level of at least 10 micrograms per deciliter) should be reported within one local health department working day

Budget cuts have forced the Department of Human Services to close on the ten days listed below, with most employees taking mandatory unpaid furloughs on that day.  http://www.oregon.gov/furlough_closures.shtml.

During these office closures, some --but not all-- ELR processes will run in an automated state.  However, I am not allowed to respond to any requests for assistance on the closure dates.  

*** LABORATORIES***:  If you have an urgent disease report to send on this closure day, please also FAX it to the appropriate Local Health Department (see section below for links to the LHDs in Oregon), or you may call our main line (971-673-1111) and press 0 to be connected to our on-call epidemiologist.

State Office Closures, 2011-2013

October 16, 2009 
November 27, 2009
March 19, 2010
April 16, 2010
June 18, 2010
August 20, 2010
September 17, 2010
November 26, 2010
March 18, 2011
May 20, 2011

Link to County Health Departments in Oregon

www.healthoregon.org/lhd

ELR/Reporting Site for US States, Metro Areas, Territories

Oregon - [no link needed, you're already here!]

Pennsylvania

          Texas

 

Public Health Reportable Conditions: Links to information about reportable conditions in the remaining 47 states, five metro areas and two territories.

Alabama;  Alaska;  Arizona;  Arkansas;  California;  Colorado;  Connecticut;  Delaware;  Florida;  Georgia; Hawaii;  Idaho;  Illinois;  Indiana;  Iowa;  Kansas;  Kentucky;  Louisiana;  Maine;  Maryland;

Massachusetts;  Michigan;  Minnesota;  Mississippi;  Missouri;  Montana;  Nebraska;  Nevada;  New Hampshire;  New Jersey;  New Mexico;  New York;  North Carolina;  North Dakota;  Ohio;  Oklahoma;  Rhode Island;  South Carolina;  South Dakota; Tennessee;  Utah;  Vermont;  Virginia;  Washington;  West Virginia;  Wyoming 

  

Metro Areas:    Chicago;  Denver;  Indianapolis;  Los Angeles;  New York City

 

Territories:  Micronesia;  Puerto Rico 

Page last updated: 3/6/2012