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Public Health Meaningful Use
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Register your intent to submit Public Health data for MU2

Oregon providers that intend to submit data to the Oregon Public Health Division for Meaningful Use Stage 2 (MU2) public health objectives are required to register their intent to do so. Providers are only required to register once for Stage 2. If you still need to register, click here.

The Centers for Medicare and Medicaid Services (CMS) specifies the criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to continue to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. To receive an EHR incentive payment, providers must demonstrate that they are meaningfully using (MU) their EHRs to improve patient care. Providers must meet MU Stage 1 requirements for a 90-day period in their first year and for the entire second year of meaningful use. Providers must meet Stage 2 requirements for two full years. For more information on the CMS EHR incentive program, visit, or visit the Oregon Medicaid EHR Incentive Program to apply.

For Stage 1 in Oregon, both EPs and CAHs must submit electronic immunization data, and CAHs may also submit electronic laboratory (ELR) or syndromic surveillance data. For Stage 2, each of these is required, and EPs may also choose to submit electronic data to the cancer registry or another specialized registry (Oregon, will accept elevated blood lead levels). The table below describes submission details for each of Oregon's Public Health Meaningful Use measures. Click on the links within the table to navigate to each program and its resources.

Stage 1 Measure Stage 2 Measure Recommended Standards
Immunization Registry Reporting
1 test submission to the ALERT Immunization Information System (ALERT IIS) with continued submission if successful Ongoing submission of immunization data to ALERT IIS

ALERT IIS HL7 v2.5.1*
CVX (Data content standard)

Electronic Laboratory Reporting (ELR) 1 test submission of reportable lab results to Oregon ELR with continued submission if successful Ongoing submission of reportable lab results to Oregon ELR HL7 v2.5.1
LOINC (Data content standard)
SNOMED CT (Data content standard)
Syndromic Surveillance 1 test submission of syndromic surveillance data to Oregon ESSENCE with continued submission if successful Ongoing submission of syndromic surveillance data to Oregon ESSENCE HL7 v2.5.1
ADT Message types A01, A03, A04 and A08
PHIN Vocabulary Standards
Cancer Registry Reporting

-- N/A --
Ongoing submission of cancer data to the Oregon State Cancer Registry (OSCaR) HL7 CDA, Release 2
LOINC (Data content standard)
SNOMED CT (Data content standard)
​Other Specialized Registry**

​-- N/A --
Ongoing submission of specific case information to a specialized registry (Orpheus -- Blood Lead Reporting) HL7 v2.5.1
LOINC(Data content standard)
SNOMED CT (Data content standard)

*Providers engaged in ongoing submission of immunization data to ALERT IIS prior to August 31, 2013 may continue to submit earlier versions of HL7 during Stage 2.

**Oregon will accept elevated blood lead levels submitted according to the HL7 v2.5.1 ELR specifications from providers.



  1. Can I claim an exclusion from meeting Public Health objectives? 
      • If the EP does not administer any immunizations, you are excluded from the immunization reporting measure.
      • If you are a provider, or a hospital without an emergency department, you are are excluded from the syndromic surveillance measure.
      • If you do not diagnose or treat cancer in your practice, you are not able to choose cancer reporting as an objective.
      • If you do not perform blood lead tests in your practice, you are not able to choose specialized registry reporting.
  2. How do I submit my data?
      • The recommended transport method for immunization reporting is via SOAP web-service. For other methods, contact the immunization program.
      • The only acceptable transport method for syndromic surveillance at this time is secure FTP.
      • Submission of ELR or Lead data can be done by either secure FTP or PHIN-MS.
      • Submission of Cancer data is done via upload to WebPlus.
      • Visit each program's web page for more information.
  3. Can I get documentation that I've submitted a test or have achieved ongoing submission?
      • For immunization reporting, the HL7 testing tool provides documentation via email and logs test results which can be accessed at any time. For ongoing submitters, the HL7 ACK message serves as documentation of submission.
      • All other programs will provide a letter of status at the conclusion of your reporting period.

Computerized Entry of Laboratory Orders and Incorporation of Laboratory Results

Computerized order entry of laboratory tests and incorporation of clinical laboratory results are required MU objectives in Stage 2. This objective is distinct from the recognized Public Health MU objectives described above and does not count toward meeting the requirement for submission to Public Health. Further, while the Oregon State Public Health Laboratory (OSPHL) is working to prioritize these types of interfaces, they have limited capacity to develop them. For that reason, you may not be able to establish and interface with OSPHL within your reporting period and instead may need to interface with another organization for MU purposes. For more information on interfacing with OSPHL, please visit their website.