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Electronic Case Reporting (eCR)  

Electronic Case Reporting (eCR) will automate public health case reporting by automatically generating and transmitting case reports from Electronic Health Records (EHRs) to public health agencies for review and action. The California Reportable Disease Information Exchange - Electronic Case Reporting (CalREDIE eCR) module will allow health care providers and organizations to more easily comply with the California Department of Public Health (CDPH) requirement for the reporting of certain diseases and conditions per the California Code of Regulations (CCR) Title 17 Section 2500.

CalREDIE eCR will:

  • Decrease the burden on providers to report,
  • Eliminate the need for manual data entry, and
  • Deliver more timely, complete, and accurate communicable disease surveillance data. 

CalREDIE eCR replaces traditional paper-based methods of case reporting for many reportable conditions in jurisdictions using CalREDIE. Timely reporting via phone call is still required for conditions marked as “immediately” reportable in Title 17, Section 2500 of the California Code of Regulations (CCR).

Electronic Health Record Incentive Program (Meaningful Use/Promoting Interoperability)

As of July 1, 2017, CalREDIE declared its readiness to meet the Promoting Interoperability measure for Electronic Case Reporting (eCR). Beginning January 1, 2018, Eligible Professionals (EP) and Eligible Hospitals (EH) are able to use the CDPH Health Information Exchange (HIE) Gateway to register intent to submit electronic initial case reports (eICRs).

The U.S. Centers for Medicare and Medicaid Services (CMS) EHR Incentive Program was created to encourage eligible health care professionals, eligible hospitals and critical access hospitals to adopt, implement, upgrade, and demonstrate meaningful use of certified EHR technology (CEHRT). In April 2018, the Meaningful Use program was renamed to the Promoting Interoperability (PI) program.

eCR Implementation

The California Department of Public Health (CDPH) and the California Reportable Disease Information Exchange (CalREDIE) surveillance system are participating in a national electronic case reporting (eCR) pilot. This pilot was originally part of the Digital Bridge Initiative. CalREDIE is partnering with UC Davis Medical Center, and Epic Systems to test the creation and transmission of an electronic initial case report (eICR) message to public health.

CalREDIE is targeting Spring 2020 to receive production-level case report data from UC Davis Medical Center into the CalREDIE testing environment for 9 pilot conditions, including COVID-19, SARS, and MERS. After a period of data collection and review with our pilot partners, CDPH will launch a limited-production roll-out with a select group of healthcare organizations in California who have registered their intent to participate in eCR on the CDPH HIE Gateway. The limited-production roll-out will allow CDPH an opportunity to evaluate and refine our onboarding, testing, and data quality procedures prior to launching eCR statewide.

To stay connected with CalREDIE eCR, please add yourself to the CalREDIE eCR distribution by emailing:

Technical Capacity, Specifications and Provider Expectations

Providers and hospitals intending to submit electronic initial case reports are required to use the HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2 - US Realm - the Electronic Initial Case Report (eICR) standard published in January 2017. 

This HL7 standard is currently the only acceptable eICR message standard that will be processed by the CalREDIE surveillance system. Determining your EHR system’s readiness to conform to this published HL7 eICR standard is a critical step in preparing for electronic case reporting. 

Please see our What You Need To Know (PDF) flyer for next steps on how to get started with eCR!

Frequently Asked Questions

Prior to registering please see our list of Electronic Case Reporting Frequently Asked Questions (FAQ’s) for more information.  

Contact the CalREDIE Help Desk with any questions at


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