CalREDIE eCR Onboarding Process
Onboarding to eCR is a joint effort between the CDC, APHL, and CDPH.
CDPH requires eICR data submitters to use the Association of Public Health Laboratories (APHL) Information Messaging System (AIMS) and the Reportable Condition Knowledge Management System (RCKMS) to ensure appropriate reporting. The state of California uses the HL7 electronic initial case report (eICR) standards (R1.1 and R3) for electronic case reporting (eCR). California uses these standards to support the new CMS Promoting Interoperability regulations for eCR. Consequently, CDHP will only receive eICRs in accordance with these standards.
Healthcare organizations are required to continue sending case reports via your current method of reporting until explicitly notified by the CalREDIE eCR Team. The decision to send eICRs in lieu of current reporting methods will be made in concert with the LHJs. While public health builds capacity to process eICRs for all conditions, please remember that triggering eICRs on all conditions does not equate to local and state public health department users’ ability to review every eICR at this time.
Prerequisites of eCR Onboarding
eCR is for healthcare providers treating patients.
Healthcare provider’s facility must have an EHR system.
Registering for eCR indicates the entire healthcare facility is seeking to onboard with eCR, and all leadership approvals have been granted.
1. CalREDIE eCR Registration - Must be completed first
NOTE: As of January 1, 2021, CalREDIE eCR registration is no longer via the CDPH HIE Gateway. Please use the CalREDIE eCR Registration Portal
2. Enrollment & Onboarding with APHL Informatics Messaging Service (AIMS)
a. Contact eCR@CDC.gov to express your interest and learn more about AIMS onboarding and connectivity.
b. Partner with your EHR vendor to discuss options for implementing eCR in accordance with the HL7 CDA guidelines for eCR
OR utilize the eCR Now FHIR App for COVID-19
c. Contact eCR@CDC.gov to determine which eCR data sharing policy is best suited for your facility
3. CalREDIE Testing & Pending Period (State eCR Structure)
a. CalREDIE eCR staff will contact your facility to begin testing. In partnership with AIMS, your facility will test sending live electronic initial case reports (eICRs) to the CalREDIE Staging (testing) environment.
b. A period of parallel production begins. Until explicitly notified by CalREDIE, continue reporting through your current reporting method while eICRs are being reviewed in the CalREDIE Staging (testing) environment for data quality.
c. CalREDIE eCR staff will contact you to finalize your facility’s move to CalREDIE Production.
4. CalREDIE Production