Healthcare Facilities Live for eCR

At a glance

Electronic case reporting (eCR) is the automated, real-time exchange of case report information between electronic health records and public health agencies. In partnership with the Association of Public Health Laboratories (APHL) and the Council of State and Territorial Epidemiologists (CSTE), CDC is rapidly onboarding healthcare facilities to eCR.

Map of US eCR facilities shows thousands nationwide with facilities in every state and 3 US territories

Facilities throughout the United States

As of January 6, 2026, over 60,400 facilities in all 50 states and three territories are actively sending electronic initial case reports to public health using eCR. Reports that meet the reporting criteria for multiple jurisdictions are sent to each jurisdiction at the same time.

Map of US eCR facilities shows thousands nationwide with facilities in every state and 3 US territories.
Healthcare Facilities sending reports with Electronic Case Reporting