What is eCR?

Electronic case reporting (eCR) is the automated, real-time exchange of case report information between electronic health records (EHRs) and public health agencies. It moves data quickly, securely, and seamlessly from EHRs in healthcare facilities to state or local health departments.

eCR uses a shared standards-based, interoperable, shared services infrastructure that supports data delivery to public health in real time. eCR runs behind the scenes in the EHR to automatically capture and report required information. eCR uses standard codes to automatically trigger the transfer of relevant, clinical data to the shared services platform for processing against jurisdictional alignment with reporting laws and delivery to appropriate state and local public health agencies for case investigation and follow-up.

eCR is a collaborative effort of the Association of Public Health Laboratories (APHL), the Council of State and Territorial Epidemiologists (CSTE), and CDC. These organizations play key roles in leading, implementing, and operating eCR with healthcare organizations, EHR vendors, and public health agencies. They also teamed up for eCR Now, a strategic initiative that allows for rapid adoption and implementation of eCR for COVID-19.

Page last reviewed: January 29, 2021