Goal 1: 2-Year Milestones

Success is measured by 2-year milestones1

Goal 1: Strengthen the core of public health data

Ensure Core Data Sources2 are more complete, timely, rapidly exchanged, and available to support the integrated ability to detect, monitor, investigate, and respond to public health threats.

Milestones by End of 2023

Milestones by End of 2023

Milestones by End of 2023

Milestones by End of 2024

Milestones by End of 2024

Milestones by End of 2024



STLTs enabled to submit a generic core case data feed that can be used for national disease notification

Milestones by End of 2023

STLTs enabled to submit a generic core case data feed that can be used for national disease notification

Core case data for select nationally notifiable conditions are reported using a common format, using a CDC Front Door concept, and shared back in near real-time for CDC programs and STLT partners to access

Milestones by End of 2024

Core case data for select nationally notifiable conditions are reported using a common format, using a CDC Front Door concept, and shared back in near real-time for CDC programs and STLT partners to access

32 jurisdictions3 are ingesting eCR data into disease surveillance systems

Milestones by End of 2023

32 jurisdictions3 are ingesting eCR data into disease surveillance systems

38 jurisdictions3 are ingesting eCR data into disease surveillance systems

Milestones by End of 2024

38 jurisdictions3 are ingesting eCR data into disease surveillance systems



90% of ELC recipients are connected to one or multiple intermediaries (e.g., AIMS, ReportStream, HIEs) for lab data

Milestones by End of 2023

90% of ELC recipients are connected to one or multiple intermediaries (e.g., AIMS, ReportStream, HIEs) for lab data

Almost 100% of ELC recipients are connected to multiple intermediaries (e.g., AIMS, ReportStream, HIEs) for lab data

Milestones by End of 2024

Almost 100% of ELC recipients are connected to multiple intermediaries (e.g., AIMS, ReportStream, HIEs) for lab data



90% of State Public Health Labs have implemented ETOR (e.g., web
portal, direct integration, or use of intermediary) with at least 1
healthcare partner for at least 1 lab program

Milestones by End of 2023

90% of State Public Health Labs have implemented ETOR (e.g., web
portal, direct integration, or use of intermediary) with at least 1
healthcare partner for at least 1 lab program

100% of State Public Health Labs have implemented ETOR (e.g., web portal, direct integration, or use of intermediary) with at least 1 healthcare partner for at least 1 lab program

Milestones by End of 2024

100% of State Public Health Labs have implemented ETOR (e.g., web portal, direct integration, or use of intermediary) with at least 1 healthcare partner for at least 1 lab program



75% of CDC infectious disease labs send lab test results to external partners electronically (e.g., using ELR, CSTOR, intermediary)

Milestones by End of 2023

75% of CDC infectious disease labs send lab test results to external partners electronically (e.g., using ELR, CSTOR, intermediary)

50% of lab test order requests received electronically at CDC infectious disease labs (e.g., using ETOR, CSTOR, intermediary)

Milestones by End of 2024

50% of lab test order requests received electronically at CDC infectious disease labs (e.g., using ETOR, CSTOR, intermediary)



Reduced time to send mortality data to and receive coded cause of death data from CDC for 12–15 jurisdictions3 through use of FHIR messaging

Milestones by End of 2023

Reduced time to send mortality data to and receive coded cause of death data from CDC for 12–15 jurisdictions3 through use of FHIR messaging

Reduced time to send mortality data to and receive coded cause of death data from CDC for 30 additional jurisdictions (42–45 total)3 through use of FHIR messaging

Milestones by End of 2024

Reduced time to send mortality data to and receive coded cause of death data from CDC for 30 additional jurisdictions (42–45 total)3 through use of FHIR messaging



CDC receives and ensures access to commercial lab data from at least 2 major national commercial labs to enable situational awareness across multiple conditions

Milestones by End of 2023

CDC receives and ensures access to commercial lab data from at least 2 major national commercial labs to enable situational awareness across multiple conditions

CDC receives and ensures access to commercial lab data from at least 3 major national and regional commercial labs to enable situational awareness across multiple conditions

Milestones by End of 2024

CDC receives and ensures access to commercial lab data from at least 3 major national and regional commercial labs to enable situational awareness across multiple conditions



Milestones by End of 2023

Increased participation to 80% (from 73% today) of U.S. non-federal
emergency departments to increase representativeness of NSSP data sources and users

Milestones by End of 2024

Increased participation to 80% (from 73% today) of U.S. non-federal
emergency departments to increase representativeness of NSSP data sources and users

Potential impact: <7 days needed to detect a suspected disease outbreak and begin nation-wide monitoring, through using faster case, lab, emergency department, mortality data

1. Accomplishing the Public Health Data Goals requires collaboration and partnership with STLTs, healthcare partners, and other federal agencies

2. Case (including electronic case reporting [eCR]), lab (including electronic lab reporting [ELR], Electronic Test Orders and Results [ETOR]), emergency department (including National Syndromic Surveillance Program [NSSP] emergency department data), vital statistics, immunization, healthcare capacity (including National Healthcare Safety Network [NHSN] data)

3. Out of the ~64 ELC- or PHI- funded jurisdictions