Section 3: Clinical and Administrative Domains
Section 5: Implementation Guides
HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm)
The Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 describes the transmission of laboratory-reportable findings to appropriate local, state, territorial and federal health agencies using the message. In particular, this guide addresses messaging content and dynamics related to the transmission of Laboratory Reportable Result Messages (i.e.,. Electronic Laboratory Reporting, or ELR). This guide is designed to align as closely as possible with the Version 2.5.1 Implementation Guide: Interoperable Laboratory Result Reporting to EHR.
- Healthcare Providers
- Clinical and Public Health Laboratories in the US
- US Local, State. Territorial and Tribal Public Health Jurisdictions
- Council of State and Territorial Epidemiologists (CSTE)
- Centers for Disease Control and Prevention (CDC)
- Centers for Medicare and Medicaid Services (CMS)
- Laboratory Information System Developers and Vendors
- Consistent implementation across disparate systems
- Improved efficiency for laboratories needing to report to multiple jurisdictions
- Improved efficiency for public health organizations receiving reports from multiple laboratories
- In development
Each state and territory has requirements for laboratories to report certain findings to health officials. In the past, these reports were written by hand on forms provided by health departments and mailed to appropriate offices. With computerization of laboratories, it has become possible for laboratories to send reportable data to health departments electronically. The message described in this guide is not specific to any pathogen or reportable condition and is applicable for most biological and chemistry laboratory-reportable findings, but does not cover reporting of results from laboratory to laboratory. This guide focuses on the use of strong identifiers for key information objects and use of vocabulary standards.