Electronic laboratory reporting guidance
We're accepting new feeds for electronic laboratory reporting (ELR) from hospitals. ELR provides advantages to hospitals other than Promoting Interoperability attestation, including improved efficiency through reduced manual entry for laboratory technicians and infection control professionals, and increased timeliness and completeness of reporting, which improves health outcomes and reduces time required to follow up and complete case reports.
Laboratories wishing to onboard for ELR must register their intent to attest should complete the Colorado Public Health Reporting (CoPHR) portal. Or, if labs are wishing to onboard for ELR but not attest for Promoting Interoperability, they should declare this intent via email to our ELR coordinator: email@example.com.
The onboarding laboratories will review the vocabulary and messaging standards and reporting requirements. They'll generate and validate test messages using a standard tool, submitting the results to us.
- Initial submission
Once your agency is ready to generate messages with the required standards, a test message will be sent using one of the secure methods. We'll validate this HL7 message. Completion of Step 3 meets Promoting Interoperability Stage 1 attestation requirements.
If the laboratory is ready to submit ongoing results, but we're not prepared to perform the validation, the laboratory may be placed on a waiting list for ongoing submission and validation. Facilities placed in the queue can attest for Promoting Interoperability Stage 2, if that's their goal.
Once your HL7 message has been validated and a secure method of transfer has been successfully tested, ongoing production level data will be transferred from your system on at least a daily basis (weekdays only). These messages will be evaluated for vocabulary standards. The reports received will be matched against disease reports received from your facility from traditional methods.
- Production and ongoing validation
Once we're satisfied that your decision engine is appropriately flagging and reporting all reportable conditions, we'll certify your feed and move your ELR feed into production. At this time, your facility can cease its previous method of reporting conditions based only on a laboratory results.
Note: Onboarding facilities should allow nine to 12 months to complete this process.
Messaging and vocabulary standards
- Standards for new feeds are the same as Promoting Interoperability Stage 2 requirements.
- Note that for Promoting Interoperability Stage 1, HL7 2.3.1 is acceptable and SNOMED CT isn't required.
- Messaging standard: HL7 2.5.1.
- Tests: LOINC V2.27.
- Results: SNOMED CT.
Guidance and resources
- CDPHE Electronic Laboratory Reporting Implementation Guide.
- HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health.
- Reportable Conditions Mapping Table (RCMT).
- List of reportable diseases in Colorado.