eHealth Exchange

Use Case

Electronic Case Reporting to Public Health Agencies

Learn how eHealth Exchange network participants are sharing electronic case reports via the Hub for no additional fees


Send Unlimited Case Reports for No Additional Fees

Instead of paying for transaction volume-based fee with another service provider, all eHealth Exchange participants may initiate unlimited case reports to the Association of Public Health Laboratories (APHL) via the Hub.

Organizations using the eHealth Exchange hub aren’t vulnerable to increased fees due to spikes in activity, such as with COVID-19 reporting.

The eHealth Exchange hub allows network members to send unlimited reports for $0 above the standard network fees.

Pushing Electronic Case Reports

  • Step 1

    A matching clinical code (such as “COVID-19”) triggers the generation of an electronic case report (eCR).

    Depending on the EHR vendor, eCR generation may be supported natively (“out of box”). If not, you may be able to utilize a SMART on FHIR application from APHL called “eCR Now” that will interface with your EHR system to generate an eCR.

  • STEP 2

    The eCR contains a document payload

    which reports on items such as patient, encounter, condition and travel history information, if available.

  • STEP 3

    The eCR document submission is transmitted to APHL AIMS using the Hub,

    however, the Hub does not store the eCR document.
  • STEP 4

    APHL AIMS forwards the eCR to public health authorities

    according to an evaluation it performs on the reportability of the eCR.

  • STEP 5

    APHL AIMS generates a reportability response (also in the form of a document submission) that is sent back to the eCR submitter.

    A reportability response typically includes information about what has been determined to be reportable to public health agencies (PHAs) and which PHAs have been sent eCR information.
  • Step 6

    Typically, the eCR submitter stores the APHL AIMS reportability response

    with the patient’s records (a.k.a. the patient’s chart).


    More Than 80 Types of Case Reports Supported

    While many eHealth Exchange network participants begin using the electronic case reporting use case in support of COVID-19 testing and diagnoses, nearly 100 reportable diseases can be automatically shared with APHL, and therefore the appropriate local, state, and national public health agencies.

    Get Started Sharing Electronic Case Reports

    eHealth Exchange Network Participants:

    Notify that your organization wants to push electronic case reports to APHL (Association of Public Health Laboratories).

    Not an eHealth Exchange Participant?

    eHealth Exchange Participants

    are seamlessly sending millions of COVID-19 testing and diagnoses reports

    to the CDC and other national and state agencies

    What our members are saying

    We've established a more stable connection

    “Since switching to the eHealth Exchange hub, we’ve established a more stable connection for sharing these critical case reports. State and federal officials are relying on these reports to make decisions in the fight against COVID-19.”

    Paul Mathews

    Chief Technology Officer and Chief Information Security Officer, OCHIN