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eCR Definition of Terms

  • AIMS (APHL Informatics Messaging Services): A secure, cloud-based environment that accelerates the implementation of public health messaging solutions by providing shared services to aid in the transport, validation, translation, and routing of electronic data. 
  • APHL (Association for Public Health Laboratories): An organization that works to strengthen laboratory systems serving the public’s health in the United States and globally. APHL represents state and local governmental health laboratories in the United States. Its members, known as “public health laboratories,” monitor, detect, and respond to health threats. 
  • CDA (Clinical Document Architecture): The HL7 Version 3 Clinical Document Architecture (CDA®) is a document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange between healthcare providers and patients. It defines a clinical document as having the following six characteristics: 1) Persistence, 2) Stewardship, 3) Potential for authentication, 4) Context, 5) Wholeness and 6) Human readability. 
  • CDC (Centers for Disease Control and Prevention) 
  • CMS (Centers for Medicare & Medicaid Services) 
  • CLIA (Clinical Laboratory Improvement Amendments) 
  • EHR (Electronic Health Record) An electronic version of a patient’s medical history that is maintained by the provider over time and may include all key administrative clinical data relevant to that person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. 
  • eICR (Electronic Initial Case Report): An initial case report made to Public Health containing sufficient data for PHAs to initiate investigation or other appropriate public health activities that is automatically initiated by the EHR when patient data is matched against a series of RCTCs. The eICR conveys core, initial case data to a PHA that may also lead to additional reporting or follow-up intended to confirm reportability, provide condition-specific or public health jurisdiction-specific reporting data, or support public health investigation, contact tracing, and/or countermeasure administration. The eICR serves as input to reportability evaluation to RCKMS and also allows PHAs to communicate the reportability of a condition back to clinical care personnel through the RR. 
  • eCR (Electronic Case Reporting): Electronic case reporting (eCR) is the automated generation and transmission of case reports from electronic health records to public health agencies for review and action. 
  • ELR (Electronic Laboratory Reporting): Electronic Laboratory Reporting (ELR) for public health is the transmission of digital laboratory reports, often from laboratories to state and local public health departments, healthcare systems, and CDC. 
  • EHR (Electronic Health Record): An Electronic Health Record (EHR) is an electronic version of a patient’s medical history, that is maintained by the provider over time, and may include all of the key administrative clinical data relevant to that person’s care under a particular provider, including demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. 
  • eRSD (Electronic Reporting & Surveillance Distribution): The eRSD supports the distribution of reporting guidance and parameters, trigger code value sets, and more complex reporting rules and clinician / reporter support resources. 
  • HIE (Health Information Exchange) 
  • HIPAA (Health Insurance Portability and Accountability Act) 
  • HL7 (Health Level 7): An interface standard and specifications for clinical and 
  • administrative healthcare data developed by the Health Level Seven organization 
  • and approved by the American National Standards Institute (ANSI). HL7 provides a 
  • method for disparate systems to communicate clinical and administrative 
  • information in a normalized format with acknowledgement of receipt 
  • ICD-10 (International Classification of Diseases 10th Revision) 
  • LOINC (Logical Observation Identifiers Names and Codes)  
  • NEDSS (National Electronic Disease Surveillance System) 
  • NPI (National Provider Identifier) 
  • ONC (Office of the National Coordinator) 
  • PHA (Public Health Agency): The governmental body at the local, state, and federal level responsible for delivery of public health services. 
  • PHDC (Public Health Document Container) 
  • PHI (Patient Health Information or Protected Health Information) 
  • PHIN VADS (Public Health Information Network Vocabulary Access and Distribution System) 
  • PIP (Promoting Interoperability Program) 
  • RCKMS (Reportable Conditions Knowledge Management System (works with collaboration with AIMS) 
  • RCTC (Reportable Conditions Trigger Codes) 
  • RR (Reportability Response): A message generated by the RCKMS DSS documenting if any condition(s) in the eICR were found to be reportable, to which jurisdiction(s) reporting is required, and additional information, such as contact information of the relevant PHA. 
  • SNOMED-CT (Systematized Nomenclature of Medicine- Clinical Terms)