1. * Name change
2. Public Health Agency
2.1. Receive eICR
2.2. Respond to elCR
3. EMR System
3.1. Maintain Trigger Code Table
3.1.1. EMR Master table of trigger code values from § 170.205(t)(4) Value Set
3.2. Implement (f)(5) Worflows
4. (i) Functional Electronic Case Reporting ("dead end ahead" at 12/31/25)
4.1. Standards
4.1.1. § 170.213 - USCDI
4.2. Functionality
4.2.1. (A) (consume) maintain a table of trigger codes to determine which encounters are reportable.
4.2.2. (B) Match a patient visit or encounter to trigger coded based on trigger code table
4.2.3. (C) Case report creation
4.2.3.1. Report based on USCDI elements
4.2.3.2. Encounter Diagnosis
4.2.3.3. Provider's Name, Contact info., Reason for Visit
4.2.3.4. Identifier: row and verson of trigger table that triggered the case report
5. (ii)Standards-based electronic care reporting. 1/1/26)
5.1. Standards
5.1.1. . § 170.205(t)(1) HL7® FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm 2.1.0 – STU 2 US (HL7 FHIR eCR IG)
5.1.2. § 170.205(t)(2) HL7 CDA® R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 2, STU Release 3.1 - US Realm (HL7 CDA eICR IG)
5.1.3. § 170.205(t)(3) HL7® CDA® R2 Implementation Guide: Reportability Response, Release 1, STU Release 1.1 - US Realm (HL7 CDA RR IG) (incorporated by reference, see § 170.299).
5.1.4. § 170.205(t)(4) Reportable Conditions Trigger Codes Value Set for Electronic Case Reporting. RCTC OID: 2.16.840.1.114222.4.11.7508, Release March 29, 2022
5.2. Standards-based Workflow
5.2.1. (A) Consume and process case reporting trigger codes and identify a reportable patient visit or encounter based on a match from the Reportable Conditions Trigger Code value set in § 170.205(t)(4).
5.2.2. (B) Create a case report consistent with at least one of the following standards:
5.2.2.1. (1) The eICR profile of the HL7 FHIR eCR IG in § 170.205(t)(1)
5.2.2.2. (2) The HL7 CDA eICR IG in § 170.205(t)(2).
5.2.3. (D) Transmit a case report electronically to a system capable of receiving a case report.
5.2.4. (C) Receive, consume, and process a case report response that is formatted to either the reportability response profile of the HL7 FHIR eCR IG in § 170.205(t)(1) or the HL7 CDA RR IG in § 170.205(t)(3) as determined by the standard used in (f)(5)(ii)(B) of this section.
5.2.4.1. ...reportability response profile of the HL7 FHIR eCR IG in § 170.205(t)(1)
5.2.4.2. ...the HL7 CDA RR IG in § 170.205(t)(3)