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South Dakota Health Link

Electronic Initial Case Reporting (EICR) Registration

Greetings,

Thank you for your interest in pursuing electronic initial case reporting (EICR) with the South Dakota Department of Health. We are able to accept all reportable conditions.

Please answer these questions. Once the survey is completed, you will receive an e-mail confirming your registration with an attachment containing all of the information you provided.

Thank you!

Name(Required)
Is your main facility EHR capable of generating a message following the "HL7 CDA R2 Public Health Case Report, Release 2 Standard for Trial Use Release 1.1" implementation guide?(Required)
NOTE: This question may require research by your vendor contact; it is likely that someone within your vendor’s organization is engaged with this national initiative.
Is your main facility EHR capable of routing the message to the AIMS platform?(Required)
Example: Q4 2022, 9/1/2022

Before continuing, please download and complete the facility name spreadsheet template. This is needed to complete the registration.

Spreadsheet Template

Registration Information

What type of facility are you registering?(Required)
Address(Required)
Main facility contact for electronic initial case reporting(Required)
Max. file size: 10 MB.

Electronic Health Record (EHR) Functionality

EHR system automation
Can your EHR system 
(Required)
  1. flag a record that meets specific criteria,
  2. generate an HL7 CDA message,
  3. attach the HL7 CDA message to a Direct Secure Messaging e-mail, and
  4. send the e-mail automatically (without manual intervention)?
Can your EHR system(Required)
Does your EHR system have a way to consume 'Trigger Codes' (LOINC, SNOMED, ICD-10 codes) downloaded from an external source which are used to define the specific reporting criteria?(Required)
Is there a mechanism in your EHR to check for 'Trigger Code' updates on a periodic schedule (monthly, quarterly, semi-annually)?(Required)

Electronic Initial Case Report (EICR) Data Elements

There is a pre-defined list of data elements in the HL7 CDA R2 Public Health Case Report, Release 2 Standard for Trial Use Release 1.1 Implementation Guide. These data elements are listed below; please identify those data elements that your EHR is capable of sending by marking the appropriate box beside each element.

Date of Report: The date on which the reporting party (e.g., physician, nurse practitioner, physician assistant, etc.) completes collection of minimum data for the EICR(Required)
Report Submission Date/Time: The date and time at which the EHR system sends the EICR data to the jurisdictional public health agency or designee(Required)
Sending Application: The name of the sending software application(Required)
Provider ID: Identification code for the healthcare provider (e.g., NPI)(Required)
Provider Name: The first and last name of the healthcare provider(Required)
Provider Phone: The provider's phone number with area code(Required)
Provider fax: The provider's fax number with area code(Required)
Provider Email: The provider's email address (for secure communication)(Required)
Provider Facility/Office Name: The provider facility's full name, not necessarily where care was provided to patient(Required)
Provider Address: The geographical location or mailing address of the provider's office or facility. Address must include street address, office or suite number (if applicable), city or town, state, and zip code(Required)
Facility ID Number: Identification code for the facility (e.g., Facility NPI)(Required)
Facility Name: The facility's name where the patient received healthcare; for follow up to identify contact exposure, appropriate treatment, etc.(Required)
Facility Type: the type of facility where the patient received or is receiving healthcare for the reportable conditions (e.g., hospital, ambulatory, urgent care, etc.)(Required)
Facility Phone: The facility's phone number with area code(Required)
Facility Address: The mailing address for the facility where the patient received or is receiving healthcare for the reportable condition. Must include street address, city/town, county, state, and zip code.(Required)
Patient ID Number: Patient medical record number, or other identifying value – something OTHER THAN Social Security Number(Required)
Patient Name: All names for the patient, including legal names and aliases; Must include the name type (i.e., legal or alias), first name, middle name, and last name(Required)
Parent/Guardian Name: All names for the patient's parent or guardian, including legal names and aliases (if patient age is < 18); Must include the name type (i.e., legal or alias), first name, middle name, and last name(Required)
Patient or Parent/Guardian Phone: All phone numbers and phone number types for the patient or parent/guardian(Required)
Patient or Parent/Guardian Email: The email address for the patient or the patient's parent/guardian(Required)
Patient Street Address: All addresses for the patient, including current and residential addresses; must include street address, apartment or suite number, city or town, county, state, zip code, and country(Required)
Birth Date: The patient's date of birth(Required)
Patient Sex: The patient's biological sex (not gender)(Required)
Race: The patient's race(Required)
Ethnicity: The patient's ethnicity(Required)
Preferred Language: The patient's preferred language(Required)
Occupation: The patient's occupation (student, job title, etc.)(Required)
Pregnant: The patient's pregnancy status(Required)
Visit Date/Time: Date and time of the provider's most recent encounter with the patient regarding the reportable condition(Required)
Admission Date/Time: Date and time when the patient was admitted to the treatment facility (e.g., hospital, clinic)(Required)
History of Present Illness: Physician's narrative of the history of the reportable event. Hopefully a place where information such as travel, contacts, etc. is captured(Required)
Reason for Visit: Provider's interpretation for the patient's visit for the reportable event(Required)
Date of Onset: The earliest date of symptoms for the reportable event(Required)
Symptoms (list): List of patient symptoms (structured) for the reportable event(Required)
Laboratory Order Code: Ordered tests for the patient during the encounter(Required)
Placer Order Number: Identifier for the laboratory order from the encounter(Required)
Diagnoses: The healthcare provider's diagnoses of the patient's health condition (all)(Required)
Date of Diagnosis: The date of provider diagnosis(Required)
Medications Administered (list): List of medications administered for the reportable event(Required)
Death Date: The patient's date of death(Required)
Patient Class: Whether the patient is outpatient, inpatient, emergency, urgent care, etc.(Required)

Business Associates Agreement

Would a business associates agreement (BAA) be required to route reportable information from your organization/facility to a third party, the Association of Public Health Laboratories (APHL), on its way to the South Dakota Department of Health?(Required)
It is also possible that the reportability response could provide condition-specific treatment information or outbreak-specific guidance back to the healthcare provider after the report is made. Would this be something you would like?(Required)
Contact Us
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  • About Health Link
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