Difference between revisions of "User:Shawndouglas/sandbox/sublevel1"

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[[File:Icd10codeslogo.png|left|240px]]Related are any test reporting and billing requirements in labs and medical facilities. The [[International Statistical Classification of Diseases and Related Health Problems]] (ICD) is a commonly used system of diagnostic codes for classifying diseases, including nuanced classifications of a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. Their ICD-10-CM code set has been modified to include lab testing codes for COVID-19, as has the [[Current Procedural Terminology]] (CPT) code set. This guide provides basic information about these codes (which should not be considered legally binding advice); however, see the referenced material (and following citations) for more details concerning those codes<ref name="AMA-COVIDCPT">{{cite web |url=https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance |title=COVID-19 CPT coding and guidance |work=COVID-19 CPT codes |author=American Medical Association |accessdate=14 September 2021}}</ref><ref name="AHAFreq21">{{cite web |url=https://www.codingclinicadvisor.com/faqs-icd-10-cm-coding-covid-19 |title=Frequently Asked Questions Regarding ICD-10-CM Coding for COVID-19 |work=AHA Coding Clinic Advisor |publisher=American Hospital Association |date=27 August 2021 |accessdate=14 September 2021}}</ref><ref name="CMS-ICD10CM21">{{cite web |url=https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines.pdf |format=PDF |title=ICD-10-CM Official Guidelines for Coding and Reporting FY 2022 |author=Centers for Medicare and Medicaid Services |date=10 August 2021 |accessdate=14 September 2021}}</ref><ref name="CMS-COVIDFAQFFS21">{{cite web |url=https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf |format=PDF |title=COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing |publisher=Centers for Medicare and Medicaid Services |date=02 July 2021 |accessdate=14 September 2021}}</ref><ref name="ASCO-COVIDReport21">{{cite web |url=https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2020-COVID19-Billing-and-Coding-Resource.pdf |format=PDF |title=COVID-19 Coding and Reporting Information New CPT, HCPCS, and ICD-10 CM Codes |publisher=American Society of Clinical Oncology |date=26 August 2021 |accessdate=14 September 2021}}</ref>:
Given the valuable nature of case reports during an epidemic<ref name="HamiltonUsing19">{{cite book |chapter=Chapter 5: Using Technologies for Data Collection and Management |title=The CDC Field Epidemiology Manual |author=Hamilton, J.J.; Hopkins, R.S. |editor=Rasmussen, S.A.; Goodman, R.A. |publisher=Oxford University Press |edition=4th |pages=71–104 |year=2019 |isbn=9780190933692}}</ref><ref name="vonElmTheStren07">{{cite journal |title=The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies |journal=PLoS Medicine |author=von Elm, E.; Altman, D.G.; Egger, M. et al. |volume=4 |issue=10 |at=e296 |year=2007 |doi=10.1371/journal.pmed.0040296 |pmid=17941714 |pmc=PMC2020495}}</ref>, health care providers, facilities, and laboratories are being held responsible for sending case data to their local and regional health departments. That information then feeds up to the state-level health department, which then makes its way to the national-level entity responsible for handling epidemiology (in the case of the U.S., the CDC). Significant decisions are typically based on that data. For example, the U.S. CDC has been conducting seroprevalance (determination of the "percentages of people who were previously infected with SARS-CoV-2") surveys of various regions of the United States.<ref name="CDCCommercial20">{{cite web |url=https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/commercial-lab-surveys.html |title=Commercial Laboratory Seroprevalence Surveys |author=Centers for Disease Control and Prevention |publisher=Centers for Disease Control and Prevention |date=01 December 2020 |accessdate=14 September 2021}}</ref> The insights and decisions the CDC makes depends on cooperation and proper reporting by state and local health departments.


* The CPT code 87635 has the long descriptor of "Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique." The American Medical Association's ''CPT Assistant'' [https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance fact sheet] for SARS-CoV-2 reporting proves useful in supplying assistance on how and when to apply this CPT code in reporting.
However, acquiring standardized data at the national level can still be challenging. In the case of the U.S., general disease reporting requirements vary from state to state, with many states encouraging full electronic laboratory reporting (ELR), while some still encourage faxed or emailed reports. Add in the urgency and confusion associated with a pandemic, and COVID-19 reporting requirements prove to vary just as much. Some states' health departments have taken a proactive approach to reporting. For example, Iowa's Department of Public Health has issued several mandatory COVID-19 reporting orders meant to supplement existing reporting rules, including an order requiring all Iowa health care providers and public, private, and hospital laboratories "to immediately report all positive and negative Coronavirus Disease 2019 (COVID-19) testing results to the department."<ref name="ClabaughRescind20">{{cite web |url=https://idph.iowa.gov/Portals/1/userfiles/61/covid19/Mandatory%20Reporting%20Order.pdf |format=PDF |title=Temporary Novel Coronavirus Disease 2019 (COVID-19) Mandatory Reporting Order |author=Garcia, K.; Pedati, C. |publisher=Iowa Department of Public Health |date=31 December 2020 |accessdate=14 September 2021}}</ref> Other states have not been as clear on their reporting requirements, in some cases not having any guidance documents or clear information on their health department website for how providers, facilities, and labs should report COVID-19. In those cases, the presumption is that most labs have contacted the health department for advice or are reporting COVID-19 cases as immediately reportable, based upon the state's existing reporting requirements for immediately reportable diseases.  


* Since the pandemic has progressed, numerous other CPT codes have become available. This includes a series of parent and child codes for antibody testing, neutralizing antibody screens, antigen testing, and vaccination. Resources for guidance concerning these codes include the [https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance American Medical Association] and the [https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2020-COVID19-Billing-and-Coding-Resource.pdf American Society of Clinical Oncology] (PDF).
The CDC, however, [https://www.cdc.gov/coronavirus/2019-ncov/lab/reporting-lab-data.html maintains a page] concerning how to report COVID-19 laboratory data. It's important to note their take on using standard terminology, which is based on [https://www.cdc.gov/csels/dls/sars-cov-2-livd-codes.html their mapping tool] ''LOINC In Vitro Diagnostic (LIVD) Test Code Mapping for SARS-CoV-2 Tests''<ref name="CDCHowToRep20">{{cite web |url=https://www.cdc.gov/coronavirus/2019-ncov/lab/reporting-lab-data.html |title=How to Report COVID-19 Laboratory Data |author=Centers for Disease Control and Prevention |publisher=Centers for Disease Control and Prevention |date=26 January 2021 |accessdate=14 September 2021}}</ref>:


* The U.S. government-adopted ICD-10-CM—an authorized version of WHO's ICD-10<ref name="CDCIntern20">{{cite web |url=https://www.cdc.gov/nchs/icd/icd10cm.htm |title=International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) |author=National Center for Health Statistics |publisher=Centers for Disease Control and Prevention |date=30 July 2021 |accessdate=14 September 2021}}</ref>—has been updated by the CDC and the National Center for Healthcare Statistics. It includes not only codes for conditions associated with COVID-19, but also codes for exposure, screening, and vaccination. The principal diagnosis code "U07.1, COVID-19" is sequenced first for a confirmed COVID-19 diagnosis, followed by any appropriate codes for associated manifestations (though there is an obstetrics exception). CMS's [https://www.cms.gov/files/document/fy-2022-icd-10-cm-coding-guidelines.pdf coding guidelines], as well as [https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance American Medical Association] guidance, may prove useful in choosing the correct codes. The [https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2020-COVID19-Billing-and-Coding-Resource.pdf American Society of Clinical Oncology] (PDF) is also maintaining a document with ICD-10-CM information.
<blockquote>This specification supports the use of standardized LOINC and SNOMED Clinical Terms (CT) codes to improve the accuracy of reporting tests for the SARS-CoV-2 virus. Using these harmonized LOINC and SNOMED-CT codes helps ensure that the same type of test is represented uniformly across the United States ... LOINC codes must be used to represent the “question” a test asks of a specimen (e.g., does this specimen have SARS-CoV-2 RNA?), and SNOMED-CT codes must be used to represent the diagnostic “answer” (e.g., what was detected?).</blockquote>


* Since the pandemic started, new HCPCS codes have been released by the Centers for Medicare & Medicaid Services (CMS). These are to be used solely for Medicare claims. The [https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2020-COVID19-Billing-and-Coding-Resource.pdf American Society of Clinical Oncology] (PDF) is maintaining a helpful document with that information.
The CDC's Excel-based mapping tool lists the current (and previous) FDA EUAed diagnostic tests with codes for LOINC test order, LOINC test result, SNOMED-CT test description, SNOMED-CT specimen source, and Device Identifier. Ensure that your laboratory is using these LOINC and SNOMED-CT codes for reporting to your local and state health departments.
 
Table 1 addresses the reporting requirements for the United States' 50 states, while Table 2 covers U.S. territories. If clear reporting guidance specific to COVID-19 could be found, it was described. If no such guidance could be found, then the state's existing guidance and rules regarding disease reporting were referenced. In some cases, the state health departments don't clearly spell out whether a faxed or mailed report is required after immediately phoning in a report. In other cases, it's not clear if ELR—though it exists—is an acceptable form of reporting COVID-19 cases. This ambiguity is stated in the form of a "(?)" found next to the "Y" and "N" for electronic filing and faxing. In '''all''' cases, if there is any doubt about reporting requirements, call your local health department to confirm.
 
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{| class="wikitable" border="1" cellpadding="5" cellspacing="0" width="90%"
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  | style="background-color:white; padding-left:10px; padding-right:10px;" colspan="6"|'''Table 1.''' U.S. state-based COVID-19 reporting requirements
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  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |State
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Electronic, including email? (Y/N)
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Fax? (Y/N)
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Forms for reporting
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Contact
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Additional details
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.alabamapublichealth.gov/covid19/healthcare.html Alabama]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://epiweb.adph.state.al.us/redcap/surveys/?s=WK7TY9PT7J Novel Coronavirus Report Card]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ALNEDSSsupport@adph.state.al.us
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Use the Report Card "to submit laboratory-confirmed (or pre-approved epidemiologically-linked) cases or deaths of Novel Coronavirus (COVID-19) to the Alabama Department of Public Health." (Though long-term care facilities and correctional facilities should used different forms.) "Performing laboratories are required to report all negative and positive COVID-19 virus test results electronically (faxes do not count). If not already enrolled, laboratories will need to manually enter test results directly into the surveillance system." Email the contact to enroll staff access to the system.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dhss.alaska.gov/dph/Epi/id/Pages/COVID-19/healthcare.aspx Alaska]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dhss.alaska.gov/dph/Epi/Documents/pubs/conditions/frmInfect.pdf Confidential Infectious Disease Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|COVID Reporting Hotline: 1-877-469-8067<br />&nbsp;<br />Urgent situation: 907-269-8000 or 800-478-0084 (after-hours)<br />&nbsp;<br />ELR: megan.tompkins@alaska.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Providers must report laboratory-confirmed cases of COVID-19 to SOE via fax (907-563-7868) using the standard Infectious Disease report form or via electronic means. The reporting hotline has been discontinued." "All results (i.e., positive, negative, indeterminate, etc.) must be reported via either integration into existing electronic laboratory reporting (ELR) data feeds, submission of a standard format CSV via SFTP, or fax (907-563-7868). Please email Megan Tompkins ... to inform us about how your facility will report." (See ''[http://dhss.alaska.gov/dph/Epi/id/siteassets/pages/humanCOV/AKCOVIDTestingGuidance.pdf Guidance for Coronavirus Disease 2019 (COVID-19) Testing in Alaska]'' for more.)
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.azdhs.gov/covid19/index.php#healthcare-providers-lab-info Arizona]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.azdhs.gov/covid19/documents/healthcare-providers-lab-info/sample-adhs-csv-file.csv Sample ADHS CSV File]<br />[https://www.azdhs.gov/covid19/documents/healthcare-providers-lab-info/sample-adhs-excel-file.xlsx Sample ADHS Excel File]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: elr@azdhs.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Facilities performing laboratory tests for COVID-19 are required to report both positive and negative results for COVID-19 directly to ADHS pursuant to Executive Order 2021-14. Laboratory is defined in A.R.S. § 36-451(4). Facilities shall report using an electronic format, described below." Consult the [https://www.azdhs.gov/covid19/index.php#healthcare-providers-lab-info laboratory information page] for details of all reporting options.
|-
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.healthy.arkansas.gov/programs-services/topics/epidemiology Arkansas]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.healthy.arkansas.gov/images/uploads/pdf/CommunicableDiseaseReportingForm.pdf Communicable Disease Reporting Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (501) 537-8969 or 1-800-554-5738 after-hours
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Arkansas Department of Health doesn't appear to have published any information about specific COVID-19 reporting requirements. As of September 2021, the DoH still hasn't updated its [https://www.healthy.arkansas.gov/images/uploads/pdf/List_and_Instructions_Reportable_Diseases.pdf list of mandatory reportable diseases]. The state is presumably treating "suspected or confirmed" COVID-19 cases as an immediately reportable event that "are to be reported immediately to the ADH." The language used on its reportable disease instructions suggests that a follow-up fax of the case report isn't required; however, call and confirm with the DoH. The only mention of ELR is a plain page labelled "[https://www.healthy.arkansas.gov/programs-services/topics/public-health-reporting Public Health Reporting]." It would appear users can submit reports via this tool, though registration may be required if new to the tool.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Reportable-Disease-and-Conditions.aspx California]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.cdph.ca.gov/CDPH%20Document%20Library/ControlledForms/cdph110a.pdf Confidential Morbidity Report]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.cdph.ca.gov/Programs/CCLHO/Pages/CCLHO-Health-Officer-Directory.aspx Local health officers]<br />&nbsp;<br />CalREDIE: CalREDIEHelp@cdph.ca.gov or (866) 866-1428
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The DPH [https://www.cdph.ca.gov/Programs/OSPHLD/LFS/CDPH%20Document%20Library/LFSCOVID19ltr-1.pdf added] COVID-19 to its Reportable Diseases and Conditions lists for [https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/ReportableDiseases.pdf health care providers] and [https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/LabReportableDiseases.pdf laboratories] early in the pandemic. This health care provider document indicates that a "case or suspected case" of COVID-19 should be reported immediately by phone. The document makes no mention of requiring a follow-up fax or digital report by health care providers. The laboratory document indicates "[l]aboratories must report any initial findings as well as any subsequent findings. ”Any laboratories approved to test for SARS-CoV-2 must report all positive and non-positive (negative, indeterminate, and specimen unsatisfactory) test results from both antigen/molecular and antibody/serology tests for SARS-CoV-2." Laboratory findings are "are reportable to the local health officer of the health jurisdiction where the patient resides by telephone within one (1) hour ... from the time that the laboratory notifies the health care provider or other person authorized to receive the report." Labs are asked to also subsequently report results electronically (ELR) to the California Reportable Disease Information Exchange (CalREDIE) "within one working day of identification."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://cdphe.colorado.gov/report-a-disease/covid Colorado]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|CEDRS: lavelle.fernandez@state.co.us<br />&nbsp;<br />ELR: andrew.horvath@state.co.us
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"All test results (e.g., positive, negative, and inconclusive) for rapid point-of-care COVID-19 tests must be reported to public health" officials by providers. Additionally, "[a]ll positive, negative, and inconclusive SARS-CoV-2 test results must be reported electronically by laboratories." The disease reporting form and fax methods should not be used. A list of required reporting components and descriptions of digital reporting options are available on the state's [https://cdphe.colorado.gov/report-a-disease/covid COVID-19 reporting page].
|-
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://portal.ct.gov/DPH/Epidemiology-and-Emerging-Infections/Laboratory-Reporting Connecticut]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://portal.ct.gov/-/media/DPH/EEIP/Forms/nCoV_-PUI_Form.pdf?la=en 2019 Novel Coronavirus (COVID-19) Case Report Form]<br />&nbsp;<br />[https://portal.ct.gov/-/media/Departments-and-Agencies/DPH/dph/infectious_diseases/pdf_forms_/OL15C_Form.pdf?la=en Reportable Laboratory Findings, Form OL-15C]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: (860) 629-6962<br />&nbsp;<br />ELR: dph.elr@ct.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Presumably, laboratories are reporting COVID-19 as is required for any communicable disease. This has traditionally been done using Form OL-15C sent through [https://portal.ct.gov/DPH/Epidemiology-and-Emerging-Infections/Laboratory-Reporting mail or fax], as well as [https://portal.ct.gov/DPH/Epidemiology-and-Emerging-Infections/Electronic-Laboratory-Reporting ELR], which appears to be the preferred method. As for other healthcare providers, per the DPH's [https://portal.ct.gov/Coronavirus/Pages/Public-Health-Resources/Healthcare-Professionals COVID-19 response portal]: "Providers can now submit a COVID-19 case report [https://dphsubmissions.ct.gov/Covid/InitiateCovidReport online]. This is the preferred way to submit COVID-19 case reports."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://coronavirus.delaware.gov/medical-providers/#reporting-requirements Delaware]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Call: 1-888-295-5156<br />&nbsp;<br />Email: reportdisease@delaware.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"The Department of Health and Social Service’s March 10, 2020 order requiring all labs to immediately report all tests and all results to the Division of Public Health (DPH) remains in effect. All COVID results, positive AND negative are reportable." "All COVID-19 test results from any laboratory must be reported to DPH via the
Delaware Electronic Reporting Surveillance System (DERSS). Providers must confirm with their designated laboratories that they have the ability to transmit results to DERSS through approved methods." Review the [https://coronavirus.delaware.gov/wp-content/uploads/sites/177/2020/09/Provider-and-Lab-Reporting-Requirements-and-Penalties-letter_9.28.20.pdf provider lab reporting requirements] for further details.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://dchealth.dc.gov/node/1487006 District of Columbia]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://dccovid.force.com/provider/s/ Notifiable Disease and Condition Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: informatics.epi@dc.gov<br />&nbsp;<br />Reporting questions: coronavirus@dc.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"... healthcare providers must report negative and positive test results for all COVID-19 diagnostic and serologic testing, including point-of-care testing. Reports should be submitted electronically using DC Reporting and Surveillance Center (DCRC), our [https://dccovid.force.com/provider/s/ online reporting system]." "Laboratories are recommended to submit COVID-19 results via Electronic Lab Reporting. Please email informatics.epi@dc.gov to initiate the process. Hospitals, skilled nursing facilities, and assisted living facilities should report cases in patients/residents via daily line lists to DC Health."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/surveillance-and-investigation-guidance/index.html Florida]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: ELRPortalSupport@flhealth.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Mandatory reporting requirements are outlined by Florida Department of Health Executive Order 20-013, section 381.0031, Florida Statutes, and Florida Administrative Code Chapter 64D-3, and state all health care practitioners, laboratories and facilities, including long-term care facilities, must report both negative and positive COVID-19 test results, including point-of-care rapid test results, within 24 hours of the result being known." As of September 2021, the documentation found on floridahealth.gov appears outdated, however, as the links to the report portal that are indicated are broken. A site, [https://www.flhealthsource.gov/covid19-reporting flhealthsource.gov], was found, and it appears to be the current report portal for health care providers and facilities.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://dph.georgia.gov/epidemiology/disease-reporting Georgia]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dph.georgia.gov/document/document/notifiable-disease-report-form/download Notifiable Disease Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: Based on [https://dph.georgia.gov/about-dph/contact-dph/public-health-districts District Health Office]<br />&nbsp;<br />Call: 1-866-782-4584
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Georgia lists COVID-19 as an immediately reportable disease condition. "All Georgia physicians, laboratories, and other health care providers" are encouraged to call their District Health Office or the main number. The state is also accepting COVID-19 reports through its [https://sendss.state.ga.us/sendss/login.screen SendSS] online application.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.hawaii.gov/coronavirusdisease2019/for-clinicians/evaluating-puis/ Hawaii]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.hawaii.gov/docd/files/2020/01/COVID-19_Short-Form_Fillable_For_Physicians.pdf Human Infection with 2019 Novel Coronavirus Short Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: (808) 586-4595<br />&nbsp;<br />ELR: helpdesk@hawaiihie.org
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.hawaii.gov/coronavirusdisease2019/files/2021/08/DOH-DIR-Declaration-08-06-21.pdf Per the Director of Health]: "Pursuant to section 325-2, Hawaii Revised Statutes, every physician or health care professional having a client affected by or suspected of being affected by COVID-19 (SARS-CoV-2) and every laboratory director having laboratory data regarding an individual affected by or suspected of being affected by COVID-19 (SARS-CoV-2) shall report the incidence or suspected incidence of COVID-19 (SARS-CoV-2) to the Department of Health in the manner specified by the Department of Health. At this time, all test results shall be reported via the electronic laboratory reporting system." That system is presumed to be [https://lrp.health.hawaii.gov/#/ this portal]. Faxing may no longer be an option; confirm with the Department of Health.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://healthandwelfare.idaho.gov/Health/Epidemiology/tabid/111/Default.aspx Idaho]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (208) 334-5939<br />&nbsp;<br />Fax: (208) 332-7307<br />&nbsp;<br />ELR: PublicHealthMU@dhw.idaho.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Idaho Department of Health and Welfare doesn't appear to have published any information about COVID-19 reporting requirements. As of September 2021, the state has not added COVID-19 to its [https://publicdocuments.dhw.idaho.gov/WebLink/DocView.aspx?id=6797&dbid=0&repo=PUBLIC-DOCUMENTS mandatory reportable diseases list]. They [https://coronavirus.idaho.gov/frequently-asked-questions/ simply state] that "Labs report their test results to the state, and the number of tests done and the number of people who test positive are posted on this website each day." Presumably this means that labs should be following the state's reportable diseases protocol for reporting "within one working day of identification or suspicion" using phone or fax. No standardized reporting form appears to exist. It's not clear if [https://healthandwelfare.idaho.gov/providers/electronic-health-records-ehr/meaningful-use-electronic-health-records-and-idaho-public ELR] is being used to report COVID-19 cases.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dph.illinois.gov/covid19/health-care-providers Illinois]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://www.dph.illinois.gov/sites/default/files/COVID19/COVID19%20Case%20Report%20Form%204.23.20.pdf IDPH Coronavirus Novel 2019 Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: Based on [http://www.idph.state.il.us/LHDMap/HealthRegions.aspx Local Health Department]<br />&nbsp;<br />ELR: dph.elrresp@illinois.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"All providers and testing sites must report to Public Health all individuals tested for COVID-19, in accordance with the Illinois Control of Communicable Diseases Code (77 Ill. Adm. Code 690.200(a)(5)). Mandated reporters, such as health care providers, hospitals and laboratories, by law must report probable or confirmed cases of COVID-19 electronically through Illinois’ National Electronic Disease Surveillance System (I-NEDSS) within 24 hours. If they do not have access to I-NEDSS, they can report by mail, telephone or fax to the local health department ... or, if no local health department is available, to the Illinois Department of Public Health Division of Infectious Diseases at 217-785-7165, TTY (hearing impaired use only) 800-547-0466."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.coronavirus.in.gov/files/COVID-19%20Reporting%20Methods%2010.19.20.pdf Indiana]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://forms.in.gov/Download.aspx?id=5082 Confidential Report of Communicable Diseases]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: (317) 233-7684 or ijameson@isdh.in.gov<br />&nbsp;<br />Fax: (317) 233-7747
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"CDC requires every COVID-19 testing site to report every diagnostic and screening test performed to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (e.g., molecular, antigen, antibody) to the appropriate state or local public health department, based on the individual’s residence. All testing sites must report diagnostics and screening tests within 24 hours of test completion to the appropriate state or local public health department." Their guidance suggest three reporting methods: ELR, REDCap, and Fax. Examine [https://www.coronavirus.in.gov/files/COVID-19%20Reporting%20Methods%2010.19.20.pdf the guidance] for further information.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://idph.iowa.gov/cade/idss Iowa]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: [https://idph.iowa.gov/cade/idss Jill Newland]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"All Iowa health care providers and public, private, and hospital laboratories are [https://idph.iowa.gov/Portals/1/userfiles/61/covid19/Mandatory%20Reporting%20Order.pdf required] to immediately report all positive and negative SARS-CoV-2 testing results to the department. Immediate reporting is defined as reporting within one day of the test being performed, a standard utilized by the department since its initial March 19, 2020, Mandatory Reporting Order. Reports must be made electronically through the Iowa Disease Surveillance System (IDSS) or other electronic means as directed by the department."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.kdheks.gov/epi/covid_reporting.htm Kansas]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://diseasereporting.kdhe.ks.gov/ Kansas Reportable Disease Portal]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (877) 427-7317<br />&nbsp;<br />Fax: (877) 427-7318<br />&nbsp;<br />ELR: kdhe.epitraxadmin@ks.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Report antigen or PCR point of care results, positive and negative, directly to KDHE via the Kansas Reportable Disease Portal https://diseasereporting.kdhe.ks.gov/ within 24 hours ... For facilities that do not perform point of care antigen or PCR testing, for antigen or PCR testing done through a reference laboratory or in-hospital laboratory, your facility does not need to report result to KDHE. The laboratory conducting the SARS-CoV-2 test is required to report results to KDHE." Faxing forms appears to be discouraged: "Clinics/hospital systems: if possible, please modify electronic health record systems to cease sending notifiable disease forms to KDHE via email and fax. If your facility uses Epic for its electronic medical records, you may be able to submit reports to KDHE automatically."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://khie.ky.gov/COVID-19/Pages/Reporting-Requirements-COVID-19.aspx Kentucky]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Email: COVIDKYLAB@ky.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"If you are a healthcare organization resulting any type of COVID-19 test, you are required to report both positive and negative results to the Kentucky Department for Public Health (KDPH) ... If you are resulting labs at your facility, KDPH requires you to report results through [https://khie.ky.gov/Pages/index.aspx Kentucky Health Information Exchange (KHIE)], either electronically through an interface connection or by manually entering results. If you are not currently electronically connected to KHIE, you must manually report these results through KHIE's Direct Data Entry (Lab) feature located in the ePartnerViewer ... You are required to report all positive results within 24 hours of resulting ... You are required to report all negative results within 7 days of resulting."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://ldh.la.gov/index.cfm/page/1013 Louisiana]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (504) 568-8295<br />&nbsp;<br />ELR: elr@la.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"All facilities performing testing for COVID-19/SARS-CoV-2 are required to report all COVID-19/SARS-CoV-2 results to LDH. This includes rapid testing, point-of-care testing, antibody testing, or any other testing performed for COVID-19. Electronic laboratory reporting (ELR) in HL7 or CSV format is the preferred mechanism for reporting results ... Note: COVID-19 test results sent via ELR should include all results of testing (i.e., positive, negative, indeterminate, etc.)." Also, if you do not have ELR set up or for some reason can't report electronically: "The ELR team will work with you to set up ELR or an alternative reporting method."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/disease-reporting/index.shtml Maine]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: 800-821-5821<br />&nbsp;<br />Email: disease.reporting@maine.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|A February 2021 update to the state's Control of Notifiable Conditions and Notifiable Conditions List mandates that health care providers and labs must report COVID-19 test results. It mandates that "[l]aboratory reporting must be done electronically through HL7 messaging as specified in this subsection. Electronic reporting required for laboratories is in addition to other reporting requirements specified in this rule." Consult the "New Rules for the Control of Notifiable Conditions" PDF on the [https://www.maine.gov/dhhs/mecdc/infectious-disease/epi/disease-reporting/index.shtml disease reporting] page for details. It appears COVID-19 should no longer be reported by fax.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://phpa.health.maryland.gov/Pages/what-to-report.aspx Maryland]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.maryland.gov/phpa/Documents/DHMH-1281.pdf Confidential Report: Laboratory Evidence of Certain Communicable Diseases]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://health.maryland.gov/Pages/departments.ASPX Local health department]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The only reporting requirement to be found are in a PDF, item [https://health.maryland.gov/phpa/Documents/2020100101_MDH%20Order_Amended%20Various_Health_Care_Matters_Order%20POC2.pdf No. MDH 2020-10-01-01], which largely addresses point-of-care testing. Presumably this extends to other types of testing, but it's not clear what other types of testing. It mentions that "[p]ositive, negative, and inconclusive point of care test results shall be reported." The document goes on to explain that electronic reporting is preferred, especially for those labs that are already set up to so do so. Some other electronic format like a CSV file is next preferred, and then, "[i]f the results cannot be sent by HL-7 format or another approved electronic format, they must be immediately submitted to the appropriate local health officer in a manner designated by MDH."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.mass.gov/lists/infectious-disease-reporting-and-regulations-for-health-care-providers-and-laboratories Massachusetts]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.naccho.org/membership/lhd-directory?searchType=standard&lhd-state=MA#card-filter Local health departments]<br />&nbsp;<br />MDPH phone: (617) 983-6800<br />&nbsp;<br />MDPH fax: (617) 983-6813
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The State of Massachusetts doesn't appear to have published any collection of information about specific COVID-19 reporting requirements. The state is [https://www.mass.gov/doc/list-of-diseases-reportable-by-healthcare-providers/download presumably] treating COVID-19 "suspected and confirmed cases" as an immediately reportable event that "should be reported to your local board of health" by phone, or if unavailable, to the Massachusetts Department of Public Health by phone or fax. The MDPH disease reporting web page makes no mention of ELR.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.michigan.gov/mdhhs/0,5885,7-339-71550_5104_53072---,00.html Michigan]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|MDSS: [https://www.michigan.gov/documents/MDSS_Support_Resources_87777_7.pdf Support contacts]<br />&nbsp;<br />Contact: Local health department list in reporting guide
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Michigan Department of Health & Human Services has updated its ''[https://www.michigan.gov/documents/mdhhs/MDHHS_Brick_Book_609755_7.pdf Health Care Professional's Guide to Disease Reporting in Michigan]'' to include detections of SARS-CoV-2. They note that "if the agent is identified by clinical or laboratory diagnosis," the detection (by both healthcare providers and laboratories) "must be reported to the Michigan Disease Surveillance System (MDSS) or local health department within 24 hours." As for how: "Mandatory reporting of communicable diseases can (and, whenever possible, should) be accomplished via the MDSS. The MDSS is a web-based communicable disease reporting system developed for the state of Michigan." If unable to electronically report, contact the local health department using the directory in the disease reporting guide.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.state.mn.us/diseases/coronavirus/hcp/report.html Minnesota]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.state.mn.us/diseases/coronavirus/hcp/covidreportform.pdf COVID-19 Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: (651) 201-5743<br />&nbsp;<br />Phone: (651) 201-5414 or (877) 676-5414<br />&nbsp;<br />ELR: health.ELRmeaningfuluse@state.mn.us
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"The Minnesota Department of Health (MDH) is requiring all mandated reporters to report any cases and deaths due to SARS-CoV-2 to MDH within one working day." This includes health care facilities, medical laboratories, and in special cases veterinary laboratories. Case report forms can be faxed or case reports submitted by phone. On a [https://www.health.state.mn.us/diseases/coronavirus/hcp/reportlab.html separate page discussing laboratories], the DoH further discusses ELR. Read that for more details.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://msdh.ms.gov/msdhsite/_static/14,0,194.html Mississippi]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://msdh.ms.gov/msdhsite/_static/resources/5072.pdf Reportable Diseases and Conditions form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (601) 576-7725 or 1-800-556-0003; for weekends, holidays and after 5pm: (601) 576-7400; Email: clia-msdh@msdh.ms.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Mississippi State Department of Health [https://msdh.ms.gov/msdhsite/_static/14,21911,420,874.html states]: "All COVID-19 results must be reported to the Mississippi State Department of Health at this time." However, it gives no further guidance specifically for commercial laboratories or health care providers testing for SARS-CoV-2. Presumably the MSDH is considering COVID-19 a Class 1A disease, [https://msdh.ms.gov/msdhsite/_static/resources/1719.pdf required] to be "reported directly to the Department of Health by telephone within 24 hours of first knowledge or suspicion." The MSDH also has an [https://msdh.ms.gov/msdhsite/_static/14,0,194.html online disease reporting tool] (account required); however, it's not clear if it is equipped to received COVID-19 reports.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/how-to-report-lab-results.php Missouri]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.mo.gov/living/healthcondiseases/communicable/novel-coronavirus/xls/lab-result-reporting-template.xlsx sFTP Excel template]<br />&nbsp;<br />[https://health.mo.gov/living/healthcondiseases/communicable/communicabledisease/cdmanual/pdf/CD-1.pdf Disease Case Report form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|sFTP: (573) 526-5271<br />&nbsp;<br />Fax: (573) 751-6417<br />&nbsp;<br />ELR: ELR@health.mo.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Missouri Department of Health and Senior Services has officially added COVID-19 to its list of immediately reportable conditions, including a waiver "to require that all positive and negative results for COVID-19 are sent directly to DHSS. Now, all laboratories must report directly to DHSS." They add that "[l]aboratories are encouraged to report via electronic means." Alternatively, labs may also submit a report to the Bureau of Reportable Disease Informatics (BRDI) via fax. "[M]edical providers (non-laboratories) also have an obligation to submit disease case reports (form CD-1) to DHSS. However, under the current suspension, providers do not have to report negative results if those results are being reported by an outside lab. Providers are expected to submit a case report on any non-negative results as the additional information on the case report is required for public health intervention."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://dphhs.mt.gov/publichealth/cdepi/reporting Montana]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://dphhs.mt.gov/publichealth/FCSS/countytribalhealthdepts Local health department]<br />&nbsp;<br />DPHHS phone: (406) 444-0273
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Montana Department of Public Health and Human Services doesn't appear to have published any information about specific COVID-19 reporting requirements. The state is [https://dphhs.mt.gov/assets/publichealth/CDEpi/DiseaseReporting/lhjreportablediseaselistdec2019dphhs.pdf presumably] treating COVID-19 like its other reportable diseases: "whether suspected or confirmed" the case "must be reported immediately to your local health jurisdiction as required by the Administrative Rules of Montana." If the local public health jurisdiction is unavailable, a call can be placed to the MDPHHS. It is not clear if laboratories should report both positive and negative results, though [https://www.kpax.com/news/coronavirus/covid-19-cases-in-montana-rise-to-9 news reports] have shown that the DPHHS is reporting both positive and negatives. The disease reporting web page makes no mention of ELR.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dhhs.ne.gov/Pages/Disease-Reporting.aspx Nebraska]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dhhs.ne.gov/epi%20docs/ReportableDiseaseCaseReportForm.pdf Health Care Provider Confidential Communication form]<br />&nbsp;<br />[http://dhhs.ne.gov/epi%20docs/ReportableDiseaseLabForm.pdf Laboratory Summary of Reportable Diseases, Poisonings and Organisms]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: [http://dhhs.ne.gov/Pages/Disease-Reporting.aspx Based on county]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Nebraska Department of Health and Human Services provides little in the way of specific guidance for reporting COVID-19. They simply [http://dhhs.ne.gov/han%20Documents/UPDATE03132020.pdf state]: "Any patient (+) for COVID-19 virus should be immediately reported to local/state public health office." They define "immediate notification" as "required to call by telephone to a live public health surveillance official within 24 hours of detection." This apparently includes providers currently on ELR. Labs and healthcare providers should verify if any additional reporting (fax, ELR) is required. As the pandemic has progressed, reporting transparency and requirements have also changed, [https://web.archive.org/web/20210803232240/https://journalstar.com/lifestyles/health-med-fit/health/nebraskas-reporting-of-covid-19-data-takes-another-hit/article_14443b64-fe19-5516-b46e-a125920fa4ae.html becoming more controversial]; contact your local health department for the latest requirements.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dpbh.nv.gov/Programs/OPHIE/Public_Health_Informatics_and_Epidemiology_-_Home/ Nevada]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dpbh.nv.gov/Programs/OPHIE/Docs/Updated_Morbidity_Form_-_BP_4_2016/ Confidential Disease Reporting Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: Local health department list in reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Nevada DHHS guidance [https://nvhealthresponse.nv.gov/wp-content/uploads/2020/06/6.24.2020_COVID-19-Laboratory-Test-Reporting-Technical-BulletinUPDATED.pdf states]  "all in-state and out-of-state laboratories who are processing and testing samples from Nevada residents are required under severe penalties to report all COVID-19 test results to the Division of Public and Behavioral Health within 24 hours from analysis." Its guidance appears to suggest a phone call for such notification. According to the state's [http://dpbh.nv.gov/Programs/OPHIE/Docs/Updated_Morbidity_Form_-_BP_4_2016/ disease reporting form], this phone call should be done in addition to faxing a report. "All cases, suspect cases, and carriers
must be reported within 24 hours." It's not clear if ELR is being accepted for COVID-19 reporting.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dhhs.nh.gov/dphs/cdcs/forms.htm New Hampshire]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dhhs.nh.gov/dphs/cdcs/covid19/covid19-reporting-form.pdf COVID-19 Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (603) 271-4496<br />&nbsp;<br />Fax: (603) 271-0545
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Health care providers and laboratories should immediately report suspect and confirmed cases of COVID-19 to the New Hampshire Department of Health and Human Services. It seems likely the DPHHS prefers both a phone call and a faxed report, though it's not explicitly stated. The case should likely be "reported within 24 hours of diagnosis or suspicion of diagnosis." The NHDHHS disease reporting web page makes no mention of ELR. An online test result reporting form is available, per the state's [https://www.covid19.nh.gov/resources/general-provider-covid-19-resources-and-information General Provider COVID-19 Resources page].
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.nj.gov/health/cd/reporting/ New Jersey]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|ELR: [https://cdrs.doh.state.nj.us/cdrss/login/loginPage See quick-start guide]<br />&nbsp;<br />[https://www.nj.gov/health/cd/reporting/index.shtml Local health departments]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"[T]he New Jersey Domestic Security Preparedness Task Force [https://nj.gov/governor/news/news/562020/approved/20200323c.shtml hereby directs] that commercial laboratories operating in New Jersey report all COVID-19 test results to the New Jersey Department of Health beginning March 23, 2020. The results of all COVID-19 tests performed before this date shall be included in the initial report. Subsequently, results shall be sent daily, and included results not previously reported. Information shall be transmitted no later than 8:00 p.m. each day through the Department of Health’s CDRSS platform. Specific data reported shall include positive, negative, and inconclusive test results. This directive shall supplement, not supplant, any other existing reporting requirements." From that statement, it's not clear if laboratories should also be immediately phoning their results to the health department in addition to ELR over CDRSS.
 
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://nmhealth.org/about/erd/ideb/ids/ New Mexico]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://nmhealth.org/publication/view/form/3288/ Notifiable Condition Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (505) 827-0006<br />&nbsp;<br />Fax: (505) 827-0013
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The New Mexico Department of Health doesn't appear to have published any information about specific COVID-19 reporting requirements. The DoH is [https://nmhealth.org/publication/view/policy/372/ presumably] treating "confirmed or suspected" COVID-19 cases as an immediately reportable event that "require immediate reporting by telephone to Epidemiology and Response Division." It's not clear if a faxed report is also required. The DoH disease reporting web page makes no mention of ELR.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.ny.gov/professionals/diseases/reporting/communicable/ New York]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.ny.gov/forms/doh-389.pdf Confidential Case Report - DOH-389]<br />&nbsp;<br />[https://www1.nyc.gov/assets/doh/downloads/pdf/hcp/urf-0803.pdf Universal Reporting Form - PD-16]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.nysacho.org/directory/ Local health departments]<br />&nbsp;<br />ECLRS: eclrs@health.ny.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The New York Department of Health [https://coronavirus.health.ny.gov/system/files/documents/2020/04/doh_covid19_privatepracticesamplingsites_041920.pdf states]: "Positive results must be immediately reported to the local Department of Health by the laboratory performing the test, per established guidance, and all test results should be reported by the laboratories into New York State Department of Health’s Electronic Clinical Laboratory Reporting System (ECLRS) four times a day." The established guidance appears to be found in the state's [https://health.ny.gov/forms/instructions/doh-389_instructions.pdf updated reporting instructions], which now includes COVID-19 as a disease that "should be reported immediately to local health departments by phone followed by submission of the confidential case report form (DOH-389). In NYC use case report form PD-16." This means "within 24 hours of diagnosis." The instructions indicate case reports should be mailed. Both health care facilities and laboratories should report.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://epi.dph.ncdhhs.gov/cd/report.html North Carolina]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://epi.dph.ncdhhs.gov/cd/lhds/manuals/cd/reportforms/COVID19_part2.pdf COVID-19 Confidential Communicable Disease Report]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.ncalhd.org/directors/ Local health departments]<br />&nbsp;<br />Fax: (919) 733-0490
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Per NCDHHS's clinical diagnostic [https://slph.ncpublichealth.com/bioterrorism/2019-ncov.asp laboratory guidance]: "each person in charge of a laboratory providing diagnostic service in this State and any other health care provider licensed in this State that provides diagnostic service [is required] to report the results of all COVID-19 testing to the Department of Health and Human Services." An [https://slph.ncpublichealth.com/doc/NCCOVID-19LabDataAutomation-CLDA-ProcessIntroduction.pdf electronic reporting process] appears to have been added later in 2020.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/infectious-diseases/infectious-diseases Ohio]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://odh.ohio.gov/wps/wcm/connect/gov/8a5539e9-f823-480d-a2c7-a30e80c33d62/form-confidential-reportable-disease.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-8a5539e9-f823-480d-a2c7-a30e80c33d62-mR0PC0i Ohio Confidential Reportable Disease form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://odh.ohio.gov/wps/portal/gov/odh/find-local-health-districts Local health districts]<br />&nbsp;<br />ELR: ELR@odh.ohio.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|In March 2020, the Ohio Department of Health [https://coronavirus.ohio.gov/wps/wcm/connect/gov/b2581867-6e9d-433a-9eb6-1174eee07276/Director%27s+Journal+Entry+on+Updated+COVID-19+Reporting+Requirements.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-b2581867-6e9d-433a-9eb6-1174eee07276-n5829m- ordered] "confirmed cases of COVID-19 be reported immediately as a Class A disease pursuant to Ohio Adm. Code 3701-3-02(A) to the local health district in which the person resides (or the local health district wherein the person is being medically evaluated if the person's residence is unknown or not in Ohio)." Physicians, medical care facilities, and laboratories are encouraged to report positive cases. Per the state's [https://odh.ohio.gov/wps/wcm/connect/gov/84ffece4-16f1-4602-9b93-7ce4eeb34680/section-1-reporting.pdf?MOD=AJPERES&CONVERT_TO=url&CACHEID=ROOTWORKSPACE.Z18_M1HGGIK0N0JO00QO9DDDDM3000-84ffece4-16f1-4602-9b93-7ce4eeb34680-mI9Bggz communicable disease requirements], Class A diseases should be reported immediately by phone, with a follow-up HEA 3334 Ohio Confidential Reportable Disease form. That requirements doc also states "follow-up reports can also be made electronically through direct entry into the [https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/ohio-disease-reporting-system/ohio-disease-reporting-system Ohio Disease Reporting System] (ODRS) or through [https://odh.ohio.gov/wps/portal/gov/odh/know-our-programs/electronic-laboratory-reporting/electronic-laboratory-reporting Electronic Laboratory Reporting]."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://oklahoma.gov/health/prevention-and-preparedness/acute-disease-service/disease-reporting/how-to-report.html Oklahoma]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://www.ok.gov/health2/documents/Reportable%20Condition%20Poster%20Blue%20Card%202018.pdf Reportable Disease Card for Healthcare Providers (Blue Card)]<br />&nbsp;<br />[http://www.ok.gov/health2/documents/Reportable%20Pathogen%20Poster%20Yellow%20Card%202018.pdf Reportable Disease Card for Laboratories (Yellow Card)]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|PHIDDO: adservice@health.ok.gov<br />&nbsp;<br />Phone: (405) 271-4060<br />Fax: (405) 271-6680<br />&nbsp;<br />ELR: AnthonyL@health.ok.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|According the DoH's [https://oklahoma.gov/health/prevention-and-preparedness/acute-disease-service/disease-reporting/how-to-report.html COVID-19 reporting page], COVID-19 cases should optimally be reported by some digital means (HL7, manually entered CSV, exported CSV from information system). The DoH is [https://www.ok.gov/health2/documents/Updated%20--%20Reportable%20Pathogen%20Poster%202019.pdf presumably] treating "laboratory results indicating" (i.e., "upon suspicion, diagnosis, or positive test") COVID-19 as an immediately reportable event. This also holds true for healthcare providers. The Public Health Investigation and Disease Detection of Oklahoma (PHIDDO) system is apparently the preferred method.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/REPORTINGCOMMUNICABLEDISEASE/Pages/index.aspx Oregon]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/REPORTINGCOMMUNICABLEDISEASE/Pages/counties.aspx COVID-19 Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.oregon.gov/OHA/PH/ProviderPartnerResources/LocalHealthDepartmentResources/Pages/lhd.aspx Local public health authority]<br />&nbsp;<br />Fax: (971) 673-1100<br />&nbsp;<br />Oregon COVID-19 Reporting Portal or ELR: (971) 673-1111
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"The Oregon Health Authority (OHA), Public Health Division, is [https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/REPORTINGCOMMUNICABLEDISEASE/Pages/rules.aspx temporarily adopting] OAR 333-017-0800 and OAR 333-018-900, which add a definition of COVID-19 and adds COVID-19 to the list of diseases reportable to public health authorities within 24 hours. Positive test results for COVID-19 must be reported within 24 hours and negative COVID-19 results within one working day." "Both medical laboratories and health care providers are [https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le2290.pdf required] to report COVID-19 test results to the state and local public health authorities." According to [https://secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=1233 state law], reports should be initially submitted by phone call, with a follow-up report either through the [https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/REPORTINGCOMMUNICABLEDISEASE/Pages/counties.aspx Oregon COVID-19 Reporting Portal] or a fax. ELR is [https://www.oregon.gov/oha/PH/DISEASESCONDITIONS/COMMUNICABLEDISEASE/REPORTINGCOMMUNICABLEDISEASE/ELECTRONICLABREPORTING/Pages/index.aspx also an option].
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.pa.gov/topics/Reporting-Registries/Pages/Reporting-Registries.aspx Pennsylvania]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form (use PA-NEDDS)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|PA-NEDSS: 1-877-724-3258
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.health.pa.gov/topics/Documents/HAN/2020-PAHAN-531-10-8-ADV-COVID_labrep.pdf From] the Pennsylvania Department of Health: "All entities conducting testing to identify SARS-CoV-2, the virus that causes COVID-19, are required to report positive, inconclusive/indeterminate, and negative results to PA-NEDSS within 24 hours of test completion. PA-NEDSS is a secure, web-based system used in Pennsylvania for disease reporting and surveillance."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.ri.gov/diseases/about/reporting/ Rhode Island]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (401) 222-2577 or (401) 276-8046 after hours<br />&nbsp;<br />Fax: (401) 222-2488
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://covid.ri.gov/healthcare-professionals/healthcare-providers Per] the Rhode Island Department of Health: "For reporting positive results from testing you have ordered and sent out through a laboratory system, report positive results only." You may report by secure email or fax. "For reporting point-of-care and rapid test results performed at your site, report all positive and negative results." Note the specific email addresses depending on the test type. ELR is not mentioned.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.scdhec.gov/health-professionals/south-carolina-list-reportable-conditions South Carolina]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://scdhec.gov/sites/default/files/Library/CR-009025.pdf Local public health office]<br />&nbsp;<br />ELR: MUHELPDESK@dhec.sc.gov or SCIONHELP@dhec.sc.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://scdhec.gov/covid19/guidance-healthcare-professionals-covid-19/physicians-frequently-asked-questions-covid Per] the South Carolina Department of Health and Environmental Control: "Please notify DHEC of positive results. COVID-19 cases and deaths are urgently reportable per the South Carolina List of Reportable Conditions. They must be reported by phone within 24 hours to the appropriate regional health department." [https://scdhec.gov/sites/default/files/media/document/10472-DHU-08-29-2020-COVID-19.pdf Supplemental guidance]: "Positive and negative test results for COVID-19 must be reported to DHEC urgently within 24 hours by all entities performing testing, including testing at point-of-care or at-home specimen collections processed by laboratories." That guidance adds: "Facilities that are not already submitting results via Electronic Lab Reporting (ELR) or DHEC's secure reporting portal (SCIONx) should contact MUHELPDESK@dhec.sc.gov to inquire about ELR submission, or SCIONHELP@dhec.sc.gov to inquire about other reporting options."
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://doh.sd.gov/diseases/infectious/Reporting.aspx South Dakota]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://sd.gov/diseasereport South Dakota Confidential Disease Report] (online/HTML)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (605) 773-3737 or 800-592-1861<br />&nbsp;<br />Fax: (605) 773-5509
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"SD-DOH would like to [https://doh.sd.gov/COVID/Providers/ remind] medical providers, hospitals, and laboratories that cases of COVID-19, caused by the SARS-CoV-2 virus, are considered immediately reportable in South Dakota (under Coronavirus Respiratory syndromes)." The SD-DOH and the state laws don't make clear what reporting method is best for Category I diseases, only that they should be reported immediately. Under "how to report," they list, in order, [https://sd.gov/diseasereport online reporting], phone, fax, and mail. The SD-DOH disease reporting web page makes no mention of ELR.
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.tn.gov/content/dam/tn/health/documents/cedep/novel-coronavirus/CaseReportingGuidance.pdf Tennessee]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.tn.gov/content/dam/tn/health/documents/reportable-diseases/PH-1600.pdf PH-1600 Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: (615) 741-3857<br />&nbsp;<br />Phone: (615) 741-7247<br />&nbsp;<br />ELR: ceds.informatics@tn.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Healthcare providers who receive positive COVID-19 test results on their patients or patients in their facility [should report]." "Laboratories performing COVID-19 testing should be reporting these results electronically via ELR or our emergency spreadsheet template. If you are a laboratory that needs to report via one of these methods, please email ceds.informatics@tn.gov." These entities "should report within 24 hours of receiving a COVID-19 diagnosis, positive lab report on a patient, and/or becoming aware of a suspected or confirmed COVID-19 associated death." Please submit a case report by filling out the PH-1600 form on all NAAT, PCR and antigen positive COVID-19 test results from facility or commercial labs (this includes any NAAT, PCR or antigen positive patients tested via Point of Care testing); you do not need to submit further information on a lab result from the TDH Public Health Laboratory." The Tennessee Department of Health lists two reporting options: faxing the PH-1600 form and positive lab report or sending it electronically (via [https://hssi.tn.gov/auth/login Morbidity Report] or ELR).
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dshs.texas.gov/idcu/investigation/conditions/ Texas]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dshs.texas.gov/IDCU/investigation/Reporting-forms/2017-EPI-2.pdf Infectious Disease Report] (Single case)<br />&nbsp;<br />[https://www.dshs.texas.gov/IDCU/investigation/Reporting-forms/EPI-1-2017.pdf Infectious Disease Report] (Multiple cases)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.dshs.texas.gov/idcu/investigation/conditions/contacts/ Local health department]<br />&nbsp;<br />ELR: COVID‑19ELR@dshs.texas.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"On July 29, 2021, Governor Greg Abbott [https://www.dshs.texas.gov/coronavirus/labs.aspx ordered] every public or private entity that is utilizing an FDA-approved test, including an emergency use authorization test, for human diagnostic purposes of COVID-19, shall continue to submit to DSHS, as well as to the local health department, daily reports of all test results." This [https://www.dshs.texas.gov/coronavirus/lab-reporting.aspx includes] positive, negative, and indeterminate results. "To comply with the Governor’s orders, DSHS is expediting an alternative method of accepting specific CSV formatted files for submitters who are unable to submit via HL7 format." ELR registration can be [https://www.dshs.texas.gov/coronavirus/forms/registerlab.aspx performed online].
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://epi.health.utah.gov/disease-reporting/ Utah]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://health.utah.gov/epi/reporting/UDOH_CMR.pdf Utah Public Health Confidential Morbidity Report]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Fax: (801) 538-9923<br />&nbsp;<br />Email: reporting@utah.gov<br />&nbsp;<br />Phone: 1-888-EPI-UTAH<br />&nbsp;<br />ELR: edx@utah.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Utah Department of Health added COVID-19 to its reportable conditions in May 2020 for both manual and electronic reporters. "All test results [https://epi.health.utah.gov/wp-content/uploads/2021/04/Reporting-Specifications-Electronic-1.4.pdf are reportable]. This includes positive/reactive, indeterminate, equivocal, and negative/non-reactive." "Electronic reporters [https://epi.health.utah.gov/wp-content/uploads/2019/08/CD_Rule_Overview.pdf must report] laboratory results within 24 hours of finalization. Manual reporters must report immediately notifiable conditions within 24 hours of identification and standard notifiable conditions within three business days of identification." Details on ELR are limited, though an ELR guide for hospitals can be [https://health.utah.gov/phaccess/public/elr/stage3.php found here].
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.healthvermont.gov/disease-control/disease-reporting/lab-result-reporting Vermont]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (802) 863-7240<br />&nbsp;<br />Fax: (802) 951-4061<br />&nbsp;<br />ELR: (802) 651-1619 or AHS.VDHELRSupport@vermont.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Vermont Department of Health [https://www.healthvermont.gov/disease-control/disease-reporting/lab-result-reporting#requirements states]: "All COVID-19 results (positive, negative, etc.) are required to be reported to the Vermont Department of Health within 24 hours of test report completion" Its April 2021 guidance adds: "The report shall be made by telephone, in writing, or electronically to the Department of Health, Epidemiology Program." Additional details can be [https://www.healthvermont.gov/disease-control/disease-reporting/lab-result-reporting#requirements found here].
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  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://www.vdh.virginia.gov/epidemiology/ Virginia]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|See portals linked below
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.vdh.virginia.gov/local-health-districts/ Local health department]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The VDH [https://www.vdh.virginia.gov/coronavirus/health-professionals/testing-laboratory-and-therapeutics/ states]: "All COVID-19 reports from clinicians or facilities based on point-of-care tests should be reported using the [https://apps.vdh.virginia.gov/POCreporting VDH Point-of-Care] (POC) Portal, not the Confidential Morbidity Portal. For other reports not involving POC testing, healthcare providers should continue to report patients with suspected or confirmed COVID-19 through the [https://redcap.vdh.virginia.gov/redcap/surveys/?s=NYKYR7W47M Confidential Morbidity Portal]." They add that "[a]ll COVID-19 test results should be reported to VDH within 24 hours."
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/NotifiableConditions Washington]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|None
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.doh.wa.gov/AboutUs/PublicHealthSystem/LocalHealthJurisdictions Local health jurisdiction]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Washington State Department of Health has adopted several emergency rules to ensure reporting compliance. The DoH [https://www.doh.wa.gov/Emergencies/COVID19/HealthcareProviders/ReportingTestResults notes]: "Facilities administering point-of-care (POC) testing for COVID-19 must report all their COVID-19 testing results to the Washington State Department of Health." (See [https://www.doh.wa.gov/Emergencies/COVID19/HealthcareProviders/ReportingTestResults/ReportingCOVID19TestResultsforPointofCareTestingFacilities here] for more about POC reporting requirements.) "Washington State (under WAC 246-101) requires laboratories to report all COVID-19 results (including positive, negative, inconclusive; and other results based on State Health Officer Letters) to the LHJ of the patient's residence. ELR, national flat file, and electronic case reporting options are available for labs.
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://oeps.wv.gov/reporting/Pages/default.aspx West Virginia]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://dhhr.wv.gov/COVID-19/documents/hcp/covid19_report_form.pdf 2019 Novel Coronavirus (COVID-19) Case Report Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://dhhr.wv.gov/localhealth/pages/map.aspx Local health departments]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Report [https://dhhr.wv.gov/COVID-19/Pages/Provider-Resources.aspx suspect or confirmed cases] immediately to the local health department by phone and follow up with written report." "Providers and LHDs should submit this report to the Division of Infectious Disease Epidemiology by fax at 304-558-8736 for all cases of COVID-19." It's not clear if ELR is an acceptable form of reporting COVID-19 cases.
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dhs.wisconsin.gov/disease/diseasereporting.htm Wisconsin]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.dhs.wisconsin.gov/forms/f02700.pdf Wisconsin COVID-19 Patient Information F-02700]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [hhttps://www.dhs.wisconsin.gov/lh-depts/counties.htm Local health department]<br />&nbsp;<br />WEDSS: DHSWEDSS@wisconsin.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"The state epidemiologist declared COVID-19 a Category I reportable disease per a memo issued on Feb. 4, 2020. Health care providers and laboratories must report confirmed or suspected cases to the Department of Health Services (DHS) within 24 hours of detection. To relieve the reporting burden, DHS waived the requirement (April 6 Memo) for notifying local health departments by telephone of suspected and confirmed cases as long as cases are reported to the Wisconsin Electronic Disease Surveillance System (WEDSS)." Additional rules apply. See "Reporting and surveillance guidance" [https://www.dhs.wisconsin.gov/covid-19/providers.htm here].
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.wyo.gov/publichealth/infectious-disease-epidemiology-unit/reporting/ Wyoming]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://health.wyo.gov/wp-content/uploads/2016/04/22-12940_FillinDiseaseReportForm_2012.pdf Confidential Disease Report form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: 1-888-996-9104<br />&nbsp;<br />Fax: (307) 777-5573
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Providers and laboratories [https://health.wyo.gov/wp-content/uploads/2020/06/COVID-19-Guidance-for-WPHL-website_06222020.pdf must report] positive [SARS-CoV-2] laboratory tests from commercial reference laboratories to WDH by faxing copies of the laboratory report form to 307-777-5573." According to Wyoming's [https://health.wyo.gov/wp-content/uploads/2020/04/2020ReportableListrevised-1.pdf Reportable Diseases and Conditions List], this faxed report would be in addition to immediate notification by phone. Additionally, "[h]ospital and reference labs with ELR capacity must report positive and negative results," as well as viral detection and serology results. According to that document, COVID-19 isn't a disease preferred for ELR. Confirm with the health department.
|-
|}
|}
 
{|
| STYLE="vertical-align:top;"|
{| class="wikitable" border="1" cellpadding="5" cellspacing="0" width="90%"
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;" colspan="6"|'''Table 2.''' U.S. territory-based COVID-19 reporting requirements
|-
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Territory
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Electronic, including email? (Y/N)
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Fax? (Y/N)
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Forms for reporting
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Contact
  ! style="background-color:#e2e2e2; padding-left:10px; padding-right:10px;" |Additional details
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.americansamoa.gov/ American Samoa]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Can't locate the AMS COVID-19 Investigation Form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.facebook.com/pg/asdoh.hotline/about Facebook page]<br />&nbsp;<br />Phone: (684) 633-5871 or (684) 633-5872
  | style="background-color:white; padding-left:10px; padding-right:10px;"|According to [https://6fe16cc8-c42f-411f-9950-4abb1763c703.filesusr.com/ugd/4bfff9_8201b0412f8d4e9ea6f32116ee883b29.pdf American Samoa's report] ''Territory of American Samoa's Response and Action Plan to Combat the Cornoavirus Pandemic'', resources for testing are unfortunately thin. It makes mention that the American Samoa Department of Health should be notified "immediately of probable or confirmed cases of COVID-19." It also mentions completing an "AMS COVID-19 Investigation Form." "If there is more than one case of novel coronavirus in a household, local area or facility, or an outbreak is suspects, notify Command Post immediately at (684) 633-5871 or (684) 633-5872."
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://dphss.guam.gov/covid-19/ Guam]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y (?)
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: Office of Epidemiology and Research - Phone: (671) 735-7289, Fax: (671) 734-2066
  | style="background-color:white; padding-left:10px; padding-right:10px;"|It's clear that Guam is having laboratories [http://dphss.guam.gov/covid-19/ report cases] of COVID-19, but no reporting requirements for COVID-19 (or any other diseases) can be located on the Department of Public Health and Social Services website. Perhaps contact the Office of Epidemiology and Research for more information.
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://governor.gov.mp/covid-19/ Northern Mariana Islands]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|No standardized COVID-19 reporting form
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Contact: [https://www.chcc.gov.mp/laboratory.php CHCC laboratory]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The CNMI Department of Public Health [https://drive.google.com/file/d/19Somy68fPQwTBIcBEiCYyZGo2tboeVgn/view has indicated] that laboratory testing has been primarily been performed by the Guam Public Health Laboratory, but due to them not being able to meet demand, the CNMI DPH will ship samples to Diagnostic Laboratory Services in Honolulu, Hawaii. Presumably those labs are responsible, in part, for reporting results back to the CNMI.
|-
|-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://www.salud.gov.pr/CMS/142 Puerto Rico]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Unknown
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Unknown
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Unknown
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (787) 765-2929<br />&nbsp;<br />Email: contactus@salud.pr.gov
  | style="background-color:white; padding-left:10px; padding-right:10px;"|The Departamento de Salud de Puerto Rico [https://www.salud.gov.pr/CMS/3 has] a relevant document ''OA 440 Sobre la distribución, manejo, administración y reporte de los resultados de las pruebas de COVID-19'' [https://www.salud.gov.pr/CMS/DOWNLOAD/3836 concerning] reporting results.
|-
  |-
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[https://doh.vi.gov/programs/epidemiology-disease-reporting U.S. Virgin Islands]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|N
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Y
  | style="background-color:white; padding-left:10px; padding-right:10px;"|[http://bit.ly/epivi-surveillance Notification of Infectious Disease Form]
  | style="background-color:white; padding-left:10px; padding-right:10px;"|Phone: (340) 626-1654<br />&nbsp;<br />Territorial fax: 1-888-400-8620
  | style="background-color:white; padding-left:10px; padding-right:10px;"|"Make an IMMEDIATE telephone report to the USVI Department of Health at 626-1654 then send the completed
form IMMEDIATELY (within 24 hrs) by fax to 1-888-400-8620. If an immediate report is required after regular working hours, please call 626-1654." Additional COVID-19 information [https://www.covid19usvi.com/ here].
  |-
|}
|}


Laboratories analyzing specimens for SARS-CoV-2 must be equipped to implement and handle analytical testing and test orders using the new test codes. However, they also must be able to quickly and accurately transfer vital case information to the appropriate health authority. This may include using other types of codes such as Logical Observation Identifiers Names and Codes ([[LOINC]]) and [[SNOMED-CT codes]], which are briefly discussed in the next subsection.


==References==
==References==
{{Reflist|colwidth=30em}}
{{Reflist|colwidth=30em}}

Revision as of 20:35, 3 February 2022

Given the valuable nature of case reports during an epidemic[1][2], health care providers, facilities, and laboratories are being held responsible for sending case data to their local and regional health departments. That information then feeds up to the state-level health department, which then makes its way to the national-level entity responsible for handling epidemiology (in the case of the U.S., the CDC). Significant decisions are typically based on that data. For example, the U.S. CDC has been conducting seroprevalance (determination of the "percentages of people who were previously infected with SARS-CoV-2") surveys of various regions of the United States.[3] The insights and decisions the CDC makes depends on cooperation and proper reporting by state and local health departments.

However, acquiring standardized data at the national level can still be challenging. In the case of the U.S., general disease reporting requirements vary from state to state, with many states encouraging full electronic laboratory reporting (ELR), while some still encourage faxed or emailed reports. Add in the urgency and confusion associated with a pandemic, and COVID-19 reporting requirements prove to vary just as much. Some states' health departments have taken a proactive approach to reporting. For example, Iowa's Department of Public Health has issued several mandatory COVID-19 reporting orders meant to supplement existing reporting rules, including an order requiring all Iowa health care providers and public, private, and hospital laboratories "to immediately report all positive and negative Coronavirus Disease 2019 (COVID-19) testing results to the department."[4] Other states have not been as clear on their reporting requirements, in some cases not having any guidance documents or clear information on their health department website for how providers, facilities, and labs should report COVID-19. In those cases, the presumption is that most labs have contacted the health department for advice or are reporting COVID-19 cases as immediately reportable, based upon the state's existing reporting requirements for immediately reportable diseases.

The CDC, however, maintains a page concerning how to report COVID-19 laboratory data. It's important to note their take on using standard terminology, which is based on their mapping tool LOINC In Vitro Diagnostic (LIVD) Test Code Mapping for SARS-CoV-2 Tests[5]:

This specification supports the use of standardized LOINC and SNOMED Clinical Terms (CT) codes to improve the accuracy of reporting tests for the SARS-CoV-2 virus. Using these harmonized LOINC and SNOMED-CT codes helps ensure that the same type of test is represented uniformly across the United States ... LOINC codes must be used to represent the “question” a test asks of a specimen (e.g., does this specimen have SARS-CoV-2 RNA?), and SNOMED-CT codes must be used to represent the diagnostic “answer” (e.g., what was detected?).

The CDC's Excel-based mapping tool lists the current (and previous) FDA EUAed diagnostic tests with codes for LOINC test order, LOINC test result, SNOMED-CT test description, SNOMED-CT specimen source, and Device Identifier. Ensure that your laboratory is using these LOINC and SNOMED-CT codes for reporting to your local and state health departments.

Table 1 addresses the reporting requirements for the United States' 50 states, while Table 2 covers U.S. territories. If clear reporting guidance specific to COVID-19 could be found, it was described. If no such guidance could be found, then the state's existing guidance and rules regarding disease reporting were referenced. In some cases, the state health departments don't clearly spell out whether a faxed or mailed report is required after immediately phoning in a report. In other cases, it's not clear if ELR—though it exists—is an acceptable form of reporting COVID-19 cases. This ambiguity is stated in the form of a "(?)" found next to the "Y" and "N" for electronic filing and faxing. In all cases, if there is any doubt about reporting requirements, call your local health department to confirm.

Table 1. U.S. state-based COVID-19 reporting requirements
State Electronic, including email? (Y/N) Fax? (Y/N) Forms for reporting Contact Additional details
Alabama Y N Novel Coronavirus Report Card ALNEDSSsupport@adph.state.al.us Use the Report Card "to submit laboratory-confirmed (or pre-approved epidemiologically-linked) cases or deaths of Novel Coronavirus (COVID-19) to the Alabama Department of Public Health." (Though long-term care facilities and correctional facilities should used different forms.) "Performing laboratories are required to report all negative and positive COVID-19 virus test results electronically (faxes do not count). If not already enrolled, laboratories will need to manually enter test results directly into the surveillance system." Email the contact to enroll staff access to the system.
Alaska Y Y Confidential Infectious Disease Report Form COVID Reporting Hotline: 1-877-469-8067
 
Urgent situation: 907-269-8000 or 800-478-0084 (after-hours)
 
ELR: megan.tompkins@alaska.gov
"Providers must report laboratory-confirmed cases of COVID-19 to SOE via fax (907-563-7868) using the standard Infectious Disease report form or via electronic means. The reporting hotline has been discontinued." "All results (i.e., positive, negative, indeterminate, etc.) must be reported via either integration into existing electronic laboratory reporting (ELR) data feeds, submission of a standard format CSV via SFTP, or fax (907-563-7868). Please email Megan Tompkins ... to inform us about how your facility will report." (See Guidance for Coronavirus Disease 2019 (COVID-19) Testing in Alaska for more.)
Arizona Y N Sample ADHS CSV File
Sample ADHS Excel File
ELR: elr@azdhs.gov "Facilities performing laboratory tests for COVID-19 are required to report both positive and negative results for COVID-19 directly to ADHS pursuant to Executive Order 2021-14. Laboratory is defined in A.R.S. § 36-451(4). Facilities shall report using an electronic format, described below." Consult the laboratory information page for details of all reporting options.
Arkansas Y Y (?) Communicable Disease Reporting Form Phone: (501) 537-8969 or 1-800-554-5738 after-hours Arkansas Department of Health doesn't appear to have published any information about specific COVID-19 reporting requirements. As of September 2021, the DoH still hasn't updated its list of mandatory reportable diseases. The state is presumably treating "suspected or confirmed" COVID-19 cases as an immediately reportable event that "are to be reported immediately to the ADH." The language used on its reportable disease instructions suggests that a follow-up fax of the case report isn't required; however, call and confirm with the DoH. The only mention of ELR is a plain page labelled "Public Health Reporting." It would appear users can submit reports via this tool, though registration may be required if new to the tool.
California Y N (?) Confidential Morbidity Report Contact: Local health officers
 
CalREDIE: CalREDIEHelp@cdph.ca.gov or (866) 866-1428
The DPH added COVID-19 to its Reportable Diseases and Conditions lists for health care providers and laboratories early in the pandemic. This health care provider document indicates that a "case or suspected case" of COVID-19 should be reported immediately by phone. The document makes no mention of requiring a follow-up fax or digital report by health care providers. The laboratory document indicates "[l]aboratories must report any initial findings as well as any subsequent findings. ”Any laboratories approved to test for SARS-CoV-2 must report all positive and non-positive (negative, indeterminate, and specimen unsatisfactory) test results from both antigen/molecular and antibody/serology tests for SARS-CoV-2." Laboratory findings are "are reportable to the local health officer of the health jurisdiction where the patient resides by telephone within one (1) hour ... from the time that the laboratory notifies the health care provider or other person authorized to receive the report." Labs are asked to also subsequently report results electronically (ELR) to the California Reportable Disease Information Exchange (CalREDIE) "within one working day of identification."
Colorado Y N None CEDRS: lavelle.fernandez@state.co.us
 
ELR: andrew.horvath@state.co.us
"All test results (e.g., positive, negative, and inconclusive) for rapid point-of-care COVID-19 tests must be reported to public health" officials by providers. Additionally, "[a]ll positive, negative, and inconclusive SARS-CoV-2 test results must be reported electronically by laboratories." The disease reporting form and fax methods should not be used. A list of required reporting components and descriptions of digital reporting options are available on the state's COVID-19 reporting page.
Connecticut Y Y 2019 Novel Coronavirus (COVID-19) Case Report Form
 
Reportable Laboratory Findings, Form OL-15C
Fax: (860) 629-6962
 
ELR: dph.elr@ct.gov
Presumably, laboratories are reporting COVID-19 as is required for any communicable disease. This has traditionally been done using Form OL-15C sent through mail or fax, as well as ELR, which appears to be the preferred method. As for other healthcare providers, per the DPH's COVID-19 response portal: "Providers can now submit a COVID-19 case report online. This is the preferred way to submit COVID-19 case reports."
Delaware Y N None Call: 1-888-295-5156
 
Email: reportdisease@delaware.gov
"The Department of Health and Social Service’s March 10, 2020 order requiring all labs to immediately report all tests and all results to the Division of Public Health (DPH) remains in effect. All COVID results, positive AND negative are reportable." "All COVID-19 test results from any laboratory must be reported to DPH via the

Delaware Electronic Reporting Surveillance System (DERSS). Providers must confirm with their designated laboratories that they have the ability to transmit results to DERSS through approved methods." Review the provider lab reporting requirements for further details.

District of Columbia Y N Notifiable Disease and Condition Case Report Form ELR: informatics.epi@dc.gov
 
Reporting questions: coronavirus@dc.gov
"... healthcare providers must report negative and positive test results for all COVID-19 diagnostic and serologic testing, including point-of-care testing. Reports should be submitted electronically using DC Reporting and Surveillance Center (DCRC), our online reporting system." "Laboratories are recommended to submit COVID-19 results via Electronic Lab Reporting. Please email informatics.epi@dc.gov to initiate the process. Hospitals, skilled nursing facilities, and assisted living facilities should report cases in patients/residents via daily line lists to DC Health."
Florida Y N None ELR: ELRPortalSupport@flhealth.gov "Mandatory reporting requirements are outlined by Florida Department of Health Executive Order 20-013, section 381.0031, Florida Statutes, and Florida Administrative Code Chapter 64D-3, and state all health care practitioners, laboratories and facilities, including long-term care facilities, must report both negative and positive COVID-19 test results, including point-of-care rapid test results, within 24 hours of the result being known." As of September 2021, the documentation found on floridahealth.gov appears outdated, however, as the links to the report portal that are indicated are broken. A site, flhealthsource.gov, was found, and it appears to be the current report portal for health care providers and facilities.
Georgia Y Y Notifiable Disease Report Form Fax: Based on District Health Office
 
Call: 1-866-782-4584
Georgia lists COVID-19 as an immediately reportable disease condition. "All Georgia physicians, laboratories, and other health care providers" are encouraged to call their District Health Office or the main number. The state is also accepting COVID-19 reports through its SendSS online application.
Hawaii Y N (?) Human Infection with 2019 Novel Coronavirus Short Form Fax: (808) 586-4595
 
ELR: helpdesk@hawaiihie.org
Per the Director of Health: "Pursuant to section 325-2, Hawaii Revised Statutes, every physician or health care professional having a client affected by or suspected of being affected by COVID-19 (SARS-CoV-2) and every laboratory director having laboratory data regarding an individual affected by or suspected of being affected by COVID-19 (SARS-CoV-2) shall report the incidence or suspected incidence of COVID-19 (SARS-CoV-2) to the Department of Health in the manner specified by the Department of Health. At this time, all test results shall be reported via the electronic laboratory reporting system." That system is presumed to be this portal. Faxing may no longer be an option; confirm with the Department of Health.
Idaho N Y No standardized COVID-19 reporting form Phone: (208) 334-5939
 
Fax: (208) 332-7307
 
ELR: PublicHealthMU@dhw.idaho.gov
The Idaho Department of Health and Welfare doesn't appear to have published any information about COVID-19 reporting requirements. As of September 2021, the state has not added COVID-19 to its mandatory reportable diseases list. They simply state that "Labs report their test results to the state, and the number of tests done and the number of people who test positive are posted on this website each day." Presumably this means that labs should be following the state's reportable diseases protocol for reporting "within one working day of identification or suspicion" using phone or fax. No standardized reporting form appears to exist. It's not clear if ELR is being used to report COVID-19 cases.
Illinois Y Y IDPH Coronavirus Novel 2019 Case Report Form Fax: Based on Local Health Department
 
ELR: dph.elrresp@illinois.gov
"All providers and testing sites must report to Public Health all individuals tested for COVID-19, in accordance with the Illinois Control of Communicable Diseases Code (77 Ill. Adm. Code 690.200(a)(5)). Mandated reporters, such as health care providers, hospitals and laboratories, by law must report probable or confirmed cases of COVID-19 electronically through Illinois’ National Electronic Disease Surveillance System (I-NEDSS) within 24 hours. If they do not have access to I-NEDSS, they can report by mail, telephone or fax to the local health department ... or, if no local health department is available, to the Illinois Department of Public Health Division of Infectious Diseases at 217-785-7165, TTY (hearing impaired use only) 800-547-0466."
Indiana Y Y Confidential Report of Communicable Diseases ELR: (317) 233-7684 or ijameson@isdh.in.gov
 
Fax: (317) 233-7747
"CDC requires every COVID-19 testing site to report every diagnostic and screening test performed to detect SARS-CoV-2 or to diagnose a possible case of COVID-19 (e.g., molecular, antigen, antibody) to the appropriate state or local public health department, based on the individual’s residence. All testing sites must report diagnostics and screening tests within 24 hours of test completion to the appropriate state or local public health department." Their guidance suggest three reporting methods: ELR, REDCap, and Fax. Examine the guidance for further information.
Iowa Y N None ELR: Jill Newland "All Iowa health care providers and public, private, and hospital laboratories are required to immediately report all positive and negative SARS-CoV-2 testing results to the department. Immediate reporting is defined as reporting within one day of the test being performed, a standard utilized by the department since its initial March 19, 2020, Mandatory Reporting Order. Reports must be made electronically through the Iowa Disease Surveillance System (IDSS) or other electronic means as directed by the department."
Kansas Y N (?) Kansas Reportable Disease Portal Phone: (877) 427-7317
 
Fax: (877) 427-7318
 
ELR: kdhe.epitraxadmin@ks.gov
"Report antigen or PCR point of care results, positive and negative, directly to KDHE via the Kansas Reportable Disease Portal https://diseasereporting.kdhe.ks.gov/ within 24 hours ... For facilities that do not perform point of care antigen or PCR testing, for antigen or PCR testing done through a reference laboratory or in-hospital laboratory, your facility does not need to report result to KDHE. The laboratory conducting the SARS-CoV-2 test is required to report results to KDHE." Faxing forms appears to be discouraged: "Clinics/hospital systems: if possible, please modify electronic health record systems to cease sending notifiable disease forms to KDHE via email and fax. If your facility uses Epic for its electronic medical records, you may be able to submit reports to KDHE automatically."
Kentucky Y N None Email: COVIDKYLAB@ky.gov "If you are a healthcare organization resulting any type of COVID-19 test, you are required to report both positive and negative results to the Kentucky Department for Public Health (KDPH) ... If you are resulting labs at your facility, KDPH requires you to report results through Kentucky Health Information Exchange (KHIE), either electronically through an interface connection or by manually entering results. If you are not currently electronically connected to KHIE, you must manually report these results through KHIE's Direct Data Entry (Lab) feature located in the ePartnerViewer ... You are required to report all positive results within 24 hours of resulting ... You are required to report all negative results within 7 days of resulting."
Louisiana Y N None Phone: (504) 568-8295
 
ELR: elr@la.gov
"All facilities performing testing for COVID-19/SARS-CoV-2 are required to report all COVID-19/SARS-CoV-2 results to LDH. This includes rapid testing, point-of-care testing, antibody testing, or any other testing performed for COVID-19. Electronic laboratory reporting (ELR) in HL7 or CSV format is the preferred mechanism for reporting results ... Note: COVID-19 test results sent via ELR should include all results of testing (i.e., positive, negative, indeterminate, etc.)." Also, if you do not have ELR set up or for some reason can't report electronically: "The ELR team will work with you to set up ELR or an alternative reporting method."
Maine Y N (?) None Phone: 800-821-5821
 
Email: disease.reporting@maine.gov
A February 2021 update to the state's Control of Notifiable Conditions and Notifiable Conditions List mandates that health care providers and labs must report COVID-19 test results. It mandates that "[l]aboratory reporting must be done electronically through HL7 messaging as specified in this subsection. Electronic reporting required for laboratories is in addition to other reporting requirements specified in this rule." Consult the "New Rules for the Control of Notifiable Conditions" PDF on the disease reporting page for details. It appears COVID-19 should no longer be reported by fax.
Maryland Y N (?) Confidential Report: Laboratory Evidence of Certain Communicable Diseases Contact: Local health department The only reporting requirement to be found are in a PDF, item No. MDH 2020-10-01-01, which largely addresses point-of-care testing. Presumably this extends to other types of testing, but it's not clear what other types of testing. It mentions that "[p]ositive, negative, and inconclusive point of care test results shall be reported." The document goes on to explain that electronic reporting is preferred, especially for those labs that are already set up to so do so. Some other electronic format like a CSV file is next preferred, and then, "[i]f the results cannot be sent by HL-7 format or another approved electronic format, they must be immediately submitted to the appropriate local health officer in a manner designated by MDH."
Massachusetts N Y No standardized COVID-19 reporting form Contact: Local health departments
 
MDPH phone: (617) 983-6800
 
MDPH fax: (617) 983-6813
The State of Massachusetts doesn't appear to have published any collection of information about specific COVID-19 reporting requirements. The state is presumably treating COVID-19 "suspected and confirmed cases" as an immediately reportable event that "should be reported to your local board of health" by phone, or if unavailable, to the Massachusetts Department of Public Health by phone or fax. The MDPH disease reporting web page makes no mention of ELR.
Michigan Y Y No standardized COVID-19 reporting form MDSS: Support contacts
 
Contact: Local health department list in reporting guide
The Michigan Department of Health & Human Services has updated its Health Care Professional's Guide to Disease Reporting in Michigan to include detections of SARS-CoV-2. They note that "if the agent is identified by clinical or laboratory diagnosis," the detection (by both healthcare providers and laboratories) "must be reported to the Michigan Disease Surveillance System (MDSS) or local health department within 24 hours." As for how: "Mandatory reporting of communicable diseases can (and, whenever possible, should) be accomplished via the MDSS. The MDSS is a web-based communicable disease reporting system developed for the state of Michigan." If unable to electronically report, contact the local health department using the directory in the disease reporting guide.
Minnesota Y Y COVID-19 Case Report Form Fax: (651) 201-5743
 
Phone: (651) 201-5414 or (877) 676-5414
 
ELR: health.ELRmeaningfuluse@state.mn.us
"The Minnesota Department of Health (MDH) is requiring all mandated reporters to report any cases and deaths due to SARS-CoV-2 to MDH within one working day." This includes health care facilities, medical laboratories, and in special cases veterinary laboratories. Case report forms can be faxed or case reports submitted by phone. On a separate page discussing laboratories, the DoH further discusses ELR. Read that for more details.
Mississippi Y (?) N Reportable Diseases and Conditions form Phone: (601) 576-7725 or 1-800-556-0003; for weekends, holidays and after 5pm: (601) 576-7400; Email: clia-msdh@msdh.ms.gov The Mississippi State Department of Health states: "All COVID-19 results must be reported to the Mississippi State Department of Health at this time." However, it gives no further guidance specifically for commercial laboratories or health care providers testing for SARS-CoV-2. Presumably the MSDH is considering COVID-19 a Class 1A disease, required to be "reported directly to the Department of Health by telephone within 24 hours of first knowledge or suspicion." The MSDH also has an online disease reporting tool (account required); however, it's not clear if it is equipped to received COVID-19 reports.
Missouri Y Y sFTP Excel template
 
Disease Case Report form
sFTP: (573) 526-5271
 
Fax: (573) 751-6417
 
ELR: ELR@health.mo.gov
The Missouri Department of Health and Senior Services has officially added COVID-19 to its list of immediately reportable conditions, including a waiver "to require that all positive and negative results for COVID-19 are sent directly to DHSS. Now, all laboratories must report directly to DHSS." They add that "[l]aboratories are encouraged to report via electronic means." Alternatively, labs may also submit a report to the Bureau of Reportable Disease Informatics (BRDI) via fax. "[M]edical providers (non-laboratories) also have an obligation to submit disease case reports (form CD-1) to DHSS. However, under the current suspension, providers do not have to report negative results if those results are being reported by an outside lab. Providers are expected to submit a case report on any non-negative results as the additional information on the case report is required for public health intervention."
Montana N Y (?) No standardized COVID-19 reporting form Contact: Local health department
 
DPHHS phone: (406) 444-0273
The Montana Department of Public Health and Human Services doesn't appear to have published any information about specific COVID-19 reporting requirements. The state is presumably treating COVID-19 like its other reportable diseases: "whether suspected or confirmed" the case "must be reported immediately to your local health jurisdiction as required by the Administrative Rules of Montana." If the local public health jurisdiction is unavailable, a call can be placed to the MDPHHS. It is not clear if laboratories should report both positive and negative results, though news reports have shown that the DPHHS is reporting both positive and negatives. The disease reporting web page makes no mention of ELR.
Nebraska N N Health Care Provider Confidential Communication form
 
Laboratory Summary of Reportable Diseases, Poisonings and Organisms
Phone: Based on county The Nebraska Department of Health and Human Services provides little in the way of specific guidance for reporting COVID-19. They simply state: "Any patient (+) for COVID-19 virus should be immediately reported to local/state public health office." They define "immediate notification" as "required to call by telephone to a live public health surveillance official within 24 hours of detection." This apparently includes providers currently on ELR. Labs and healthcare providers should verify if any additional reporting (fax, ELR) is required. As the pandemic has progressed, reporting transparency and requirements have also changed, becoming more controversial; contact your local health department for the latest requirements.
Nevada N Y Confidential Disease Reporting Form Contact: Local health department list in reporting form Nevada DHHS guidance states "all in-state and out-of-state laboratories who are processing and testing samples from Nevada residents are required under severe penalties to report all COVID-19 test results to the Division of Public and Behavioral Health within 24 hours from analysis." Its guidance appears to suggest a phone call for such notification. According to the state's disease reporting form, this phone call should be done in addition to faxing a report. "All cases, suspect cases, and carriers

must be reported within 24 hours." It's not clear if ELR is being accepted for COVID-19 reporting.

New Hampshire N Y COVID-19 Case Report Form Phone: (603) 271-4496
 
Fax: (603) 271-0545
Health care providers and laboratories should immediately report suspect and confirmed cases of COVID-19 to the New Hampshire Department of Health and Human Services. It seems likely the DPHHS prefers both a phone call and a faxed report, though it's not explicitly stated. The case should likely be "reported within 24 hours of diagnosis or suspicion of diagnosis." The NHDHHS disease reporting web page makes no mention of ELR. An online test result reporting form is available, per the state's General Provider COVID-19 Resources page.
New Jersey Y N (?) No standardized COVID-19 reporting form ELR: See quick-start guide
 
Local health departments
"[T]he New Jersey Domestic Security Preparedness Task Force hereby directs that commercial laboratories operating in New Jersey report all COVID-19 test results to the New Jersey Department of Health beginning March 23, 2020. The results of all COVID-19 tests performed before this date shall be included in the initial report. Subsequently, results shall be sent daily, and included results not previously reported. Information shall be transmitted no later than 8:00 p.m. each day through the Department of Health’s CDRSS platform. Specific data reported shall include positive, negative, and inconclusive test results. This directive shall supplement, not supplant, any other existing reporting requirements." From that statement, it's not clear if laboratories should also be immediately phoning their results to the health department in addition to ELR over CDRSS.
New Mexico N Y (?) Notifiable Condition Report Form Phone: (505) 827-0006
 
Fax: (505) 827-0013
The New Mexico Department of Health doesn't appear to have published any information about specific COVID-19 reporting requirements. The DoH is presumably treating "confirmed or suspected" COVID-19 cases as an immediately reportable event that "require immediate reporting by telephone to Epidemiology and Response Division." It's not clear if a faxed report is also required. The DoH disease reporting web page makes no mention of ELR.
New York Y N Confidential Case Report - DOH-389
 
Universal Reporting Form - PD-16
Contact: Local health departments
 
ECLRS: eclrs@health.ny.gov
The New York Department of Health states: "Positive results must be immediately reported to the local Department of Health by the laboratory performing the test, per established guidance, and all test results should be reported by the laboratories into New York State Department of Health’s Electronic Clinical Laboratory Reporting System (ECLRS) four times a day." The established guidance appears to be found in the state's updated reporting instructions, which now includes COVID-19 as a disease that "should be reported immediately to local health departments by phone followed by submission of the confidential case report form (DOH-389). In NYC use case report form PD-16." This means "within 24 hours of diagnosis." The instructions indicate case reports should be mailed. Both health care facilities and laboratories should report.
North Carolina Y Y COVID-19 Confidential Communicable Disease Report Contact: Local health departments
 
Fax: (919) 733-0490
Per NCDHHS's clinical diagnostic laboratory guidance: "each person in charge of a laboratory providing diagnostic service in this State and any other health care provider licensed in this State that provides diagnostic service [is required] to report the results of all COVID-19 testing to the Department of Health and Human Services." An electronic reporting process appears to have been added later in 2020.
Ohio Y Y Ohio Confidential Reportable Disease form Contact: Local health districts
 
ELR: ELR@odh.ohio.gov
In March 2020, the Ohio Department of Health ordered "confirmed cases of COVID-19 be reported immediately as a Class A disease pursuant to Ohio Adm. Code 3701-3-02(A) to the local health district in which the person resides (or the local health district wherein the person is being medically evaluated if the person's residence is unknown or not in Ohio)." Physicians, medical care facilities, and laboratories are encouraged to report positive cases. Per the state's communicable disease requirements, Class A diseases should be reported immediately by phone, with a follow-up HEA 3334 Ohio Confidential Reportable Disease form. That requirements doc also states "follow-up reports can also be made electronically through direct entry into the Ohio Disease Reporting System (ODRS) or through Electronic Laboratory Reporting."
Oklahoma Y Y Reportable Disease Card for Healthcare Providers (Blue Card)
 
Reportable Disease Card for Laboratories (Yellow Card)
PHIDDO: adservice@health.ok.gov
 
Phone: (405) 271-4060
Fax: (405) 271-6680
 
ELR: AnthonyL@health.ok.gov
According the DoH's COVID-19 reporting page, COVID-19 cases should optimally be reported by some digital means (HL7, manually entered CSV, exported CSV from information system). The DoH is presumably treating "laboratory results indicating" (i.e., "upon suspicion, diagnosis, or positive test") COVID-19 as an immediately reportable event. This also holds true for healthcare providers. The Public Health Investigation and Disease Detection of Oklahoma (PHIDDO) system is apparently the preferred method.
Oregon Y Y COVID-19 Report Form Contact: Local public health authority
 
Fax: (971) 673-1100
 
Oregon COVID-19 Reporting Portal or ELR: (971) 673-1111
"The Oregon Health Authority (OHA), Public Health Division, is temporarily adopting OAR 333-017-0800 and OAR 333-018-900, which add a definition of COVID-19 and adds COVID-19 to the list of diseases reportable to public health authorities within 24 hours. Positive test results for COVID-19 must be reported within 24 hours and negative COVID-19 results within one working day." "Both medical laboratories and health care providers are required to report COVID-19 test results to the state and local public health authorities." According to state law, reports should be initially submitted by phone call, with a follow-up report either through the Oregon COVID-19 Reporting Portal or a fax. ELR is also an option.
Pennsylvania Y N No standardized COVID-19 reporting form (use PA-NEDDS) PA-NEDSS: 1-877-724-3258 From the Pennsylvania Department of Health: "All entities conducting testing to identify SARS-CoV-2, the virus that causes COVID-19, are required to report positive, inconclusive/indeterminate, and negative results to PA-NEDSS within 24 hours of test completion. PA-NEDSS is a secure, web-based system used in Pennsylvania for disease reporting and surveillance."
Rhode Island Y Y None Phone: (401) 222-2577 or (401) 276-8046 after hours
 
Fax: (401) 222-2488
Per the Rhode Island Department of Health: "For reporting positive results from testing you have ordered and sent out through a laboratory system, report positive results only." You may report by secure email or fax. "For reporting point-of-care and rapid test results performed at your site, report all positive and negative results." Note the specific email addresses depending on the test type. ELR is not mentioned.
South Carolina Y Y (?) No standardized COVID-19 reporting form Contact: Local public health office
 
ELR: MUHELPDESK@dhec.sc.gov or SCIONHELP@dhec.sc.gov
Per the South Carolina Department of Health and Environmental Control: "Please notify DHEC of positive results. COVID-19 cases and deaths are urgently reportable per the South Carolina List of Reportable Conditions. They must be reported by phone within 24 hours to the appropriate regional health department." Supplemental guidance: "Positive and negative test results for COVID-19 must be reported to DHEC urgently within 24 hours by all entities performing testing, including testing at point-of-care or at-home specimen collections processed by laboratories." That guidance adds: "Facilities that are not already submitting results via Electronic Lab Reporting (ELR) or DHEC's secure reporting portal (SCIONx) should contact MUHELPDESK@dhec.sc.gov to inquire about ELR submission, or SCIONHELP@dhec.sc.gov to inquire about other reporting options."
South Dakota Y Y South Dakota Confidential Disease Report (online/HTML) Phone: (605) 773-3737 or 800-592-1861
 
Fax: (605) 773-5509
"SD-DOH would like to remind medical providers, hospitals, and laboratories that cases of COVID-19, caused by the SARS-CoV-2 virus, are considered immediately reportable in South Dakota (under Coronavirus Respiratory syndromes)." The SD-DOH and the state laws don't make clear what reporting method is best for Category I diseases, only that they should be reported immediately. Under "how to report," they list, in order, online reporting, phone, fax, and mail. The SD-DOH disease reporting web page makes no mention of ELR.
Tennessee Y Y PH-1600 Case Report Form Fax: (615) 741-3857
 
Phone: (615) 741-7247
 
ELR: ceds.informatics@tn.gov
"Healthcare providers who receive positive COVID-19 test results on their patients or patients in their facility [should report]." "Laboratories performing COVID-19 testing should be reporting these results electronically via ELR or our emergency spreadsheet template. If you are a laboratory that needs to report via one of these methods, please email ceds.informatics@tn.gov." These entities "should report within 24 hours of receiving a COVID-19 diagnosis, positive lab report on a patient, and/or becoming aware of a suspected or confirmed COVID-19 associated death." Please submit a case report by filling out the PH-1600 form on all NAAT, PCR and antigen positive COVID-19 test results from facility or commercial labs (this includes any NAAT, PCR or antigen positive patients tested via Point of Care testing); you do not need to submit further information on a lab result from the TDH Public Health Laboratory." The Tennessee Department of Health lists two reporting options: faxing the PH-1600 form and positive lab report or sending it electronically (via Morbidity Report or ELR).
Texas Y Y Infectious Disease Report (Single case)
 
Infectious Disease Report (Multiple cases)
Contact: Local health department
 
ELR: COVID‑19ELR@dshs.texas.gov
"On July 29, 2021, Governor Greg Abbott ordered every public or private entity that is utilizing an FDA-approved test, including an emergency use authorization test, for human diagnostic purposes of COVID-19, shall continue to submit to DSHS, as well as to the local health department, daily reports of all test results." This includes positive, negative, and indeterminate results. "To comply with the Governor’s orders, DSHS is expediting an alternative method of accepting specific CSV formatted files for submitters who are unable to submit via HL7 format." ELR registration can be performed online.
Utah Y Y Utah Public Health Confidential Morbidity Report Fax: (801) 538-9923
 
Email: reporting@utah.gov
 
Phone: 1-888-EPI-UTAH
 
ELR: edx@utah.gov
The Utah Department of Health added COVID-19 to its reportable conditions in May 2020 for both manual and electronic reporters. "All test results are reportable. This includes positive/reactive, indeterminate, equivocal, and negative/non-reactive." "Electronic reporters must report laboratory results within 24 hours of finalization. Manual reporters must report immediately notifiable conditions within 24 hours of identification and standard notifiable conditions within three business days of identification." Details on ELR are limited, though an ELR guide for hospitals can be found here.
Vermont Y (?) Y No standardized COVID-19 reporting form Phone: (802) 863-7240
 
Fax: (802) 951-4061
 
ELR: (802) 651-1619 or AHS.VDHELRSupport@vermont.gov
The Vermont Department of Health states: "All COVID-19 results (positive, negative, etc.) are required to be reported to the Vermont Department of Health within 24 hours of test report completion" Its April 2021 guidance adds: "The report shall be made by telephone, in writing, or electronically to the Department of Health, Epidemiology Program." Additional details can be found here.
Virginia Y N See portals linked below Contact: Local health department The VDH states: "All COVID-19 reports from clinicians or facilities based on point-of-care tests should be reported using the VDH Point-of-Care (POC) Portal, not the Confidential Morbidity Portal. For other reports not involving POC testing, healthcare providers should continue to report patients with suspected or confirmed COVID-19 through the Confidential Morbidity Portal." They add that "[a]ll COVID-19 test results should be reported to VDH within 24 hours."
Washington Y N None Contact: Local health jurisdiction The Washington State Department of Health has adopted several emergency rules to ensure reporting compliance. The DoH notes: "Facilities administering point-of-care (POC) testing for COVID-19 must report all their COVID-19 testing results to the Washington State Department of Health." (See here for more about POC reporting requirements.) "Washington State (under WAC 246-101) requires laboratories to report all COVID-19 results (including positive, negative, inconclusive; and other results based on State Health Officer Letters) to the LHJ of the patient's residence. ELR, national flat file, and electronic case reporting options are available for labs.
West Virginia N (?) Y 2019 Novel Coronavirus (COVID-19) Case Report Form Contact: Local health departments "Report suspect or confirmed cases immediately to the local health department by phone and follow up with written report." "Providers and LHDs should submit this report to the Division of Infectious Disease Epidemiology by fax at 304-558-8736 for all cases of COVID-19." It's not clear if ELR is an acceptable form of reporting COVID-19 cases.
Wisconsin Y Y Wisconsin COVID-19 Patient Information F-02700 Contact: [hhttps://www.dhs.wisconsin.gov/lh-depts/counties.htm Local health department]
 
WEDSS: DHSWEDSS@wisconsin.gov
"The state epidemiologist declared COVID-19 a Category I reportable disease per a memo issued on Feb. 4, 2020. Health care providers and laboratories must report confirmed or suspected cases to the Department of Health Services (DHS) within 24 hours of detection. To relieve the reporting burden, DHS waived the requirement (April 6 Memo) for notifying local health departments by telephone of suspected and confirmed cases as long as cases are reported to the Wisconsin Electronic Disease Surveillance System (WEDSS)." Additional rules apply. See "Reporting and surveillance guidance" here.
Wyoming N Y Confidential Disease Report form Phone: 1-888-996-9104
 
Fax: (307) 777-5573
"Providers and laboratories must report positive [SARS-CoV-2] laboratory tests from commercial reference laboratories to WDH by faxing copies of the laboratory report form to 307-777-5573." According to Wyoming's Reportable Diseases and Conditions List, this faxed report would be in addition to immediate notification by phone. Additionally, "[h]ospital and reference labs with ELR capacity must report positive and negative results," as well as viral detection and serology results. According to that document, COVID-19 isn't a disease preferred for ELR. Confirm with the health department.
Table 2. U.S. territory-based COVID-19 reporting requirements
Territory Electronic, including email? (Y/N) Fax? (Y/N) Forms for reporting Contact Additional details
American Samoa N N (?) Can't locate the AMS COVID-19 Investigation Form Contact: Facebook page
 
Phone: (684) 633-5871 or (684) 633-5872
According to American Samoa's report Territory of American Samoa's Response and Action Plan to Combat the Cornoavirus Pandemic, resources for testing are unfortunately thin. It makes mention that the American Samoa Department of Health should be notified "immediately of probable or confirmed cases of COVID-19." It also mentions completing an "AMS COVID-19 Investigation Form." "If there is more than one case of novel coronavirus in a household, local area or facility, or an outbreak is suspects, notify Command Post immediately at (684) 633-5871 or (684) 633-5872."
Guam N Y (?) No standardized COVID-19 reporting form Contact: Office of Epidemiology and Research - Phone: (671) 735-7289, Fax: (671) 734-2066 It's clear that Guam is having laboratories report cases of COVID-19, but no reporting requirements for COVID-19 (or any other diseases) can be located on the Department of Public Health and Social Services website. Perhaps contact the Office of Epidemiology and Research for more information.
Northern Mariana Islands N N No standardized COVID-19 reporting form Contact: CHCC laboratory The CNMI Department of Public Health has indicated that laboratory testing has been primarily been performed by the Guam Public Health Laboratory, but due to them not being able to meet demand, the CNMI DPH will ship samples to Diagnostic Laboratory Services in Honolulu, Hawaii. Presumably those labs are responsible, in part, for reporting results back to the CNMI.
Puerto Rico Unknown Unknown Unknown Phone: (787) 765-2929
 
Email: contactus@salud.pr.gov
The Departamento de Salud de Puerto Rico has a relevant document OA 440 Sobre la distribución, manejo, administración y reporte de los resultados de las pruebas de COVID-19 concerning reporting results.
U.S. Virgin Islands N Y Notification of Infectious Disease Form Phone: (340) 626-1654
 
Territorial fax: 1-888-400-8620
"Make an IMMEDIATE telephone report to the USVI Department of Health at 626-1654 then send the completed

form IMMEDIATELY (within 24 hrs) by fax to 1-888-400-8620. If an immediate report is required after regular working hours, please call 626-1654." Additional COVID-19 information here.


References

  1. Hamilton, J.J.; Hopkins, R.S. (2019). "Chapter 5: Using Technologies for Data Collection and Management". In Rasmussen, S.A.; Goodman, R.A.. The CDC Field Epidemiology Manual (4th ed.). Oxford University Press. pp. 71–104. ISBN 9780190933692. 
  2. von Elm, E.; Altman, D.G.; Egger, M. et al. (2007). "The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies". PLoS Medicine 4 (10): e296. doi:10.1371/journal.pmed.0040296. PMC PMC2020495. PMID 17941714. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020495. 
  3. Centers for Disease Control and Prevention (1 December 2020). "Commercial Laboratory Seroprevalence Surveys". Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/commercial-lab-surveys.html. Retrieved 14 September 2021. 
  4. Garcia, K.; Pedati, C. (31 December 2020). "Temporary Novel Coronavirus Disease 2019 (COVID-19) Mandatory Reporting Order" (PDF). Iowa Department of Public Health. https://idph.iowa.gov/Portals/1/userfiles/61/covid19/Mandatory%20Reporting%20Order.pdf. Retrieved 14 September 2021. 
  5. Centers for Disease Control and Prevention (26 January 2021). "How to Report COVID-19 Laboratory Data". Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/lab/reporting-lab-data.html. Retrieved 14 September 2021.