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Chair:  Danny Wise

Scribe: Craig Newman 





AbdulMalik Shakir Shakir Consulting - Hi3 Solutions
Alaina Gregory CDC
Alean Kirnak Software Partners LLC
Austin Kreisler Leidos
Brian Fung Mayo Clinic
catherine staes university of utah
Chrissy Miner CDC
Cindy Bush CDC/NCHS
Craig Newman Altarum
Crystal Snare Washington State Depart of Health
Daniel Rutz Epic
Danny Wise Allscripts
Dave deRoode Lantana Consulting Group
Devann Kirkpatrick TN Dept of Health
Genny Luensman CDC/NIOSH
Jim Jellison Public Health Informatics Institute
Jim Kamp Altarum
Justine Maxwell TN DOH
Kathy Walsh LabCorp
Kevin Snow Envision
Laura Conn CDC
Laura Rappleye Altarum
Lura Daussat Public Health Informatics Institute
Matt Zajack
Melanie Epstein-Corbin California Department of Public Health
Michael J. Suralik HLN Consulting
Michelle Barry Availity, LLC
Mike Yaskanin Altarum
Natalie Viator Collins Public Health Informatics Institute
Nathan Bunker American Immunization Registry Association
Neal Holt AR Dept of Health
Nosipho Beaufort Public Health Informatics Institute
Peter Muir PJM Consulting LLC
Richard Hornaday Allscripts
Sarah Gaunt Lantana Consulting Group
Shaily Krishan CSTE
Steve Eichner Texas Department of State Health Services
Ticia Gerber HL7
Troy Abrahams Altarum
Will Rosenfeld IBM
Yasemin Karbassian Altarym

Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

ManagementAgenda Review and Minutes Approval
  • No changes to the agenda
  • Minutes approved as printed

eCR Now for COVID-19 (John Loonsk and Laura Conn) 

The CDC has already taken steps in response to the COVID pandemics including the development of the eCR Now project

eCR Now v5.pptx

Electronic case reporting (eCR) to state and local public health agencies is a critical tool for COVID-19 outbreak management and response. Currently, while eCR was in Meaningful Use Stage 3 and is now in Promoting Interoperability, it is incompletely implemented by EHRs and health systems.

To address this issue and in the context of the COVID-19 pandemic, eCR leadership at the Council of State and Territorial Epidemiologists, the Association of Public Health Laboratories, and the Centers for Disease Control and Prevention has developed a strategy for rapid implementation called “eCR Now”.

The strategy has important elements for EHRs that have already been implementing eCR and also for EHRs that have not yet developed an eCR implementation – all to support automated eCR for COVID-19. It is important that these capabilities be put into place even as the pandemic curve flattens or declines so as to better manage the ongoing suppression of this virus and help prevent flare-ups and recurrence in the fall.

eCR Now includes three elements in its approach:

  • A new cohort-based COVID-19 rapid eCR implementation process for EHRs that currently support eCR
    • Epic has streamlined onboarding
    • An initial California cohort is in process
    • Eliminates manual entry without burden on healthcare providers or PH
  • A new “eCR Now” FHIR app that other EHR vendors can rapidly implement to automate COVID-19 eCR in their installed systems
    • The expectation is that FHIR APIs are available as part of the EHR
    • Independent of any EHR software releases
    • Queries the FHIR server (on encounter open or close) for data matching the trigger codes
    • Outputs the CDA version of the eCR report
    • Leverages the AIMS platform for distribution
    • Engaging EHR vendors for distribution and integration
    • Initial version should be available May 1
  • The extension of the existing eHealth Exchange policy framework for eCR to many more networks, EHRs, and health systems through a developing Carequality eCR implementation guide
    • Any provider on the eHealth Exchange can implement eCR without any other agreements
  • eCR Now needs:
    • Elevate awareness of eCR Now and the app
      • Can be a broadcast or targeted approach
    • Cooperation with EHR vendors
    • Participation in the May virtual Connectathon
    • Focus of Public Health HL7 activities that are in progress
  • Inquries can be directed to or
  • Duke Surveillance Report that references eICR (

HL7 COVID-19  response (Ticia Gerber)

  • The HL7 Policy Advisory Committee has met and is crafting a strategy to help advance the needs of the WG
  • Existing resources need to be prioritized
  • Discussion of a survey to gather information on existing tools, standards and gaps
    • The survey will be reviewed by the WG before going out
  • Policy committee is meeting next week for further discussion
  • HL7 can also help coordinate communication of the eCR Now project and help elevate awareness
  • The education committee also has slots available for webinars as well

Immunization IG Discussion (Alean Kirnak)

Management Next agenda
 Adjourned at 5:02PM

Supporting Documents

Outline Reference

Supporting Document