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Ballot Document Name and Information
Document/Standard Name:HL7 CDA® R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 1, STU Release 3.0 - US Realm
Ballot Code:TBA (Probably: CDAR2_IG_PHCASERPT_R2_D3_2021JAN)
Realm:Realm Specific: US
Backwards Compatible:
Internally/Externally Developed:Internally Developed Document/Standard
Ballot Level
Requested Ballot Level:STU
Standard Ballot Open Date:11/12/2020
Standard Ballot Close Date:11/01/2021
Work Group Information
Sponsoring Work Group:Public Heath
Project Insight Project ID:1216
Confirmation of Work Group Approval:Public Health (15 Oct 2020 Approve: xx, Abstain: xx, Opposed: xx)
Primary Work Group Contact:Sarah Gaunt
NIB Form Submitted By:PHWG co-chair
Publishing Facilitator:Sarah Gaunt (
Other Sponsoring TCs and SIGs:Structured Documents
Additional Vote,, 
Document Description/Changes
Description of Ballot Document:This implementation guide specifies an electronic initial case report (eICR) to support public health reporting of reportable conditions from healthcare organizations to public health agencies are required by law. 
Major Changes Since Last Ballot:STU comments will be addressed; update guidance and narrative descriptions, add blank question/answer capabilities for unknown questions in future outbreaks, add space for reportable condition from Reportability Response, add solution for EHR data entered in error, update some cardinalities, add disability element, add other requested elements
ANSI-Required Information
The following information is required by ANSI for all ballots.
Project NeedCase reporting is part of the CMS and ONC NPRMs for Meaningful Use Stage III. Electronic case reporting is considered to be a critical public health need. An electronic initial case report (to PH) and a returned reportability response (to healthcare) are critical components of a viable nationwide approach. The failure to have a workable case reporting standard will impede outbreak management and negatively impact the monitoring of disease trends.
Briefly explain the reason behind the need for this project. This may be related to legislative requirements, industry need, or similar justifications.
Other Referenced StandardsNone
Does this document include text from an ISO or IEC standard? If so, please cite those standards here.
Unit of MeasureNot Applicable 
As required by ANSI, if measurements are introduced in this standards document, what is the measurement type from the choices available?
StakeholdersEHR Vendors, Standards Development Organizations, Healthcare Institutions, Clinical Providers, Local and State Public Health Agencies 
Identified stakeholders. For example, pharmaceutical, healthcare, etc.
Consumer Product IndicationNo  
Is this a consumer product?
Ballot Reconciliation Reminder
Intent to Complete Reconciliation Activities:Yes
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