Electronic Laboratory Reporting (ELR)
The reporting of electronic laboratory results (ELR) is a public health core objective for eligible hospitals and critical access hospitals (CAH) attesting to Stage 2 Meaningful Use (MU).  There is no MU objective for Eligible professionals to report electronic laboratory results.

Electronic laboratory reporting of reportable conditions to the Nebraska Electronic Disease Surveillance System (NEDSS) is managed by the Nebraska Department of Health and Human Services and required per State Statute. When public health receives reportable findings, these may lead to implementing disease control measures to stop an outbreak, vaccinating or treating close contacts of a patient, or identification of contaminated foods or products.

NEDSS is a web-based application used by state and local public health staff for communicable disease surveillance and case management.  NEDSS can accept lab reports in a variety of formats (HL7 2.3.1 and HL7 2.5.1).  It has the capability to receive submissions for testing and continued submission if the test is successful.
For Stage 1 MU:  The Hospital or CAH must perform at least one test of the certified Electronic Health Record (EHR) technology’s capacity to provide electronic submission of reportable lab results to public health agencies and follow-up submission if the test is successful.
For Stage 2 MU:  The Hospital or CAH must provide successful ongoing submission of electronic reportable laboratory results from Certified EHR Technology to public health agencies for the entire EHR reporting period.

ELR has many benefits, including improved timeliness, reduction of manual data entry errors, and reports that are more complete. Electronic Laboratory Reporting has been promoted as a public health priority for the past several years and its inclusion as a meaningful use objective for public health serves as a catalyst to accelerate its adoption.

We welcome the opportunity to work with facilities to determine their need for electronic submission of lab results.

Please see the links below for further information on electronic lab reporting.

NEDSS contact:
Mike Nuss
(402) 471-2986


 Useful Documents 

ELR Required Fields

Reportable Diseases for Labs 

 PDF HL7 2.5.1 Guide

 PDF Reportable Diseases Regulations


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