Electronic Lab Reporting (ELR)

Epidemiology and Informatics
Public Health

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What you need to know

​About Electronic Laboratory Reporting

Electronic Laboratory Reporting has been promoted as a public health priority for the past several years. Electronic laboratory reporting (ELR) has many benefits, including improved timeliness, reduction of manual data entry errors, and reports that are more complete. DHHS welcomes the opportunity to work with facilities to determine their need for electronic submission of lab results.

Nebraska Electronic Disease Surveillance System (NEDSS)

Electronic laboratory reporting of reportable conditions to the Nebraska Electronic Disease Surveillance System (NEDSS) is managed by DHHS and is required per Nebraska Statutes. Reportable disease reports allow public health to initiate disease investigations, identify contaminated foods or products, implement disease control measures to stop outbreaks, and vaccinate/treat close contacts of a patient.

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.

ELR and Meaningful Use

The reporting of electronic laboratory reporting (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.

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.


Office of Epidemiology
Division of Public Health, Department of Health & Human Services>
Phone Number
(402) 471-2937
Fax Number
(402) 471-3601
Mailing Address
P.O. Box 95026, Lincoln, Nebraska 68509-5026