eRSD shared service

The eCR team developed the eRSD shared, web-based distribution service to provide trigger codes and trigger code guidance to health care organizations. The eRSD shared service distributes the eRSD specification to facilitate and guide the triggering and reporting of eICRs from EHRs and contains reportable conditions trigger codes—a list of codes related to reportable conditions that can match against patient data in the EHR. When health care providers record or update data (eg, diagnoses, laboratory data) in the EHR, the data are checked against a series of codes. If the data match a code, then an eICR is triggered to be sent. The triggers identify diseases and conditions with 5 triggering EHR data categories (Table).^44,60 -64 Once the eICR is triggered and generated, it is then transmitted to the shared eCR infrastructure.

Triggering of an electronic initial case report (eICR) by the electronic reporting and surveillance distribution (eRSD) shared service ^a

Abbreviations: EHR, electronic health record; ICD-10-CM, International Classification of Diseases, Tenth Revision, Clinical Modification; LOINC, Logical Observation Identifiers Names and Codes; SNOMED, Systematized Nomenclature of Medicine.

Trigger codes are created and managed by the Reportable Conditions Knowledge Management System (RCKMS) content team. When an update for the trigger code appears, the value sets are added to an eRSD loader application and joined with a template that includes guidance for trigger and report timing. The resultant eRSD specification is posted to the eRSD distribution system, and users of the system are notified that an updated version is available.