​​​Electronic Case Reporting (eCR) is the automated generation and transmission of public health case reports directly from an electronic health record system (EHR) to a disease surveillance system of a public health agency for review and action.

The Maryland Department of Health (MDH) currently accepts electronic case reports (eCRs) from hospitals, critical access hospitals, and clinicians for the following reportable diseases and conditions:

1. Acanthamoeba Infection
2. Amebiasis
3. Anthrax
4. Balamuthia mandrillaris Disease
5. Blastomycosis
6. Botulism
7. Botulism, Infant
8. Coccidioidomycosis (Valley Fever)
9. COVID-19​
10. Creutzfeldt-Jakob Disease (CJD) and Variant Creutzfeldt-Jakob Disease (vCJD)
11. Giardiasis
12. Hansen's Disease
13. Hepatitis C​, Chronic Infection​
14. Hepatitis C, Perinatal Virus Infection
15. Hepatitis D Virus Infection
16. Hepatitis E Virus Infection​​​​​
17. Hepatitis G Virus Infection
18. Histoplasmosis
19. Influenza-associated Pediatric Mortality
20. Invasive Haemophilus Influenzae Disease
21. Invasive Pneumococcal Disease
22. Kawasaki Disease
23. Latent Tuberculosis Infection (LTBI)
24. Legionellosis
25. Listeriosis
26. Malaria
    
27. Measles
    
28. Meningitis
    
29. Meningococcal Disease
30. Middle East Respiratory Syndrome (MERS)
31. Mpox (formerly Monkeypox)​
32. Naegleria fowleri Primary Amebic Meningoencephalitis
33. ​​Novel Influenza A Virus Infection
34. Oropouche Virus Disease
35. Orthopoxvirus Disease
36. Plague (Yersinia pestis​)
37. Ricin Poisoning
38. Smallpox
39. Streptococcal Disease, Invasive, Group A (Group A Strep)
40. Streptococcal Disease, Invasive, Group B (Group B Strep)
41. Streptococcal Toxic Shock Syndrome​
42. Strongyloidiasis
43. Toxoplasmosis
44. Viral Hemorrhagic Fevers (VHF): including, but not limited to: Ebola hemorrhagic fever, Guanarito hemorrhagic fever, Junin hemorrhagic fever, Lassa fever, Lujo virus, Machupo hemorrhagic fever, Marburg Virus Disease​, and Sabia-associated hemorrhagic fever
45. Yellow Fever

Please note that this list is a subset of the diseases and ​conditions that are reportable in the State of Maryland. 

 The MDH eCR team is continuing to expand the number of conditions for which hospitals and healthcare providers will be able to submit electronic case reports. Please check this page for regular updates.

Important notes regarding version 3.1 Electronic Case Reports (eCRs) and eRSD versions 1 and 2​

The Office of the Assistant Secretary for Technology Policy has set a deadline of December 31, 2025 for electronic health record (EHR) systems to implement the USCDI Version 3.1 standard. 

The Maryland Department of Health is able to receive and process Version 3.1 eCRs. 

Vendors of all EHR​ systems that have been approved by the CDC for eCR onboarding must implement Version 3.1 eCRs for their customers no later than December 31, 2025. Please contact your EHR vendor if your healthcare organization's EHR system has not already switched to this standard or if you are uncertain which eCR version your organization is sending to public health agencies. For complete information, please see the Certification Companion Guide: Transmission to public health agencies — electronic case reporting 

In addition, please be aware that APHL will sunset eRSD Version 1 and eRSD 2 on January 31, 2026. There will be no updates to eRSD Versions 1 and 2 after that date. Please ensure that your EHR system has been upgraded to eRSD Version 3 by this deadline. 

​​​​​​Additional questions about electronic case reporting to the Maryland Department of Health​? Please contact the MDH eCR Team at: [email protected]​​​​

Page last updated on August 8, 2025​​
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