Maryland Department of Health
Center for Infectious Disease Surveillance and Outbreak Response

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Electronic Case Reporting (eCR)

​​​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. Malaria
  26. Measles
  27. Meningococcal Disease
  28. Middle East Respiratory Syndrome (MERS)
  29. Mpox (formerly Monkeypox)​
  30. Naegleria fowleri Primary Amebic Meningoencephalitis
  31. ​​Novel Influenza A Virus Infection
  32. Oropouche Virus Disease
  33. Orthopoxvirus Disease
  34. Ricin Poisoning
  35. Streptococcal Disease, Invasive, Group A (Group A Strep)
  36. Streptococcal Disease, Invasive, Group B (Group B Strep)
  37. Streptococcal Toxic Shock Syndrome​
  38. Strongyloidiasis
  39. Toxoplasmosis
  40. 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

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.

Sending eCRs to MDH

​​Additional questions? Please contact the MDH eCR Team at: mdh.ecr@maryland.gov​​​​

Page last updated on December 13​​​​​, 2024

eCR Healthcare Data Challenge

​The electronic case reporting (eCR) Healthcare Data Challenge is an initiative aimed at improving public health action by enabling healthcare organizations (HCOs) to accelerate the use of occupational data and other social determinants of health captured in healthcare settings through eCR. Participants will need to implement the collection of key, coded work information and the HL7® Consolidated Document Architecture (CDA) Electronic Initial Case Report (eICR) R3.1 standard as well as meet other Challenge requirements. Awardees can receive up to $150,000.

Healthcare Organizations must submit their Expression of Interest by Friday, February 28, 2025 and ​​their Evidence of Completion by Thursday, May 1, 2025.

For complete details, please see the APHL eCR Data Challenge website or contact the​ organizers at eCRsupport@aimsplatform.org ​