​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​

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. Listeriosis
  26. Malaria
  27. Measles
  28. Meningococcal Disease
  29. Middle East Respiratory Syndrome (MERS)
  30. Mpox (formerly Monkeypox)​
  31. Naegleria fowleri Primary Amebic Meningoencephalitis
  32. ​​Novel Influenza A Virus Infection
  33. Oropouche Virus Disease
  34. Orthopoxvirus Disease
  35. Plague (Yersinia pestis​)
  36. Ricin Poisoning
  37. Smallpox
  38. Streptococcal Disease, Invasive, Group A (Group A Strep)
  39. Streptococcal Disease, Invasive, Group B (Group B Strep)
  40. Streptococcal Toxic Shock Syndrome​
  41. Strongyloidiasis
  42. Toxoplasmosis
  43. 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
  44. 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.

Sending eCRs to MDH

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

Page last updated on June 4​​, 2025​​