ELR Checklist			Updated on: 08/08/2017
Step 1: Register Intent to submit ELR
	Yes	Date	Comments & Resources
Submit your registration via the ISDH Meaningful Use Site for Registration of Intent.	☒		REQUIRED FOR STAGE 2 & 3 OF MU.
Receive and retain your notification from ISDH that your registration has been completed and received.	☒
Step 2: Identify laboratory results that are required by Indiana law to be reported to ISDH
	Yes	Date	Comments & Resources
Download a copy of the HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm) standard	☒		HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm)
Download and READ a copy of the ISDH HL7 2.5.1 ELR Message Structure Reference Guide. This will help to develop a message that will pass ISDH's testing process.	☒		ISDH HL7 2.5.1 ELR Message Structure Reference Guide
Step 3: Participate in initial planning discussion with ISDH
	Yes	Date	Comments & Resources
Contact ISDH to let us know that you are ready to begin testing, or to schedule an initial planning discussion.	☒		Send an email to isdhelrss@isdh.in.gov .
Receive and retain your invitation to initiate on-boarding for electronic laboratory reporting (ELR) from ISDH.	☒
A list of the communicable diseases that ISDH accepts for reporting can be found in 410 rule.			Indiana Communicable Disease Reporting
Indicate the reportable conditions that you will report to ISDH.	☒		Complete the Excel sheet template
Please email the completed Excel sheet to ISDH	☒		Send the Excel file via email to isdhelrss@isdh.IN.gov
Step 4: Translate local codes to standard coding systems
	Yes	Date	Comments & Resources
Map local lab orders and tests performed codes to the Logical Observation identifiers Names and Codes (LOINC) standard vocabulary.	☒		Reference materials are available from the following websites:
			LOINC
			SNOMED-CT
Map local lab test result values to the Systemized Nomenclature of Medicine – Clinical Terms (SNOMED-CT) standard vocabulary.	☒
Map local specimen types (sources) to the Systemized Nomenclature of Medicine – Clinical Terms (SNOMED-CT) standard vocabulary.	☒		Public Health Information Network Vocabulary Access Distribution System (VADS) & Reportable Condition Mapping Table
Map other local codes according to the HL7 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm)	☒		For Example: HL7 defined tables for race, ethnicity, gender, etc.
Step 5: Develop an HL7 Version 2.5.1 Message for ELR
	Yes	Date	Comments & Resources
Develop an HL7 message conformant to the HL7 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm).	☒		HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm)
Test ELR messages via self-service online validation tools, resolve issues found, and provide your successful validation results to ISDH.	☒		National Institute of Science and Technology (NIST) website
			NIST Instructions from ISDH
Step 6: Set up the secure message transport connectivity
	Yes	Date	Comments & Resources
ISDH currently supports SFTP as the transport mechanism to send electronic laboratory results directly to ISDH.	☒
ISDH can also accept ELR messages sent through a Health Information Exchange (HIE).	☒
Contact ISDH at isdhelrss@isdh.IN.gov to request configuration of the transport mechanism.	☒
Please send a clean NIST report to ISDH.	☒
Step 7: Send a batch file containing a test message for initial validation
	Yes	Date	Comments & Resources
Transmit a message containing a reportable result conformant to IN Regulations and to the HL7 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm).	☒		If the message passes initial validation, coordinate automated daily message transmissions from the test system and/or production system.
			If the message does not pass initial validation, please continue message development and internal validation.
Receive and retain your confirmation that a successful test message has been received by ISDH.	☒
Step 8: Participate in structure and content validation
	Yes	Date	Comments & Resources
ISDH will perform structure and content validation.	☒		ISDH will notify your facility during structure and content validation to discuss and resolve any discrepancies in messaging. If your facility is non-responsive, you many not fulfill the Stage 2 Meaningful Use objective for ELR.
Step 9: Participate in parallel data validation (User Acceptance Testing) with ISDH
	Yes	Date	Comments & Resources
ISDH will perform data validation, comparing the electronic submissions from the production system against the existing reporting mechanism (e.g. mail or fax).	☒		ISDH will notify your facility during parallel data validation to discuss and resolve any discrepancies in the data transmission.
			If your facility is non-responsive, you many not fulfill the Stage 2 Meaningful Use objective for ELR.
Step 10: Discontinue paper submissions to ISDH
	Yes	Date	Comments & Resources
ISDH will transition your ELR reporting to the production surveillance system.	☒
Receive and retain your notification that on-going submissions of electronic laboratory reporting of reportable results are being received by ISDH from your facility.	☒
Coordinate with ISDH to determine a date to discontinue paper or faxed reporting of laboratory results and solely submit ELR.	☒		ISDH and your facility will perform continual quality control checks.
			Also when your facility adds new in-house tests or new results which are reportable to public health, your facility must contact ISDH at isdhelrss@isdh.IN.gov to test and validate the sending of the new results via ELR.
Receive and retain your notification from ISDH that your facility can discontinue paper or faxed reporting of laboratory results and solely submit ELR if supported by your Health Exchange, otherwise continue to also submit manually.	☒