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It's a New Day in Public Health.

The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.

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Electronic Case Reporting (eCR)

Be a star!  Sign up for eCR.

Florida eCR participants are building a public health information superhighway.

A special thanks to the trailblazers below:

eCR Early Adopters

Memorial Health System

Leon Medical Centers

Premise Health

Lee Memorial Health System

Watson Clinic LLP

Johns Hopkins Medicine

Mayo Clinic

Welcome to the Florida Department of Health eCR page!

The Florida Department of Health declares that they are ready to receive electronic case reports from eligible health care organizations.

Register your intent for eCR now
Flordia ECR Information: As of April 2022, more than 11,400 facilities are actively sending COVID-19 via eCR to PHAs

Effective January 1, 2022, eCR is required by the Centers for Medicare and Medicaid Services' Promoting Interoperability Program (PIP) for eligible hospitals and critical access hospitals (CAHs) and the Merit-Based Incentive Payment System (MIPS) Promoting Interoperability Performance Category for eligible clinicians. Please read on to learn about eCR, its benefits, where to register your intent, and additional resources.

Please read on to learn about eCR, its benefits, where to register your intent, and additional resources.

About eCR

The CDC defines electronic case reporting (eCR) as the automated, real-time exchange of case report information
between electronic health records (EHRs) and public health agencies.

Traditionally, health care providers need to know the rules for reporting and manually report about cases, or people with
conditions of public health concern, to their public health agencies via fax, phone call, or email.

The Florida Department of Health uses the HL7 electronic initial case report (eICR) standards (R1.1 and R3) for electronic case reporting and to support the new CMS Promoting Interoperability regulation for eCR. It is these standards that we will use to eventually eliminate manual reporting requirements.

Benefits of eCR

  • Fulfills legal requirements: eCR allows Medicaid providers to fulfill their legal obligations to report conditions of public health concern with less administrative burden.
  • Qualifies as a PIP objective: eCR qualifies as an objective for eligible facilities participating in the Promoting Interoperability Program (PIP), formerly called Meaningful Use.
  • Enhances surveillance: eCR enhances the efficiency and effectiveness of disease detection, surveillance, investigation, and response.
  • Increases automation: eCR increases automation, which allows stakeholders to spend more time providing care and preventing and controlling disease among the residents of Florida, especially those who are most vulnerable.

Register your intent for eCR now

Learn more about eCR


Should you have any questions, we are happy to support you. Please email us at