Healthy Communities

Electronic Lab Reporting (ELR)

Electronic Lab Reporting: On-Boarding Process

What is Electronic Laboratory Reporting (ELR)?

Electronic Laboratory Reporting (ELR) is the electronic transmission from laboratories to public health of laboratory reports which identify reportable conditions. ELR has many benefits, including improved timeliness, reduction of manual data entry errors, and reports that are more complete. Electronic Laboratory Reporting has been promoted as a public health priority for the past several years and its inclusion as a meaningful use objective for public health serves as a catalyst to accelerate its adoption. 

Reporting Communicable Diseases to the Arkansas Department of Health

The “Rules and Regulations Pertaining to Communicable Disease Control” adopted by the Arkansas State Board of Health in 1977 pursuant to the authority conferred by Act 96 of 1913 (Arkansas Statutes, 1947, Section 82-110) Section III states “The responsibility for reporting certain communicable diseases is the duty of every physician, practitioner, nurse, superintendent or manager of a dispensary, hospital, clinic, nursing or extended care home or laboratory personnel examining human specimens resulting in the diagnosis of notifiable disease or any person in attendance on a case of any disease or conditions declared notifiable.” The following document, "Instructions for Reporting Communicable Diseases to the Arkansas Department of Health", contains a complete list of the diseases and conditions that are reportable to the ADH.

Submitting Data or Public Health Meaningful Use

The Arkansas Department of Health currently accepts electronic submission of Electronic data on reportable (as required by state or local law) lab results from eligible healthcare providers. Eligible providers and Eligible hospitals interested in pursuing the ELR Meaningful Use objective may work through the "On-Boarding Process". 

Meaningful Use 2 logo

The Meaningful Use public health option allows Eligible Hospitals (EH) to electronically submit Electronic Lab Results (ELR) using Health Language Seven (HL7) to send the data.





ELR Roadmap to Interoperability
Meaningful Use Electronic Lab Reporting On-Boarding Instructions 
Electronic Lab Reporting Attestation Process

Laboratories Not Participating in Meaningful Use

If your laboratory is not eligible for Meaningful Use, the agency is still interested in supporting your implementation of ELR. For more information, please contact us at
Please note: Eligible hospitals must continue traditional reporting practices (i.e. fax, phone, or mail) during implementation of electronic reporting until they complete all on-boarding and quality assurance processes.

The NEDSS/NBS application will also use LOINC and SONMED as the vocabulary standard. 

**Stage 1 did not require the addition of a SNOMED CT code for an organism; however, rules defined in Stage 2 MU added this requirement for ELR. **

**Due to a large amount of requests, please allow a minimum of three weeks for processing your HL7 message**


Contact                                                 Email
ELR Coordinator        

Public Health Accrediation Board
Arkansas Department of Health
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4815 W. Markham, Little Rock, AR 72205-3867 | 1-800-462-0599