Electronic Clinical Laboratory Reporting System (ECLRS)

The Electronic Clinical Laboratory Reporting System (ECLRS) is operated by the NYS Department of Health (NYSDOH) and available to Eligible Hospitals (EHs) inside and outside the five boroughs of NYC.

The ECLRS registry collects reportable laboratory test results from EHs and CAHs on cancer, communicable diseases, heavy metals, and HIV/AIDS.

  • Meaningful Use Stage 1 (2011 – 2014): Electronic Laboratory Result Reporting
  • Meaningful Use Stage 2 (2014): Electronic Laboratory Result Reporting
  • Meaningful Use Modified Stage 2 (2015–2017): Electronic Laboratory Result Reporting
  • Meaningful Use Stage 3 (2017–2021): Electronic Laboratory Result Reporting

Phone: (518) 402–5943 – Local; (866) 325–7743 – Toll Free

Email: eclrs@health.ny.gov

Meaningful Use Stage 3 – 2015 Edition CEHRT

On July 15, 2016, the ECLRS registry declared they are capable of accepting electronic reportable laboratory (ELR) results from EHs located inside and outside the five boroughs of NYC according to the standards required to meet the 2015 Edition CEHRT definition and will continue accepting data according to the standards on January 1, 2017.

Meaningful Use Stage 2 & Modified Stage 2 – 2014 Edition CEHRT

As of October 2012, the ECLRS registry began accepting and continued to accept electronic reportable laboratory (ELR) results from EHs located inside and outside the five boroughs NYC according to the standards required to meet the 2014 Edition CEHRT definition.

Meaningful Use Stage 1 – 2011 Edition CEHRT

As of 2005, ECLRS was accepting and continued to accept electronic reportable laboratory (ELR) results from EHs located inside and outside the five boroughs NYC according to the standards required to meet the 2011 Edition CEHRT definition.

EHs must register their intent to submit data for a given Public Health Reporting measure, before or within 60 days of the start of their EHR Reporting Period, using the Meaningful Use Registration for Public Health (MURPH) System. MURPH is the statewide system hosted on the Health Commerce System (HCS) that accepts registrations, is used by the registries, and used by the EHR Incentive Program to manage onboarding and program compliance. A registration must be completed for each EH. When an EH formally submit a registration, an e–mail confirmation will be sent to the Registration Contact´s e–mail from the MURPH System. Please see Public Health FAQ #4.1 regarding keeping the Registration Confirmations for post–payment audit purposes.

Please be aware that only one registration is needed if the EH is choosing to achieve multiple Public Health Reporting measures in the same Public Health jurisdiction. If the provider spans both jurisdictions, inside the 5 boroughs of NYC and outside the 5 boroughs of NYC, then a separate registration is needed for each jurisdiction.

How to Access the Registration System:

  1. Log into HCS: https://commerce.health.state.ny.us*
  2. Click on the "My Content" on the top navigation bar
  3. Click on "All Application" in the drop down
  4. Click on the letter "M"
  5. Click on "Meaningful Use Registration for Public Health"

*An HCS account is required to submit a registration on the MURPH system. Account sign–up can be initiated from the HCS Login screen.

Note: Please see the Eligible Hospital MURPH Registration Guide for additional details.

Step 1 Status

An EH who has submitted a registration through the MURPH System within 60 days of the start of their EHR Reporting Period has achieved Active Engagement Option 1 – Completed Registration to Submit Data and may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Once a registration is received, the Public Health Agencies (PHAs) will triage new registrants and prioritize EHs based on staff/resource availability, volume of data, practice size, reporting periods, and other criteria. If the registry chooses not to onboard the EH immediately following registration, the EH´s status will be recorded as Active Engagement Option 1 – Completed Registration to Submit Data. When the PHA staff is ready to work with the EH, an e–mail invitation will be sent to the registration and alternate contacts listed in the MURPH registration. At this time, the registry staff will change the EH´s status to ´´Invited to Test.´´ As soon as a timely response is received from the EH, PHA staff will change the status to Active Engagement Option 2 – Testing and Validation.

The measure may not be met if an EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EH fails to respond to two requests for action before each 30–day time limit expires, the EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT.

Step 2 Status

An EH that has achieved Active Engagement Option 2 – Testing and Validation may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.

Now that a PHA has invited the EH to begin testing, the PHA will dedicate a representative to work closely with the EH to initiate the exchange and testing of data. The PHA will verify submitted test data for valid structure, content, and completeness. If any issues arise, the PHA may request EHR vendor/IT attention for troubleshooting, implementation of corrections, and continued testing.

The measure may not be met if an EH fails to participate in the onboarding process as demonstrated by failure to respond to the PHA´s written request for action within 30 days on two separate occasions. Written requests to take action include invitations to begin testing, any requests for corrective action related to testing and validation, and any requests for corrective action while in production. Therefore, if an EH fails to respond to two requests for action before each 30–day time limit expires, the EH may be deemed "Non–Responsive" and not a meaningful user of CEHRT. See Public Health FAQ #4.3 for additional information.

Clinical Laboratory Reporting

ECLRS will be accepted from EHR software certified by an Office of the National Coordinator for Health Information Technology (ONC)–Authorized Testing and Certification Body and will be in accordance with the NYS ECLRS HL7 Message Requirements for Electronic Laboratory Results (ELR) Reporting.

Clinical Laboratory Reporting through UPHN Lite

In order to send electronic reportable laboratory results to NYSDOH for the purposes of Meaningful Use Stage 2, EHs will be required to exchange data using UPHN Lite through the HL7 2.5.1 standard. For more information on UPHN Lite, please contact the NYSDOH at MUPublicHealthHELP@health.ny.gov and review the NYS ECLRS HL7 Message Requirements for Electronic Laboratory Results (ELR) Reporting.

Step 3 Status

An EH that has achieved Active Engagement Option 2 – Testing and Validation may attest "Yes" to the Public Health Reporting measure in an EHR Incentive Program attestation.

The NY Medicaid EHR Incentive Program defines submission of production data as an EH who continually and successfully submits structured, production–level data from a Certified EHR Technology to the appropriate PHA when the data is made available by the Certified EHR Technology and according to the timing and frequency determined by Public Health Law or registry policies. See Public Health FAQ #4.5 for additional information.

Submission of production data is initially achieved when the EH completes testing and validation and the PHA staff determines the EH´s live data is being received by the PHA and is correct in structure and content. When submission of production data is achieved, the EH´s status will be changed from Active Engagement Option 2 – Testing and Validation to Active Engagement, to Option 3 – Production. E–mail communications between the PHA and the EH indicating that submission of production data has been achieved is considered the EH´s acknowledgment of this status and should be saved for EHR Incentive Program audit purposes.

For additional information on audits please see Post–Payment Audit Guidance.

Step 4 Status

An EH that has achieved Active Engagement Option 3 – Production may attest ´Yes´ to the Public Health Reporting measure in an EHR Incentive Program attestation.