MMWR Morb Mortal Wkly Rep. 2013 Sep 27;62(38):797-999.
Electronic reporting of laboratory results to public health agencies can improve public health surveillance for reportable diseases and conditions by making reporting more timely and complete. Since 2010, CDC has provided funding to 57 state, local, and territorial health departments through the Epidemiology and Laboratory Capacity for Infectious Diseases cooperative agreement to assist with improving electronic laboratory reporting (ELR) from clinical and public health laboratories to public health agencies. As part of this agreement, CDC and state and large local health departments are collaborating to monitor ELR implementation in the United States by developing data from each jurisdiction regarding total reporting laboratories, laboratories sending ELR by disease category and message format, and the number of ELR laboratory reports compared with the total number of laboratory reports. At the end of July 2013, 54 of the 57 jurisdictions were receiving at least some laboratory reports through ELR, and approximately 62% of 20 million laboratory reports were being received electronically, compared with 54% in 2012. Continued progress will require collaboration between clinical laboratories, laboratory information management system (LIMS) vendors, and public health agencies.
电子向公共卫生机构报告实验室结果可以通过提高报告的及时性和完整性来改善对法定报告疾病和病症的公共卫生监测。自 2010 年以来，疾病预防控制中心通过传染病流行病学和实验室能力合作协议向 57 个州、地方和地区卫生部门提供资金，以协助改善临床和公共卫生实验室向公共卫生机构的电子实验室报告（ELR）。作为该协议的一部分，疾病预防控制中心以及州和大型地方卫生部门正在合作，通过从每个管辖区收集有关总报告实验室、按疾病类别和消息格式发送 ELR 的实验室以及与实验室报告总数相比 ELR 实验室报告数量的数据，来监测美国的 ELR 实施情况。截至 2013 年 7 月底，57 个管辖区中有 54 个至少通过 ELR 接收了一些实验室报告，约 2000 万份实验室报告中有 62%是通过电子方式接收的，而 2012 年这一比例为 54%。要取得持续进展，临床实验室、实验室信息管理系统（LIMS）供应商和公共卫生机构之间需要进行合作。
