Welcome to the Health Information Exchange Gateway
The California Department of Public Health (CDPH) shares data with many stakeholders, including providers, hospitals, laboratories, local health jurisdictions and federal agencies. To improve upon our data exchange, analysis, and reporting capabilities, CDPH has developed a secure health information exchange (HIE) web application, the CDPH HIE Gateway. The Gateway will allow providers, hospitals and health information exchange organizations to register and manage public health data exchange with CDPH for specific types of reportable diseases and conditions.
Declaration of Readiness for Meaningful Use Stage 3
Note: In 2018, the Centers for Medicare & Medicaid Services (CMS) has renamed the EHR Incentive Program to the Promoting Interoperability (PI) Program. For historical purposes, the Promoting Interoperability objectives and measures will continue to be referred to as Meaningful Use (MU) objectives and measures in this website.
California Immunization Registry
The California Immunization Registry (CAIR2) is declaring its readiness to meet the Stage 3 Meaningful Use Immunization Measure. CAIR2 will be able to meet the 2015 Edition CEHRT criteria, including:
- The ability to respond to bidirectional queries (QBP/RSP)
- The capacity to receive NDC codes
CAIR2 Submitters seeking to meet the Stage 3 Meaningful Use Immunization Measure will be required to complete the online CAIR2 Bidirectional Interest/Readiness Survey. Visit California Immunization Registry for the survey. Interested sites should continue to submit immunization messages to CAIR2.
CalREDIE Electronic Lab Reporting (ELR)
CalREDIE previously declared readiness to meet the Stage 3 Meaningful Use Electronic Lab Reporting (ELR) Measure. CalREDIE meets the 2015 Edition CEHRT criteria. As noted in the CDC document, there are no changes for ELR between 2014 and 2015 Edition CEHRT.
CalREDIE Electronic Case Reporting (eCR)
As of July 1, 2017, CalREDIE declared readiness to meet the Stage 3 Meaningful Use/Promoting Interoperability Electronic Case Reporting (eCR) Measure.
Beginning January 1, 2018, Eligible Professionals (EP) and Eligible Hospitals (EH) are able to use the CDPH Health Information Exchange (HIE) Gateway to register intent to submit electronic initial case reports (eICRs) in support of Objective 8, Measure 3 - Electronic Case Reporting. Please check the California Public Health Electronic Reporting Capacity Matrix to see whether your Local Health Jurisdiction prefers you to register using the CDPH HIE Gateway or a local solution for eCR.
In 2018, CalREDIE is able to accept elCR for reportable conditions from EP and EH. Healthcare providers must have the capability to submit electronic case reports to CalREDIE in accordance with the national standard that has been developed for certified electronic health record technology (CEHRT) to generate an elCR as described in the HL7 CDA® R2 Implementation Guide: Public Health Case Report, Release 2: the Electronic Initial Case Report (eICR), Release1, STU Release 1.1 - US Realm.
CalREDIE eCR replaces traditional paper-based methods of case reporting for many reportable conditions in jurisdictions using CalREDIE. Timely reporting via phone call is still required for conditions marked as "immediately" reportable in Title 17, Section 2500 of the California Code of Regulations (CCR).
CalREDIE will prioritize and queue providers based on organizational reporting volume and organizations using CEHRT with the capability of sending elCR messages per the HL7 guidelines. Additionally, prioritization is subject to change depending on CDPH staff capacity and funding availability.
CDPH/CalREDIE is working with the Digital Bridge initiative to implement an electronic case reporting approach for nationwide interoperability, and enhanced delivery of effective disease control and patient care practices. To learn more about the Digital Bridge, and the electronic case reporting specifications developing through the Digital Bridge partnership see:
- https://www.digitalbridge.us/infoex/about - Overview of the Digital Bridge initiative
- http://www.digitalbridge.us/infoex/resources/ - Business and technical specifications for eCR developed by Digital Bridge
Please note that this statement of readiness for the eCR Measure means that submitters will not be able to claim the following exclusions for this measure: ‘(ii) Operates in a jurisdiction for which no public health agency is capable of receiving electronic case reporting data in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period. (iii) Operates in a jurisdiction where no public health agency has declared readiness to receive electronic case reporting data at the start of the EHR reporting period.
California Cancer Case Registry
The California Cancer Registry is declaring its readiness to meet the Stage 3 Meaningful Use Cancer Measure. CCR will be able to meet the 2015 Edition CEHRT criteria, including incorporation of the updated Cancer Implementation Guide HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm
California Parkinson's Disease Registry
California Health and Safety Code (HSC) 103860-103870 requires healthcare providers diagnosing or providing treatment to Parkinson’s disease patients to report each case of Parkinson’s disease to CDPH. Per recent legislation with CA SB97, beginning July 1, 2018, a hospital, facility, physician and surgeon, or other health care provider diagnosing or providing treatment to Parkinson’s disease patients must report each case of Parkinson’s disease to the department, as prescribed. The California Parkinson’s Disease Registry (CPDR) will be a statewide population based registry that will be used to measure the incidence and prevalence of Parkinson’s disease.
Surprisingly, little is known about how Parkinson's Disease is distributed among different population groups and whether the patterns of disease are changing over time. California's large and diverse population makes it ideal for providing important information about this disease. CPDR will greatly expand our understanding of Parkinson's disease and ultimately improve the lives of those affected.
Quick Access Guide to register into CA Parkinson's Disease Registry.
April, 2018: CPDR Implementation Guide released (see below under Implementation Resources). This guide provides the necessary specifications for reporting Parkinson's Disease data to CPDR, and outlines who is required to report, the timing of reporting, and the methods for transmitting data.
May 23, 2018: FREE Informational meeting in Southern California
May 29, 2018: FREE Informational meeting in Northern California
June 8, 2018: REGISTRATION PORTAL OPENS. Establish intent to report to CPDR by registering on the CDPH Health Information Exchange (HIE) Gateway.
June 25, 2018: CPDR Implementation Guide Version 2.0 released. Please Note: The Implementation Guide has New Changes to the Specifications for Reporting. To download a copy see link below under Implementation Resources.
July 1, 2018: Mandatory statewide reporting of Parkinson's disease begins.
March 29, 2019: First case submission deadline. See CPDR Implementation Guide Version 3.0 for a complete list of case submission deadlines.
Before beginning the Gateway registration process, make sure to:
Check the California Public Health Electronic Reporting Capacity Matrix to see whether your Local Health Jurisdiction prefers you to use the CDPH HIE Gateway or a local solution for Public Health Reporting.
Set aside 15-20 minutes to complete the process - data will not be saved unless registration is completed.
Have all your Organization/Site and EHR vendor/IT technical support contact information available (contact names, email addresses, phone #s). With respect to MU, it is not necessary for individual EPs to register at the Gateway as CDPH will acknowledge MU-qualifying public health reporting per Site.
Define how your Site will submit data to the Gateway (choose 1 of these 3 options):
- Directly to the Gateway from your EHR system
- Through an intermediary facility (e.g. HIE/HIO, vendor data warehouse, health plan data warehouse, etc.)
- Will operate as an HIE/Sending Facility and submit data on behalf of other Sites
When you have assembled all this necessary information and are ready to begin Gateway registration, click below on the type of public health data you wish to submit and proceed with registration. Once you have registered to submit one public health data type (e.g. immunizations), registration for submission of other data types will take less time.
If you have any questions specific to Meaningful Use, please send your inquiries to this email address: MeaningfulUse@cdph.ca.gov
Call (855) 281-4996 for support
or e-mail us at HIEHelp@cdph.ca.gov