Update

Updates to the Reportable Diseases Rule (Effective June 10, 2026)

  • Vermont’s Reportable and Communicable Diseases Rule has been updated. Please follow the current reporting requirements for conditions and lab findings outlined on this page.
  • Key update: Individual COVID cases and test results are no longer reportable. Outbreaks of COVID and flu-like illness remain reportable.

Review additional key updates in the Health Advisory issued on May 18, 2026

Electronic Laboratory Reporting (ELR)

Hospital and reference laboratories are required to report certain lab findings to the Vermont Department of Health under the Reportable and Communicable Diseases Rule. Electronic Laboratory Reporting (ELR) helps ensure timely disease surveillance and public health response.

Vermont's Guide to Electronic Lab Reporting


How to Report

If your facility has an established ELR connection with the Vermont Department of Health, continue reporting through your existing feed.

If your facility doesn't have an established ELR connection, the Vermont Department of Health accepts:

  • HL7 2.5.1 feed (preferred)
  • an automated spreadsheet using the National Flat File schema feed

Options for Electronic Reporting

Vermont Information Technology Leaders (VITL)

The Vermont Department of Health partners with VITL to support electronic reporting of reportable laboratory results. 

To request onboarding, complete the ELR Request Form. Please note that laboratories are prioritized for onboarding based on reporting volume.

Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS)

AIMS is a centralized messaging service that routes laboratory reports to participating public health agencies. This option may be useful for laboratories that report to multiple states because it allows reporting through a single connection.

If You Cannot Report Electronically


Hospitals

Eligible hospitals and critical access hospitals participating in the Promoting Interoperability Program should follow applicable program requirements for ELR. Vermont accepts ELR messages in HL7 ORU v2.5.1 format.

Hospitals that perform in-house testing, please e-mail [email protected] to confirm your electronic reporting status. Until electronic reporting has been confirmed, continue to submit reportable lab results according to Vermont reporting requirements.


Resources


Need help?

Contact us

For questions about ELR, onboarding, or reporting requirements, contact [email protected].

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