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Public Health Meaningful Use:
Syndromic Surveillance

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Syndromic Surveillance

Wisconsin's Division of Public Health (DPH) has a syndromic surveillance data collection program in place for hospital Emergency and Urgent Care departments. Hospitals presently have the option to subscribe to the Wisconsin Statewide Health Information Network (WISHIN) and electronically test and send syndromic surveillance data to public health via WISHIN using a secure VPN HL7 interface. WISHIN sends the data to the state’s secure space in BioSense 2.0, the CDC’s secure public health tracking tool. Hospitals also have the option to send their syndromic surveillance data directly to the state’s secure space in BioSense 2.0.

Regardless of which transmission path is used by hospitals, any hospital that wants to satisfy the Meaningful Use objective for syndromic surveillance data submission from the hospital ED and Urgent Care has to meet the HL7 2.5.1 standards and conform with the HL7 implementation specifications found in the Public Health Information Network (PHIN) message guides for syndromic surveillance. Also, the technology used by the hospital to generate the ADT HL7 messages has to be a federally certified 2014 Edition EHR technology for this syndromic surveillance objective.

For 2013, DPH has limited capacity to accept syndromic surveillance data from ambulatory clinics and Eligible Professionals (EPs). EPs should register with DPH to receive confirmation of public health's capacity status to test with and onboard EPs. For Stage 2 Meaningful Use beginning January 1, 2014, ambulatory clinics and Eligible Professionals who register with DPH within 60 days of the beginning of their Meaningful Use reporting period can meet the syndromic surveillance objective even if DPH does not have the capacity to accept their individual data.

To register with the syndromic surveillance program, please visit the PHREDS registration page. To register, you will need the following information:

  • Organization name
  • Primary technical contact information (phone number and email address)
  • Primary Meaningful Use contact information, if applicable (phone number and email address)
  • Primary address
  • Meaningful Use stage and year, if applicable
  • EHR vendor name
  • EHR product name and version
  • Submission option (WISHIN or direct to BioSense 2.0)

For providers onboarding to meet Meaningful Use, the sydromic surveillance and other program areas will not begin the onboarding process until you register.

Onboarding Checklist

Use this syndromic surveillance onboarding checklist (PDF, 100 KB) to learn how to submit data electronically.


If you have questions concerning the registration process, please email

If you have questions concerning the technical onboarding process for syndromic surveillance, please email the Syndromic Surveillance Program at

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Last Revised: April 08, 2014