Syndromic Surveillance

This is the onboarding page for syndromic surveillance. Onboarding refers to the testing and validation process that providers and public health programs engage in prior to ongoing submission of production data from certified electronic health record (EHR) technology (CEHRT). This page contains information on the Division of Public Health (DPH) Syndromic Surveillance program, including:

  • Technical capacity to receive data.
  • Resource/administrative capacity.
  • Information required to register with the program.
  • Detailed onboarding checklist.

Technical Capacity to Accept Data and Specifications

Effective April 27, 2016, DPH is not collecting ambulatory syndromic surveillance data from any category of eligible professional unless an eligible professional is already in production and sending syndromic surveillance data to BioSense 2.0 directly or via the Wisconsin Statewide Health Information Network (WISHIN) to BioSense 2.0. Eligible professionals that registered with DPH within 60 days of the start of their EHR reporting period and who are not already in a production status can choose to remain in the queue and select Active Engagement Option 1 when attesting to the Syndromic Surveillance Reporting Measure. Otherwise, eligible professionals in this status have the option to select the applicable exclusion to this measure when attesting. In light of this policy change, DPH has created a Syndromic Surveillance Measure Guidance for Eligible Professionals (P-01254). Review this document for more detailed information.

DPH has the technical capacity to accept syndromic surveillance data from hospitals. However, DPH does not currently have the resources to support testing and data validation. Hospitals who have not yet been onboarded will remain in the registration queue for onboarding until DPH resources become available. Eligible hospitals can still meet the Syndromic Surveillance Reporting Measure under Active Engagement Option 1. Hospitals will then have two options for submitting syndromic surveillance data:

Regardless of which transmission path is used, any hospital wanting to satisfy the Syndromic Surveillance Reporting Measure must use the required edition of federally certified health information technology, i.e., the technology that generates the syndromic surveillance messages has to meet the HL7 2.5.1 standards and conform to the specifications found in the Public Health Information Network (PHIN) messaging guide for syndromic surveillance.

Resource Capacity

DPH currently does not have the resource capacity to support testing and data validation of syndromic surveillance data for hospitals in the queue awaiting an invitation to begin onboarding for syndromic surveillance data submission to BioSense 2.0 (directly or via WISHIN).

Hospitals in Modified Stage 2 of Meaningful Use can meet the Syndromic Surveillance Reporting Measure even if they do not begin testing during their EHR reporting period as long as they register with DPH no later than 60 days after the start of their reporting period, are responsive to DPH communications, and have health information technology that is federally certified for syndromic surveillance data submission.

Information Required to Register

To register, you will need the following information:

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

Once DPH has resources to support the testing and validation of a hospital’s syndromic surveillance data, the onboarding process to BioSense 2.0 (directly or via WISHIN) will begin only for hospitals that have registered with DPH. To register with the Syndromic Surveillance program, please visit the PHREDS Enrollment and Registration of Intent page.

Onboarding Checklist

The Syndromic Surveillance Onboarding Checklist is being updated and will be published at a later date.


If you have questions concerning the registration process or the technical onboarding process, please email

Last Revised: May 16, 2016