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Reporting LAHAN Alerts

Coronavirus Disease 2019

Provider and Laboratory Reporting
Guidelines for COVID-19


Healthcare provider reporting is an essential part of the public health response to COVID-19. Not only is reporting COVID-19 required by law, it helps shape our response as the information is used to detect outbreaks, identify exposures in high risk settings, and inform the allocation of local resources. Timely and complete reporting of fatalities is necessary to characterize and communicate who is at highest risk of dying at home and in the hospital.

If the patient’s residence is outside Los Angeles County, please do not send a report to LAC DPH. Please see Other Health Jurisdictions reporting information below..

Thank you for reporting COVID-19.

Provider Reporting
  • Healthcare providers must report COVID-19 associated deaths, all laboratory-confirmed COVID-19 cases, and cases that meet the CDC definition of MIS-C.
  • Healthcare providers/clinical facilities conducting point-of-care tests (POCT) must report all positive POCT SARS-CoV-2 results; reporting of non-positive results is no longer required but recommended.
  • All acute care hospitals (including general and long-term acute care hospitals) are required to provide a daily line list of their COVID-19 positive inpatients.

Note that LAC DPH accepts reports of COVID-19, as well as many other diseases, by secure email (see list of conditions reportable by providers).

COVID-19 Associated Deaths
Icon of the Death Report Form

Healthcare providers are asked to report all fatalities related to COVID-19, including out of hospital deaths of presumed cases.

Providers are required to report deaths in any person:

  1. Who tested positive for COVID-19 within 90 days prior to death; OR
  2. Clinically suspected of having died from COVID-19 (either directly attributable to COVID-19 or a secondary complication of COVID-19) regardless of prior testing results; OR
  3. Who was a resident of a congregate living facility with an ongoing COVID-19 outbreak, regardless of testing*

* Suspected cases are not counted towards a facility’s COVID-19 death count until investigated and determined to be a COVID-19 associated death.

COVID-19 associated deaths must be reported by healthcare providers within 24 hours by:

If COVID-19 testing was performed, please attach/send the laboratory result slip along with the death report form.

When completing either the COVID-19 Death Report Web or PDF Form, please make sure to complete all the sections including if the next of kin has been notified of the person's death and COVID status. It becomes the provider’s responsibility to ensure that the next of kin knows that the deceased patient had COVID-19 and that they should advise the patient's close contacts follow LAC DPH’s instructions on home quarantine. Please refer to the LAHAN dated on April 7, Notification of Close Contacts; Importance of COVID-19 Death and Case Reporting.

Note that If COVID-19 played a role in a patient’s death, it is important to report it accurately on the death certificate per CDPH Guidance (3-6-20).

Laboratory-confirmed COVID-19 Cases

Healthcare providers must report all patients with a positive PCR/NAAT or antigen test for COVID-19 within one day.

Report positive test results via the web-based Medical Provider COVID-19 Report form (preferred)

Alternative reporting method: If you are unable to submit a web-based report, please complete a PDF version of the Medical Provider COVID-19 Report form and submit by:

*The on-line Provider/Clinical Facility POCT Result Report Form replaces the requirement for submitting positive cases via the Medical Provider Report Form(see Provider/Clinical Facility Reporting of Point of Care Test Results).

**The mandated daily reporting of hospitalized inpatient COVID-19 positive cases replaces the requirement for submitting the Medical Provider Report Form. (see Hospital Reporting).

Notifying next of kin

Note: providers are responsible for instructing COVID-19 positive patients to notify close contacts of their positive status at the time of diagnosis. However, if a patient is unable to do this notification (e.g. the patient is severely ill/intubated) it becomes the provider’s responsibility to notify the next of kin of the COVID-19 status to ensure close contacts follow LAC DPH’s instructions on home quarantine. See section When The Presumed Or Confirmed Case Cannot Inform Their Close Contacts, LAC DPH Isolation and Quarantine Guidance.

Provider/Clinical Facility Reporting of Point of Care Test Results

Healthcare providers/clinical facilities conducting CLIA-waived testing at the point of care setting are required to report all positive SARS CoV-2 test results. Reporting of non-positive results is no longer required but is recommended.

Providers/clinical facilities should use the secure on-line Provider/Clinical Facility COVID-19 POCT Result Report Form to submit each patient’s POCT results. Reporting positives via this on-line route replaces the requirement for submitting the Medical Provider Report Case Report Form.

How to report POCT results:

  • One-time registration Required Register your clinic. This is a required one-time registration so your clinic information can be pre-collected and then will be pre-populated in the POCT reporting portal. Click hereto register.
  • Report POCT results: Following required one-time registration, submit all positive results from your clinic via the online Provider/Clinical Facility COVID-19 POCT Result Report Form. Non-positive test results can also be submitted.

For questions regarding POCT reporting email POCReportQA@ph.lacounty.gov.

Multisystem Inflammatory Syndrome in Children (MIS-C)

Report cases that meet the CDC definition of Multisystem Inflammatory Syndrome in Children (MIS-C) by phone within 1 working day.

  • Los Angeles County DPH Acute Communicable Disease Control: Call 888-397-3993 or 213-240-7821
  • Long Beach Health and Human Services: Call 562-570-4302.
  • Pasadena Public Health Department: Call 626-744-6089. Fax to 310-605-4274

See the LAC DPH MIS-C webpage for more information about MIS-C.

Hospital Inpatient Daily Reporting

All acute care hospitals, including general and long-term acute care hospitals, in Los Angeles County are required to provide a daily line list of COVID-19 positive hospitalized patients. No Emergency Department, Observation, or Outpatients should be included in this daily file.

This daily line list of hospitalized COVID-19 inpatients replaces the requirement of submitting a COVID-19 Medical Provider Report Form for each inpatient.

See Daily Reporting of Hospitalized COVID-19 Positive Inpatients: Updated Data Submission Requirements and Guide for Acute Care Facilities in LA County (8-31-21) for an overview of requirements plus detailed instructions regarding report/file preparation and design, submission, and FAQs.

Laboratory Reporting

All COVID-2019 (SARS-CoV-2) nucleic acid amplification/molecular tests (NAAT) and antigen test results (positive and non-positive) must be reported electronically within one working day. Laboratories should report only the results from serologic tests that have an FDA Emergency Use Authorization (EUA). All entities performing SARS-CoV-2 whole genome sequencing (WGS) and/or molecular sequencing-based surveillance are required to follow the LA County Health Officer Order: SARS-CoV-2 Data Sharing and Reporting (see below). View Reportable Conditions: Notification by Laboratories to see all laboratory reporting requirements.

All laboratories that test LAC residents must register with the California Department of Public Health (CDPH) for electronic laboratory reporting (ELR), regardless of the physical location of the laboratory. Information about how to establish an electronic connection with CDPH to route positive and negative COVID results to LACDPH can be found at the CDPH Health Information Exchange Gateway.

Temporary reporting instructions for labs awaiting ELR

  1. Register your laboratory with Los Angeles County Department of Public Health, using this form, which can be emailed to Covid19TestQI@ph.lacounty.gov.
  2. After receiving registration confirmation, laboratories are required to do the following daily:

For each person tested, laboratories are required to do the following SARS-CoV-2 results daily:

  • Fax each positive NAAT and antigen lab result slips to (888) 397-3778.
  • Email as a single daily batch a report of all non-positive NAAT and antigen results (e.g. negative, indeterminate) and all serology results (positive and non-positive) using this template: LAC COVID-19 Import Lab Submitters Template .

Training: Full Video (22 minutes) or download it in 4 parts: Part 1 (Intro), Part 2 (Fields 1-16), Part 3 (Fields 17-32), Part 4 (Conclusion).

SARS-CoV-2 Whole Genome Sequencing
The LA County Health Officer issued an order requiring entities that are performing SARS-CoV-2 sequencing and molecular testing on specimens collected from residents of LA County public health jurisdiction to register with LAC DPH, report information about sequenced samples as directed, report findings of public health significance, and submit specimens upon request. For more information see the Whole Genome Sequencing FAQ. View the LA County Health Officer Order: SARS-CoV-2 Data Sharing and Reporting.

Reporting Outbreaks or Case Clusters
Other Health Jurisdictions

Cases and deaths must be reported to the jurisdiction where the patient resides.

Long Beach Health and Human Services:

Pasadena Public Health Department:

  • To report a case of COVID-19, fill out the Pasadena COVID-19 Report Form and fax to 626-744-6115, and call 626-744-6089 weekdays 8am-5pm, or after hours call 626-744-6043.

For other health jurisdictions not listed here:

  • For contact information for other jurisdictions, please view the Health Care Providers/Labs reporting contact list maintained by the California Public Health Department (CPDH).

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