This report provides an overview of experiences and lessons learned from the initial implementations of electronic case reporting (eCR) for birth defects surveillance (BDS) across three states: Texas, Minnesota and California. It highlights the successes and challenges encountered as these states worked to develop, pilot and implement eCR and offers guidance for other programs planning similar initiatives.
Read BDS Lessons Learned Summary Report
In addition to this report, PHII has also developed related BDS resources available at https://phii.org/birth-defects-surveillance/.
PHII (February 14, 2026) Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California. Retrieved from https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/.
"Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California." PHII - February 14, 2026, https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/
PHII October 22, 2024 Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California., viewed February 14, 2026,<https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/>
PHII - Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California. [Internet]. [Accessed February 14, 2026]. Available from: https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/
"Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California." PHII - Accessed February 14, 2026. https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/
"Lessons learned from the eCR implementation of birth defects surveillance in Texas, Minnesota and California." PHII [Online]. Available: https://phii.org/resources/lessons-learned-from-the-ecr-implementation-of-birth-defects-surveillance-in-texas-minnesota-and-california/. [Accessed: February 14, 2026]