Reportable Diseases

Reporting  Information

Healthcare Providers

Healthcare reporting requirements apply to all providers located within Tennessee, as well as providers whose patients reside in Tennessee.

Providers must report cases of all diseases and conditions listed through one of these methods:

• Mail or fax a completed PH-1600 form to your local health department or fax to the state health office at (615) 741-3857

• Send automatically via electronic case reporting (eCR). See this TDH webpage for more information on eCR, register at the Trader Partner Registration website, or contact MU.Health@tn.gov for assistance.

• Submit online via NBS. NBS is TDH's reportable disease system. To request an NBS account for reporting Complete this user survey to request an NBS account for reporting. 

• Blood lead levels can be sent via fax ( (615) 741-3857), entered online, or reported using the instructions at this link. 

Laboratory Reporting

Reporting requirements apply to all laboratories located within Tennessee, as well as laboratories outside of Tennessee that test residents of Tennessee, including laboratories located within healthcare facilities. Healthcare providers and laboratories in the same healthcare facility both have a duty to report. The type of organisms and analytes laboratories must report to TDH for 2026 are indicated, and there are several ways laboratories can report results to TDH.

• Manually report results to TDH by faxing or mailing a completed PH-1600 form to your local health department, or faxing to the state health office at (615) 741-3857
• Automatically submit results to TDH via electronic laboratory reporting (ELR), which automates the process of sharing data with TDH using interoperability standards.
  • See the ELR Onboarding Handbook for details on the onboarding process, checklist, frequently asked questions, business rules, message format, and vocabulary.
  • To initiate the ELR onboarding process with TDH, register in the Trading Partner Registration (TPR) system TPR provides documentation for Promoting Interoperability (PI) attestation and milestone letters to document onboarding progress. Contact MU.Health@tn.gov for assistance.
• Submit online via NBS. NBS is TDH's reportable disease system. To request an NBS account for reporting Complete this user survey to request an NBS account for reporting. 
• Blood lead levels can be sent via fax ( (615) 741-3857), entered online, or reported using the instructions at this link. 

Alphabetical List of Reportable Diseases

Alphabetical listing of reportable diseases and events including description, reporting requirements, laboratory testing algorithms, case definitions, investigation protocols, and report forms. 

As of July 1, 2025 the TN State Legislature is requiring reports of Alpha-Gal Syndrome.  This will be added to the Reportable Diseases Lists during the normal revision cycle and be available for January 1, 2026.  In the interim, please follow your typical reporting mechanisms and include alpha-gal syndrome in your data feeds or manual reports.  Please see CDC’s guidance on the condition for more information as we work to develop TN-specific guidance on reporting https://www.cdc.gov/alpha-gal-syndrome/about/index.html.

Division of Laboratory Services

The Tennessee Department of Health Laboratory Services consists of the Microbiology Laboratories and Environmental Laboratories in Nashville and Knoxville. For details on which diseases, events, or conditions, have requested or required submission to the state public health laboratory, along with submission requirements, refer to the Detailed Laboratory Guidance document. Additional information about submission requirements, including forms, is available on the State Laboratory webpage, which includes a Directory of Services.