Section 144-258-5 - SYNDROMIC SURVEILLANCE - EMERGENCY DEPARTMENT REPORTING REQUIREMENTSA. All Health Care Facilities that operate or maintain an Emergency Department, defined by the Emergency Medical Treatment And Labor Act (EMTALA) in Section 1(B) of this rule, in Maine must report Emergency Department visit data to the Department via Health Level Seven (HL7) messages. 1. All Health Care Facilities that operate or maintain an Emergency Department in Maine must report Emergency Department visit data to the Department for all visits on a daily basis (visits from 12:00 am to 11:59 pm) on either a static (batched files) or dynamic (real-time) basis and in accordance with the standards set forth in the most recent national Public Health Information Network (PHIN) Messaging Guide for Syndromic Surveillance version 2.0 or any subsequent edition, as it becomes available at https://www.cdc.gov/nssp/biosense/publications.html#tabs-1-5.2. Implementation of this reporting will be performed in collaboration with the Department and at the initiative of the health care facility. Prior to sending Emergency Department visit data electronically, a health care facility must coordinate with the Department to initiate this process.10-144 C.M.R. ch. 258, § 5