Newborn Screening. Early Hearing Detection. Connected Follow-Up.
SMART® CHSTS (Child Health Screening & Tracking System) is newborn screening and EHDI tracking software from NebuLogic Technologies for state public health programs. It helps teams coordinate newborn hearing, bloodspot, critical congenital heart disease (CCHD), birth defects surveillance, and other child health screening programs through connected records and structured workflows.
Connect health departments, hospitals, laboratories, audiologists, providers, and early-intervention teams to manage screening information, referrals, and follow-up across participating organizations.
Dashboards for screening, follow-up, referral, and EHDI reporting.
01 / 05Overview
Connected follow-up
Screening is only the first step. Public health teams also need to know whether a child received the next service, whether results were documented, and whether referrals were completed.
SMART® CHSTS brings screening results, diagnostic information, referrals, and case activity into a connected child record. Program staff can identify missing information, review overdue milestones, and determine where follow-up may be needed.
A child does not receive a recommended follow-up service.
A service may have occurred, but the program has not received or recorded the result.
By highlighting overdue services and missing information, SMART® CHSTS helps teams identify records that may require additional outreach or documentation.
02 / 05How It Works
Support the EHDI 1-3-6 milestones
The recommended EHDI 1-3-6 benchmarks call for hearing screening by 1 month of age, diagnostic evaluation by 3 months for infants who do not pass screening, and enrollment in early intervention by 6 months for infants identified as deaf or hard of hearing.
Every newborn receives a hearing screening by 1 month of age.
Infants who do not pass screening receive a diagnostic evaluation by 3 months.
Infants identified as deaf or hard of hearing are enrolled in early intervention by 6 months.
These capabilities support program oversight and follow-up. Results depend on implementation, data quality, and the actions of participating organizations.
03 / 05Capabilities
Key capabilities
Bring screening, diagnostic, referral, and follow-up information together in a connected record, giving authorized users a clearer view of each child’s screening history.
Use configured matching rules and confidence scores to help link incoming records. Review unmatched records and potential duplicates through designated work queues.
Create and manage cases based on configured screening and follow-up rules. Track referrals, diagnostic outcomes, intervention activity, and case closure.
Link relevant birth and death certificate information to child records. Configured workflows can close open cases or cancel pending follow-up when a matched death record requires those actions.
Support follow-up communications through configured letter, SMS, and email workflows.
SMART® CHSTS supports data exchange between participating organizations involved in newborn screening and child health programs. Documented integration options include:
HL7 messaging, including ADT (admission, discharge, and transfer) and ORU (observation results) messages
Secure File Transfer Protocol (SFTP)
Application programming interfaces (APIs)
Data exchange with hospital systems, laboratories, birth and death records, and other participating applications
Integration scope depends on the source system, data format, interface requirements, and implementation configuration.
Use dashboards and reports to monitor program activity, review follow-up needs, and support reporting requirements. Reporting can provide visibility into:
Screening activity and diagnostic outcomes
Follow-up status, including LFU and LTD
Referral and intervention activity
Time between screening, diagnosis, and follow-up
Provider and facility activity
Data quality and geographic trends
State, grant, and program reporting measures
SMART® CHSTS can support preparation of the annual CDC Hearing Screening and Follow-up Survey (HSFS) submission through configured reporting capabilities. Final reporting depends on the program’s data, definitions, and requirements.
04 / 05Proven Results
Statewide public health experience
NebuLogic implemented SMART® CHSTS statewide for the Maine Center for Disease Control and Prevention (Maine CDC). The implementation supports multiple child health screening and surveillance programs:
SMART® CHSTS also supports Maine’s preparation of its annual CDC Hearing Screening and Follow-up Survey (HSFS) submission.
05 / 05FAQ
Questions, answered
SMART® CHSTS stands for Child Health Screening & Tracking System. It supports child health screening, case management, referrals, intervention tracking, and follow-up for public health programs.
An EHDI Information System helps an Early Hearing Detection and Intervention program collect and track hearing screening, diagnostic, and intervention information. SMART® CHSTS supports these activities within a broader child health screening system.
It tracks screening, diagnostic evaluation, and early-intervention milestones, with dashboards and overdue alerts to help teams identify records requiring attention.
It helps identify overdue services and missing results or documentation so program staff can review records and coordinate appropriate follow-up.
No. It manages screening records and follow-up workflows. It can receive laboratory results through supported data exchange and help teams track abnormal results, referrals, outcomes, and case closure.
Documented options include HL7 messaging, including ADT and ORU, SFTP, and APIs. Specific compatibility depends on the systems and interfaces involved.
Yes. Configured matching rules and confidence scores help link incoming records to child records. Unmatched-record queues and duplicate detection support additional review.
Yes. Configured reporting capabilities can support preparation of the annual CDC Hearing Screening and Follow-up Survey submission, subject to program data and reporting requirements.
Yes. Workflows, user roles, integrations, and reports can be configured around state program requirements. Scope is determined during implementation.
Documented features include role-based access, MFA, SSO, audit trails, and encryption. NebuLogic holds ISO/IEC 27001:2022 certification. HIPAA, state privacy, and program-specific requirements are validated for each implementation.
Implementation services can include data mapping and migration, configuration, integration, testing, training, go-live, and post-production support.
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Give public health teams a clearer way to coordinate newborn and early childhood screening - from the first record through diagnosis, referral, intervention, and follow-up.
