EHR Implementers

EHR Implementers - Readiness and Implementation Checklist

√ EHR Readiness

Electronic health record (EHR) readiness involves elements related to your EHR software, its implementation in the specific healthcare setting, the ability to send the electronic initial case report (eICR), and the ability to receive and process a Reportability Response (RR) coming back.

√ Communicating Intent 

When you are moving forward with electronic case reporting (eCR), the clinical care organization will need to communicate intent to participate to your state public health agency (PHA) (For more information on communicating intent, visit the Healthcare - Readiness and Implementation Checklist page.), as well as communicate with the eCR Support Team by contacting the eCR general inquiries team at

√ Planning Connectivity

Establish technical connectivity through a direct connection to the Association of Public Health Laboratories (APHL) Informatics Messaging Services (AIMS) platform or through a Health Information Exchange (HIE) or Health Information Network (HIN). Which approach is used may depend on policy and membership issues. (For more technical information on connectivity, visit the EHR Implementers - eCR Exchange and Transport and EHR Implementers - Test Package and Resources pages.)

√ Onboarding and Production

When the previous readiness and implementation steps and testing have been completed, you are ready to move into production.

When you are ready to onboard, submit a help desk ticket with the eCR support team by emailing and include “eCR” in the subject line to ensure proper triage and routing. Depending on your method of connectivity, there may be other endpoint information that needs to be shared as well. (Learn more about technical connection on the Healthcare - Readiness and Implementation Checklist page.) Contact the eCR general inquiries team at with any questions that you may have about the process.