The implementation of eCR is a joint effort between healthcare facilities, EHR vendors, and public health agencies. The exact registration process may look different depending on what state a facility is located in. To start the process, facilities will generally need to: check whether their public health agency has confirmed readiness to receive eCR; register for eCR through their local public health agency’s system; and contact the facility’s EHR vendor to confirm system compliance with eCR