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Welcome to the Health Information Exchange Gateway

The California Department of Public Health (CDPH) exchanges data with many stakeholders, including providers, hospitals, laboratories, local health jurisdictions and federal agencies. To improve upon our data exchange, analysis, and reporting capabilities, CDPH has developed a secure health information exchange (HIE) Web application, the CDPH HIE Gateway, to register and manage public health data submission to CDPH. Once registered with the CDPH HIE Gateway, you will be emailed follow-up instructions on submitting public health data to the Gateway. The CDPH HIE Gateway launched on October 1, 2013. Please review the sections that follow for important information on how you can participate in the CDPH HIE Gateway.

What is Meaningful Use?

The American Reinvestment and Recovery Act of 2009, HITECH Electronic Health Records (EHR) Incentive Program provides financial rewards for providers and hospitals to adopt EHR systems within their practices to improve patient care and population health. In order for providers and hospitals to receive these incentives, they must be able to satisfy a set of requirements that demonstrates they are using their EHR technology in a “meaningful” way. These “Meaningful Use” (MU) requirements include sending data to public health agencies. Please review the following sections for details about the different programs supported by MU.

In California, public health-related MU requirements may be fulfilled by either sending data to CDPH or to a local health jurisdiction (LHJ), depending upon the requirement and where the submitter is located. Please refer to the LHJ MU Capacity Matrix, locate the LHJ you are in and the MU requirement you want to fulfill. The Matrix will specify whether you need to submit data to the LHJ or to CDPH. Note: For the Syndromic Surveillance objective, the submitter may be eligible for an exclusion in locations where neither the LHJ nor CDPH can accept this data.

If after consulting the Matrix, you still have questions on where the data should be sent, please contact the LHD MU Point of Contact listed on the Matrix for further guidance.

Note: : If you are trying to meet the public health measures for MU, please note that registration at the CDPH HIE Gateway indicates that you intend to send data to public health. Please consult with your EHR vendor before registering since you will also be asked to indicate whether you will be entering MU Stage 2 in 2014, and if so, which month you will begin your 90-day reporting period. Registration in the EHR Incentive Program is a separate process. To apply for the Medicare and Medicaid Incentive payments, you must first register with the CMS ( and the Medi-Cal ( EHR Incentive Program.

CDPH Program-Specific Information

Depending on the CDPH Program, the CDPH HIE Gateway may be used for entities outside of the CMS EHR Incentive Program, as well as those seeking to comply with the MU requirements. Please refer to the Program specifics below:


You will need to register at the CDPH HIE Gateway if you intend to send immunization information to the California Immunization Registry (CAIR) (for the seven CAIR regions: Northern Cal, Greater Sac, Bay Area, Central Valley, Central Coast, LA-Orange, Inland Empire). If you do not administer vaccinations, you are exempt from immunization reporting for the purposes of 'Meaningful Use' and therefore do not need to register for immunization reporting at the Gateway.

Note: If you already registered at the CAIR Immunization Messaging Portal, your registration information will be migrated to the CDPH HIE Gateway and registrants will be notified when this work is completed. Once migrated, Immunization Portal registrants will be able to login to the CDPH HIE Gateway to modify registration info or view message submission reports, as well as register to submit other types of public health data. Sites that registered with the CAIR Portal through September 30, 2013, DO NOT have to re-register with the CDPH HIE Gateway. For more information, email CAIR Data Exchange staff at

Infectious Disease Laboratory Reports

You will need to register at the CDPH HIE Gateway if you intend to send infectious disease laboratory reports (ELR) for Title 17 reportable conditions to the California Reportable Disease Information Exchange (CalREDIE) within the CDPH Division of Communicable Disease Control.

The CDPH HIE Gateway will enable all healthcare/lab facilities (regardless of whether they are affected by the MU requirements or not) who need to comply with public health reporting requirements for reportable diseases to register with CalREDIE online and receive all appropriate credentials and instructions necessary for submitting lab reports data electronically to CalREDIE. 57of 61 LHJs in California use CalREDIE as their Title 17, Section 2505 disease surveillance and reporting system of record and to receive lab reports electronically. Please refer to the LHJ MU Capacity Matrix for the list of those CalREDIE LHJs who have declared CDPH HIE Gateway as their registration point to enroll in the CalREDIE ELR. San Francisco, San Diego, Los Angeles, and Alameda LHJs have their own systems for infectious disease surveillance. The LHJ MU Capacity Matrix provides information regarding capacity of these LHJs to receive infections disease lab reports.

Blood Lead Testing Results

Registration and reporting for childhood lead testing for hospitals and providers participating in the MU program will need to be through the CDPH HIE Gateway. We anticipate that these functions will be available shortly. In the interim, all hospitals and providers carrying out blood lead analysis should continue to report through the existing CDPH Childhood Lead Poisoning Prevention system. Note: Blood lead testing results must be reported to the State and do not go through local jurisdictions. If you have questions about blood lead reporting, please send them to

Cancer Case Reporting

For reporting case information to our California Cancer Registry (CCR), please note:

  • Only physician offices reporting for MU Stage 2 need to register their intent to send data through the HIE Gateway. To register please click on the register button located at the top of this page, or click here to be taken to the registration site.
  • Current entities reporting cancer cases to CCR that are not part of MU Stage 2 do not need to register intent with the HIE Gateway at this time. Current entities reporting cancer cases to CCR are to continue to report through the already existing CCR reporting system.
10:30 AM 01/14/2014

If you have any more questions specific to Meaningful Use, please send your inquiries to

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