A laboratory accesses ECLRS through the New York State Health Provider Network (HPN), a password protected Web site, and either manually enters test results or uploads a special data file. The HPN is a secure network that meets Health Insurance Portability and Accountability Act of 1996 (HIPAA) and New York State health data security policy requirements. Once the data arrive in the database, communicable disease and blood lead test results are immediately made available to the appropriate local health departments across the state and each program area respectively. HIV/AIDS and cancer results in the database are made available to the HIV/AIDS and cancer programs in the NYSDOH. Communicable disease results for New York City residents are available to NYCDOHMH upon arrival into the system.