1 From the American College of Occupational and Environmental Medicine, Elk Grove, Illinois. This guidance paper was developed by ACOEM Work Group on Electronic Health Records and Occupational Data under the auspices of the Council on Government Affairs. It was approved by the ACOEM Board of Directors on May 8, 2023. ACOEM requires all substantive contributors to its documents to disclose any potential competing interests, which are carefully considered. ACOEM emphasizes that the judgments expressed herein represent the best available evidence at the time of publication and shall be considered the position of ACOEM and not the individual opinions of contributing authors.