This document, "Final Recommendation: Core Processes and EHR Requirements for Public Health Syndromic Surveillance," provides a detailed framework for implementing syndromic surveillance systems within public health organizations. It focuses on the core business processes involved in gathering, analyzing, and responding to potential public health threats using data from emergency departments and urgent care facilities. The document outlines three core business processes: conducting syndrome-based population health monitoring, establishing and maintaining data sharing partnerships, and conducting data quality assurance. These processes are broken down into detailed tasks, including data collection, preprocessing, statistical analysis, and communication with partners and leadership. By standardizing these processes, the document aims to improve the effectiveness and efficiency of public health surveillance efforts and enhance the ability to detect and respond to emerging health threats.