--- title: "Creating CAIRs" slug: "creating-cairs" tags: ["AIR3D", "CAIR", "3D", "3D Observation"] updated: 2026-10-27T23:12:37Z published: 2026-10-27T23:12:37Z canonical: "ims-handbook.cenosco.com/creating-cairs" --- > ## Documentation Index > Fetch the complete documentation index at: https://ims-handbook.cenosco.com/llms.txt > Use this file to discover all available pages before exploring further. # Creating CAIRs with OB-Items To add a CAIR to an existing ECH with OB-Items included: - Open the ECH in the ECH Module. - Click **ADD CAIR**. - Select desired OB-Items to be included in the Observations section. ![](https://cdn.document360.io/e492a0e0-a4ba-4aca-8fc6-76b95f91fdf3/Images/Documentation/image-1680077895496.png?sv=2026-02-06&spr=https&st=2026-10-28T19%3A33%3A53Z&se=2026-10-28T20%3A33%3A53Z&sr=c&sp=r&sig=YTvm3iQd%2FFkb3RiK4XdJUWrbackBQgREbqKBwz%2F6qgg%3D) Adding a CAIR to an existing ECH with OB-Items - Click **Save.** > [!NOTE] > User Instructions > > To learn more about creating and editing ECHs, see: [IMS Condition Histories (ECHs) across Discipline](/v414/docs/ims-condition-histories-echs-across-discipline).