---
title: "Approving the ECH"
slug: "tat-approving-the-condition-history"
tags: ["Approval", "TAT"]
updated: 2026-03-09T10:16:15Z
published: 2026-03-09T11:27:02Z
canonical: "ims-handbook.cenosco.com/tat-approving-the-condition-history"
---

> ## 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.

# Approving the ECH

When the ECH is complete, it must be Approved. If applicable, you can first do a level 1 Approval. The ECH will then still require Final Approval.

To do a Level 1 Approval:

- Open your Condition history details page.
- Go to the Approval section (top right).
- Click the dropdown next to the green **Approve** button.
- Select “LEVEL 1 APPROVED” from the dropdown.
- Click **LEVEL 1 APPROVED** to do a Level 1 Approval.
- Take note the Status changes from “DRAFT” to “LEVEL 1 APPROVED”.

Your condition history is now Level 1 Approved and awaits the Final Approval.

![A screenshot of a cell phone  Description automatically generated](https://cdn.document360.io/e492a0e0-a4ba-4aca-8fc6-76b95f91fdf3/Images/Documentation/approving-the-condition-history--image-8t9fasht.png?sv=2026-02-06&spr=https&st=2026-10-29T01%3A34%3A52Z&se=2026-10-29T02%3A34%3A52Z&sr=c&sp=r&sig=V%2F%2BZhJW%2BQhA634xIrB3DqB9Xef050c8xQ1piSuEE7PQ%3D)Select “LEVEL 1 APPROVED” from the dropdown and click the Approve button.

For more information see [Approving ECHs](/v410/docs/approving-echs).