To aid in protecting patients from unnecessary exposures and to reduce radiation burdens to the public, a system for tracking a patient's medical exposure history and related radiation doses would be a useful tool. A patient-centred exposure registry, the Patient Exposure Registry (PER), is a mechanism that provides this tracking. This article outlines the objectives of the proposed Canadian PER together with considerations and preliminary design of the registry. Implementation strategy is discussed. The strategy will allow many initiatives progressing in parallel such as backward data mining and forward development in order to make this important registry a reality in the near future.