New and Updated Clinical Documents

Wednesday, 31 January 2018

The Australian Digital Health Agency (Agency) has released new and updated versions of a number of clinical document specifications:

Advance Care Planning

Advance Care Planning documents are included in the My Health Record system to provide increased accessibility to a consumer’s advance care planning information nationwide.

Advance Care Planning information can include a statement by a competent person expressing decisions about his or her future care, should they become incapable of participating in medical treatment decisions. These statements are currently recorded in paper-based advance care directives. Advance care directives can also be made by someone with the appropriate authority, on behalf of an individual who is without capacity. The consequences of acting on an individual’s preferences, as set out in an advance care directive, can be significant, sometimes final.

The scope of an electronic Advance Care Planning document is to make an individual’s advance care planning information available through the individual’s My Health Record.

This is the first release of this end product. It contains the technical specifications for the Advance Care Planning document type.

Document Change   Details
Advance Care Planning v1.0 New Release Note

Australian Immunisation Register

The Australian Immunisation Register (AIR) captures details of the vaccinations given to people of all ages in Australia through general practice and community clinics. The AIR is administered by the Department of Human Services.

Since 30 September 2016, the AIR has become the successor of the previous Australian Childhood Immunisation Register (ACIR), which only covered vaccinations given to children.

This is the first release of the AIR end product, providing specifications of the Australian Immunisation Register document type.

Document Change   Details
Australian Immunisation Register v1.0 New Release Note

Common - Clinical Document

The updated Common Conformance Profile, included in this minor release, addresses a number of important defects and requested improvements.

These changes will only become effective once document-type specific conformance profiles have been updated to include a reference to the new version of the Common Conformance Profile. These conformance profiles updates will be rolled out progressively and usually in conjunction with other changes.

Developers may want to familiarise themselves with the updates and schedule any required changes to their software.

Document Change   Details
Common - Clinical Document v1.5 Update Release Note

eHealth Diagnostic Imaging Report

This incremental release provides a number of defect fixes for validation rules published as part of the template package library.

For the majority of developers there will be no need to update their systems, as the updated template packages have the same identifiers as the previous ones and the vast majority of defect fixes are backwards compatible.

However, developers should review whether their systems are affected by one defect fix that is not backwards compatible. The highest level “REPORTING RADIOLOGIST” element is now validated as mandatory. This change brings the template packages in line with the published specifications but may require updates to systems that currently don’t provide the “REPORTING RADIOLOGIST” information.

Document Change   Details
eHealth Diagnostic Imaging Report v1.2.2   Update Release Note

eHealth Pathology Report

This incremental release provides a number of defect fixes for validation rules published as part of the template package library.

For the majority of developers there will be no need to update their systems, as the updated template packages have the same identifiers as the previous ones and the vast majority of defect fixes are backwards compatible.

However, developers should review whether their systems are affected by one defect fix that is not backwards compatible. The highest level “REPORTING PATHOLOGIST” element is now validated as mandatory. This change brings the template packages in line with the published specifications but may require updates to systems that currently don’t provide the “REPORTING PATHOLOGIST” information.

Document Change   Details
eHealth Pathology Report v1.2.2 Update Release Note

Who does this affect? 

  • Developers and testers of healthcare software that creates clinical documents.
  • Developers who have chosen to test the conformance of clinical documents their software receives either directly from other healthcare software or from the My Health Record system.
  • Testers who do not have healthcare software but do have a set of clinical documents created by other software systems.

More Information

Please refer to the Release Note documents for a more detailed list of changes. The end products, associated release notes and specifications are available for download from the Resources and Documentation section of this website.

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By operation of the Public Governance, Performance and Accountability (Establishing the Australian Digital Health Agency) Rule 2016, on 1 July 2016, all the assets and liabilities of NEHTA will vest in the Australian Digital Health Agency. In this website, on and from 1 July 2016, all references to "National E-Health Transition Authority" or "NEHTA" will be deemed to be references to the Australian Digital Health Agency. PCEHR means the My Health Record, formerly the "Personally Controlled Electronic Health Record", within the meaning of the My Health Records Act 2012 (Cth), formerly called the Personally Controlled Electronic Health Records Act 2012 (Cth).

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