Advance Care Planning

Product

Context

Advance care planning enables individuals to make choices about their future medical treatment in the event that they are cognitively impaired or otherwise unable to make their preferences known. The completed paper-based directive is kept in a safe place and copies of the document are given to the individual’s family, aged care provider, solicitor or appointed attorney for health matters.

Each state and territory in Australia has their own advance care directive (or advance health directive) form.

Context in digital health

The purpose of an electronic advance care planning document is to make an individual’s advance care planning information available through My Health Record.

There are a number of key business flows that occur within digital health in Australia, as outlined in Figure 1 below.

Common - Clinical Documents Diagram

Figure 1: Advance care planning high-level overview

These flows are described below:

The clinician enters the advance care planning information for a consumer in their local system which then uploads it to the consumer’s My Health Record. A clinician may access the advance care planning information via the consumer’s My Health Record, provided they have relevant access.

Specifications

The Australian Digital Health Agency has provided the following specifications that apply to the advance care planning described above:

Current Specifications: 
Identifier: 
EP-2322:2017

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.

Supporting Specifications: 
Identifier: 
EP-1428:2013

The Common - Consumer Entered Information end product component has been archived and the conformance points within that conformance profile have been republished in three different end products:

Identifier: 
EP-1826:2014

The supporting documents on this page provide background and guidance for healthcare provider organisations, and conformance, compliance and accreditation requirements for vendors.

Identifier: 
EP-1011:2012

The National Authentication Service for Health (NASH) makes it possible for healthcare providers and supporting organisations to securely access and exchange health information.
NASH provides Public Key Infrastructure (PKI) Certificates that help you or your organisation to:

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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