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Discharge Summary v1.6

Discharge Summary
Category
Supplementary Resource
Topics
Clinical documents
Organisation
ADHA
ID
EP-3415:2022
Type
Product
Version
1.6
Access
None
Status
Active
Created date
Updated date
Discharge Summary documents support the transfer of a patient from a hospital back to the care of their nominated primary healthcare provider. They capture details about the patient's hospital stay, including the diagnosis, diagnostic procedures performed, the prognosis, medications prescribed and follow-up actions recommended. The My Health Record system…

Discharge Summary - Release Note v1.6

Release Note
ID
DH-3412:2022
Type
Component
Version
1.6
Status
Active
Created date
Updated date
This minor release of the Discharge Summary specification bundle includes the following change to the Discharge Summary – My Health Record Conformance Profile: Document subtyping introduced to improve clinical document discoverability. The following change was also made to the Discharge Summary – Template Package Library: List of non-critical…

Discharge Summary - My Health Record Conformance Profile v1.6

My Health Record Conformance Profile
ID
DH-3414:2022
Type
Component
Version
1.6
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document provides the requirements for producers and consumers of Discharge Summary documents that connect to the My Health Record system. It lists the specific conformance requirements for Discharge Summary documents…

Discharge Summary - Template Package Library v1.6

Template Package Library
ID
DH-3479:2022
Type
Component
Version
1.6
Status
Active
Created date
Updated date
This template package library provides validation rules for Discharge Summary documents to identify points of non-conformance to the relevant specifications. The template packages contained in this library can be used by the My Health Record system and the Agency's Clinical Package Validator.

eDischarge Summary - FAQ Speciality in eDischarge Summary v1.1

FAQ Speciality in eDischarge Summary
ID
NEHTA-1279:2013
Type
Component
Version
1.1
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. The FAQs are guidance material for implementation. They are to be used for clarification purposes and to support existing documentation. This FAQ answers the question: How should the speciality field be used in an…

eDischarge Summary - CDA Implementation Guide v3.4

CDA Implementation Guide
Category
Implementation Guide
Organisation
ADHA
ID
NEHTA-0960:2012
Type
Component
Version
3.4
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document provides a guide to implementing the 'logical' model detailed by the Agency's Discharge Summary Structured Document Template as an HL7 Clinical Document Architecture Release 2 (CDA) XML document. The primary…

Core discharge summary, Part 1: Structured document template

Category
Specification
Organisation
Standards Australia
ID
ATS 90006.1-2013
Type
Standard
Access
Fees apply to access
Status
Active
Created
2013
This technical specification specifies and defines the complete set of data elements proposed for use to support the creation of a valid and interoperable discharge summary instance.

eDischarge Summary - Business Requirements Specification v1.1

Business Requirements Specification
ID
NEHTA-1151:2010
Type
Component
Version
1.1
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This Business Requirements Specification (BRS) provides the requirements, business process models and use case descriptions of the Discharge Summary Release 1.1 package. This document is not intended as design…

eDischarge Summary - Structured Document Template v3.3

Structured Document Template
ID
NEHTA-0965:2011
Type
Component
Version
3.3
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document defines the Structured Document Template (SDT) for discharge summaries in Australia. The SDT organises the data elements and data groups into a logical model for the clinical communication of discharge…

eDischarge Summary - Core Information Components v1.1.2

Core Information Components
ID
NEHTA-0961:2011
Type
Component
Version
1.1.2
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document presents the information components (previously referred to as the 'core information components') of the e-Discharge Summary Release 1.2 package, which have been recommended for use when exchanging discharge…

Consumer Entered Health Summary - Executive Summary v1.0

Executive Summary
ID
NEHTA-0949:2011
Type
Component
Version
1.0
Status
Active
Created date
Updated date
The Consumer Entered Health Summary allows individuals to record health information into their digital health record via the consumer portal. Clarification: 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…

eDischarge Summary - P2P Delivery Technical Service Specification v1.3

P2P Delivery Technical Service Specification
ID
NEHTA-0962:2012
Type
Component
Version
1.3
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document defines the service interfaces and associated conformance points for the provider-to-provider (P2P) delivery of discharge summary CDA document packages.

Event Summary v1.5

Event Summary
Category
Supplementary Resource
Topics
Clinical documents
Organisation
ADHA
ID
EP-3419:2022
Type
Product
Version
1.5
Access
None
Status
Active
Created date
Updated date
Event Summary documents are used to capture key health information about significant healthcare events that are relevant to the ongoing care of an individual. Event Summary documents can be submitted to an individual’s digital health record by any participating organisation. For example, an Event Summary document could be submitted by an after-hours…

IHE Patient Care Coordination (PCC) Technical Framework Supplement: CDA Document Summary Sections (CDA-DSS) v2.1

Category
Supplementary Resource
Organisation
IHE
Type
Standard
Version
2.1
Access
Open
Status
Trial
Created
September 2019
This document outlines the CDA Document Summary Sections (CDA-DSS) profile, which is a content profile that describes the different types of section templates that can summarise content in the document (or add summary content that is not already included in the document).

Shared Health Summary v1.5.2

Shared Health Summary
Category
Specification
Topics
Clinical documents
Organisation
ADHA
ID
EP-3013:2019
Type
Product
Version
1.5.2
Access
None
Status
Active
Created date
Updated date
Shared Health Summary documents are sourced from an individual’s nominated healthcare provider and contain key summary information about the individual’s health status.

Aged Care Transfer Summary - Conformance Profile v1.2

Conformance Profile
ID
DH-3787:2023
Type
Component
Version
1.2
Status
Active
Created date
Updated date
This document summarises the conformance requirements for producing systems and consuming systems of 'Residential Care Transfer Reason' , 'Residential Care Health Summary' and Residential Care Medication chart documents that connect to the My Health Record system. This document lists the specific conformance requirements for Aged Care Transfer Summary…

Event Summary - Release Note v1.5

Release Note
ID
DH-3416:2022
Type
Component
Version
1.5
Status
Active
Created date
Updated date
This minor release of the Event Summary specification bundle includes the following change to the Event Summary – My Health Record Conformance Profile: Document subtyping introduced to improve clinical document discoverability. The following change was also made to the Event Summary – Template Package Library: List of non-critical and non…

Shared Health Summary - My Health Record Conformance Profile v1.6.1

My Health Record Conformance Profile
ID
DH-3016:2019
Type
Component
Version
1.6.1
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document provides the requirements for producers and consumers of Shared Health Summary documents that connect to the My Health Record system. It lists the specific conformance requirements for Shared Health Summary…

Event Summary - My Health Record Conformance Profile v1.5

My Health Record Conformance Profile
ID
DH-3418:2022
Type
Component
Version
1.5
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document provides the requirements for producers and consumers of Event Summary documents that connect to the My Health Record system. It lists the specific conformance requirements for Event Summary documents in the…

Event Summary - CDA Implementation Guide v1.3

CDA Implementation Guide
ID
NEHTA-1846:2015
Type
Component
Version
1.3
Status
Active
Created date
Updated date
This document provides a guide to implementing the 'logical' model detailed in the Agency's Event Summary Structured Content Specification (SCS) as an HL7 Clinical Document Architecture Release 2 (CDA) XML document. The guide takes implementers step by step through mapping each data component of the Event Summary SCS to a corresponding CDA attribute or…

Personal Health Summary v1.1

Personal Health Summary
Topics
Clinical documents
ID
EP-2272:2016
Type
Product
Version
1.1
Access
None
Status
Active
Created date
Updated date
Personal health summary documents allow individuals to store information as part of their digital health record. This may include their contact details, information about allergies and adverse reactions, and any medications they may be taking. Such documents can be used in consultation with the individual’s healthcare provider to help gather…

Consumer Entered Health Summary - CDA Implementation Guide plus Addendum v1.0

CDA Implementation Guide plus Addendum
ID
NEHTA-0948:2011
Type
Component
Version
1.0
Status
Active
Created date
Updated date
This document provides a guide to implementing the 'logical' model detailed by the Agency's Consumer Entered Health Summary Structured Content Specification as an HL7 Clinical Document Architecture Release 2 (CDA) XML document. The resulting CDA document is intended for use in the electronic exchange of Consumer Entered Health Summaries between healthcare…

Consumer Entered Health Summary - Structured Content Specification v1.0

Structured Content Specification
ID
NEHTA-0952:2011
Type
Component
Version
1.0
Status
Active
Created date
Updated date
This document is a Structured Content Specification (SCS) for Consumer Entered Health Summary. It specifies the information structure of an Agency-compliant Consumer Entered Health Summary in order to record allergies and medications about a subject of care within the My Health Record system. Clarification: PCEHR means the My Health Record, formerly the …

Aged Care Transfer Summary v1.1

Aged Care Transfer Summary
Category
Specification
Topics
Aged care
Organisation
ADHA
ID
EP-3851:2023
Type
Product
Version
1.1
Access
None
Status
Active
Created date
Updated date
The ACTS is a digital solution using My Health Record that facilitates access to crucial health information relating to an aged care resident to support clinical hand-over when an individual is transferred from an aged care setting to acute hospital care. The ACTS implements a number of new record types into the My Health Record system for the sharing of…

Aged Care Transfer Summary - Release Note v1.1

Release Note
ID
DH-3853:2023
Type
Component
Version
1.1
Status
Active
Created date
Updated date
The Aged Care Transfer Summary (ACTS) has been developed in response to the Royal Commission into Aged Care Quality and Safety Final Report (March 2021) – Recommendations 68 & 66. This is the second release of this end product. It contains the conformance document and schematron for the Aged Care Transfer Summary related documents like …

HL7 CDA R2 Implementation Guide: International Patient Summary, STU Release 1 (Universal Realm)

Category
Implementation Guide
Organisation
HL7
Type
Standard
Version
1
Access
Open
Status
Trial
Created
October 2018
An International Patient Summary (IPS) document is an electronic health record extract containing essential healthcare information intended for use in the unscheduled, cross-border care scenario, comprising at least the required elements of the International Patient Summary (IPS) dataset.

Health informatics - International patient summary

Category
Standard
Organisation
Standards Australia
ID
AS ISO 27269:2022
Type
Standard
Access
Fees apply to access
Status
Active
Created
2022
This standard defines the core dataset for a patient summary document that supports continuity of care for a person and coordination of their health care.

Shared Health Summary - My Health Record Usability Recommendations v1.3.1

My Health Record Usability Recommendations
ID
DH-3015:2019
Type
Component
Version
1.3.1
Status
Active
Created date
Updated date
This document provides usability recommendations for clinical information systems and contracted service provider systems authoring or rendering information contained in Shared Health Summary documents exchanged with the My Health Record system. The usability recommendations are provided to all software developers interested in improving the usability of…

AS 4700.6-2013 Implementation of Health Level Seven (HL7) Version 2.5, Part 6: Referral, discharge and health record messaging

Category
Standard
Organisation
Standards Australia
Type
Standard
Access
Fees apply to access
Status
Active
Created
May 2013
This standard provides guidance for implementing communication of clinical patient-centred information between health service providers using the HL7 Version 2.5 protocol. It focuses on the HL7 discharge and referral, shared care and event summary messages.

Shared Health Summary - CDA Implementation Guide v1.4

CDA Implementation Guide
ID
NEHTA-1840:2015
Type
Component
Version
1.4
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document provides a guide to implementing the 'logical' model detailed in the Agency's Shared Health Summary Structured Content Specification (SHS SCS) as an HL7 Clinical Document Architecture Release 2 (CDA) XML…

Personal Health Summary - My Health Record Conformance Profile v1.0

My Health Record Conformance Profile
ID
NEHTA-2275:2016
Type
Component
Version
1.0
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. The My Health Record programme has identified specific use cases where the author of a personal health summary may not have an individual healthcare identifier (IHI). For example, a care agency worker may add a personal…

International Patient Summary Implementation Guide Part 1, v1.1.0

Category
Implementation Guide
Organisation
HL7
ID
InternationalPatientSummaryIG
Type
Standard
Version
1.1.0
Access
Open
Status
Active
Updated
November 2022
This document is part 1 of the International Patient Summary (IPS) Implementation Guide that specifies how to represent the IPS in the HL7 Fast Healthcare Interoperability Resources (FHIR) standard.

Electronic Transfer of Prescription - Executive Summary v1.1

Executive Summary
ID
NEHTA-0982:2010
Type
Component
Version
1.1
Status
Archived
Created date
Updated date
The purpose of the Electronic Transger of Prescription package is to define the goal-state solution for the transfer of e-prescriptions in Australia.

Consumer Entered Notes - Executive Summary v1.0

Executive Summary
ID
NEHTA-0954:2011
Type
Component
Version
1.0
Status
Active
Created date
Updated date
Consumer Entered Notes is a means by which individuals can record notes into their My Health Record via the consumer portal. These notes are provided as a memory aid for individuals and their representatives, and is a step towards strengthening the involvement of the individual in their healthcare. Clarification: PCEHR means the My Health Record,…

Shared Health Summary - Information Requirements v1.1

Information Requirements
ID
NEHTA-1837:2015
Type
Component
Version
1.1
Status
Active
Created date
Updated date
NOTE: The document presentation has been enhanced to align with current branding guidelines, however the content has not been changed. This document defines the minimum set of data groups and data elements that are recommended for inclusion in electronic shared health summary documents.

Shared Health Summary - Supplementary Guidance for Implementers v1.0.1

Supplementary Guidance for Implementers
ID
NEHTA-1538:2013
Type
Component
Version
1.0.1
Status
Archived
Created date
Updated date
This document is a supplement to the Agency’s specification bundle for Shared Health Summary documents and provides implementation guidance on areas not covered in these specifications. It is intended to promote usability of software and greater consistency of information presentation to clinicians. The guidance was prepared as part of the Agency…

Event Summary - Template Package Library v1.5

Template Package Library
ID
DH-3417:2022
Type
Component
Version
1.5
Status
Active
Created date
Updated date
This template package library provides validation rules for Event Summary documents to identify points of non-conformance to the relevant specifications. The template packages contained in this library can be used by the My Health Record system and the Agency's Clinical Package Validator.

Shared Health Summary - Supplementary Guidance for Implementers v1.0

Supplementary Guidance for Implementers
ID
NEHTA-1474:2013
Type
Component
Version
1.0
Status
Withdrawn
Created date
Updated date
This document is a supplement to the Agency’s specification bundle for Shared Health Summary documents and provides implementation guidance on areas not covered in these specifications. It is intended to promote usability of software and greater consistency of information presentation to clinicians. The guidance was prepared as part of the Agency…

Event Summary - Information Requirements v1.2

Information Requirements
ID
NEHTA-1845:2015
Type
Component
Version
1.2
Status
Active
Created date
Updated date
This document defines the minimum set of data groups and data elements that are recommended for inclusion in electronic event summary documents.

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