Overview
My Health Record provides a range of functionalities including the upload of clinical documents and accessing of targeted views to allow health care providers and consumers access to healthcare information.
Guidance for developers on the requirements and specifications for the various clinical documents currently available to be supported are linked below.
The following table outlines the highly recommended and recommended clinical documents to be considered in My Health Record relevant to their healthcare provider group.
✓✓ Highly Recommended ✓ Recommended
| Uploading | GP | Pharmacy | Pathology | Diagnostic Imaging | Allied Health |
|---|---|---|---|---|---|
| Shared Health Summary | ✓✓ | ||||
| Event Summary | ✓✓ | ✓ | ✓✓ | ||
| eHealth Prescription Record | ✓✓ | ||||
| eHealth Dispense Record | ✓✓ | ||||
| eHealth Pathology Report | ✓✓ | ||||
| eHealth Diagnostic Imaging Report | ✓✓ |
| Viewing | GP | Pharmacy | Pathology | Diagnostic Imaging | Allied Health |
|---|---|---|---|---|---|
| Health Record Overview | ✓✓ | ✓ | ✓ | ✓ | ✓ |
| Medicare Overview | ✓✓ | ✓ | ✓ | ✓ | ✓✓ |
| eHealth Pathology Report View | ✓✓ | ✓ | ✓✓ | ✓ | ✓✓ |
| eHealth Diagnostic Imaging Report View | ✓✓ | ✓ | ✓ | ✓✓ | ✓✓ |
| eHealth Prescription & Dispense View | ✓✓ | ✓✓ | ✓ | ✓ | ✓✓ |
| eHealth Medicines View ** | ✓✓ | ✓✓ | ✓ | ✓ | ✓✓ |
** The eHealth Medicines View is not a document that is uploaded by clinical information software. It can only be downloaded via the document list.
The following developer guides and resources are designed to help developers understand specifications and associated collateral applicable to various clinical documents.
Developer guides
Clinical Documents Integration Toolkit
The eHealth integration toolkits are a collection of integration tools and sample code resources available in both .NET and Java. The sample code and integration tools are used within the eHealth Reference Platform, forming part of the code library for tools and simulators.
My Health Record Document Types
The My Health Record system uses document class codes and type codes as critical metadata elements to enhance the search and discovery of clinical documents.
My Health Record FHIR® Mobile Gateway - Clinical Document Service
In this guide, we will be accessing Prescription and Dispense List and Allergies List contained in a patient’s clinical document service
Open Source Sample Code Directory - GitHub and NuGet
The Agency provides sample code directly on GitHub, NuGet, and Maven.
Pharmacist Shared Medicines List (PSML)
The Pharmacist Shared Medicines List (PSML) is a clinical document type supported by the My Health Record system.
Resources
Australian Immunisation Register v1.2
The Australian Immunisation Register (AIR) captures vaccinations given to people of all ages in Australia through general practice and community clinics. This includes vaccines funded under the National Immunisation Program and privately funded vaccinations. The AIR is administered by the Department of Human Services. Since 30 September 2016 the AIR has…
Clinical Package Validator v3.4.1
Services
ID
EP-4003:2024
Type
Product
Version
3.4.1
Status
Active
The Clinical Package Validator (Validator) provides software developers with enhanced capabilities to achieve a greater degree of automation and depth of their conformance tests of clinical documents, SMD messages and HL7 v2 messages. Before formally declaring conformance of a software product, developers need to perform additional tests to ensure full…
Common - Clinical Document v1.6
Specifications, guidance and associated collateral applicable to all types of clinical documents. This specification references or contains excerpts of intellectual property (IP) owned by the Regenstrief Institute, IHTSDO, or HL7 International. Applicable IP constraints apply: This material contains content from LOINC (http://loinc.org). LOINC is copyright…
Common - Consumer Entered Information v1.2
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: Personal Health Summary Advance Care Document Custodian Personal Health Notes Please refer to these new profiles: Personal Health Summary - My Health Record…
Common - Continuity of Care v1.0.1
The Common - Continuity of Care end product has been archived. The remaining three components have been moved to Common - Clinical Documents. These are: FAQ Nullable Fields Guidance v1.1 FAQ Global Statements None Known v1.1 FAQ Undifferentiated Pathology and Radiology Results v1.3 Future updates to the FAQs will be published in Common - Clinical Document.
Common - P2P v1.1
Common documents for the secure point-to-point (P2P) delivery of clinical documents.
Core Level One Clinical Document v1.0
The Core Level One Clinical Document is a CDA container for the electronic representation of clinical information provided by source systems. For example, documents in PDF format could be included in the CDA container so it can be accepted by the My Health Record. Although this Core Level One Clinical Document could ostensibly be used for any clinical…
Data Types in NEHTA Specifications v1.0
This document supports the Agency's detailed clinical model specifications and structured content specifications. It details a set of data types as a profile of the ISO 21090 data type specification.
Detailed Clinical Model Library v4.5
The Australian Digital Health Agency is actively engaging with the healthcare community to develop computable clinical content definitions known as detailed clinical models (DCMs). Each DCM is inclusive of all data attributes and potentially terminology bindings that are useful to describe a single, discrete clinical concept for use in a broad range of…
Discharge Summary v1.6
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…
eDiagnostic Imaging v1.0
eDiagnostic Imaging facilitates the development of a national approach to radiology services, creating more effective, efficient and safer patient care. This national approach will also promote greater continuity of care and enable increased responsiveness across the diagnostic imaging sector.
eHealth Diagnostic Imaging Report View v1.1
eHealth diagnostic imaging reports containing one or more examinations or procedures may be uploaded by the diagnostic imaging provider to an individual's digital health record as a PDF. The eHealth Diagnostic Imaging Report View provides a mechanism to list, group and sort those reports in clinical information systems. NOTE: The Conformance Test…
eHealth Dispense Record v1.2.1
eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.
eHealth Pathology Report (pathology PDF plus results data) v2.1.1
eHealth Pathology Report documents can be used to share information about pathology test results via a consumer's My Health Record. Such a report may contain one or more tests that are uploaded by a pathology provider to the consumer’s My Health Record. Reports will be in a PDF format but test results data may also be presented in another format. This…
eHealth Pathology Report View v1.1
eHealth pathology reports can be used to share information about pathology tests via an individual's digital health record. A pathology report PDF may contain one or more tests that are uploaded by the pathology provider to the individual's digital health record. The eHealth Pathology Report View provides a mechanism to list, group and sort those…
eHealth Prescription and Dispense View v1.2.2
eHealth Prescription and Dispense View documents represent an electronic summary of information about medication prescriptions and dispensations contained in an individual’s My Health Record. NOTES The Conformance Test Specification for PCEHR Views provides conformance tests for implementing eHealth Prescription and Dispense View and is available in…
eHealth Prescription Record v1.2.1
Services
Topics
ID
EP-2689:2018
Type
Product
Version
1.2.1
Status
Active
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record. Documents of this type do not represent actual prescriptions, but merely support the sharing of information about medication prescriptions via the individual’s digital health record.
eSignature v1.1
The technical mechanisms for digitally signing clinical documents are well supported by international standards. However, a digital signature alone is not always sufficient as a complete personal electronic signature mechanism. There is a range of trade-offs between the cost and complexity of implementation and use of personal electronic signatures, and the…
Event Summary v1.5
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…
Health Record Overview v1.2
Services
Topics
ID
EP-3023:2020
Type
Standard
Product
Version
1.2
Status
Active
The Health Record Overview provides a summary of an individual’s My Health Record and is intended to serve as the “home screen” displayed when an individual’s record is first opened. The Health Record Overview can now be downloaded to clinical information systems for display in whole or part and is an enhancement to the My Health…
Information Quality Rules v1.6
Services
Topics
ID
EP-2895:2019
Type
Product
Version
1.6
Status
Active
The Information Quality Rules (IQ Rules) is a tool that helps developers, testers and analysts determine the quality of clinical documents including the conformance of clinical documents to the My Health Record system conformance requirements. Use of the IQ Rules commenced within the Australian Digital Health Agency (the ‘Agency’) in January…
Medicare - Australian Childhood Immunisation Register v1.1
This document type has been retired. Refer to the new Australian Immunisation Register (AIR) document type. Background Medicare - Australian Childhood Immunisation Register v1.1 The document type was retired in September 2016, when all ACIR documents in the My Health Record system at that time were converted into documents of the new …
Medicare - Australian Organ Donor Register v1.1
When an individual registers for access to their Medicare information through their digital health record, Services Australia can register the individual’s Medicare CDA documents in their digital health record, including their Australian Organ Donor Register entries. The data items in the Medicare documents will be loaded into the My Health…
Medicare - Pharmaceutical Benefits Report v1.1
When an individual registers for access to their Medicare information through their digital health record, Services Australia can register the individual’s Medicare CDA documents in their digital health record, including their Pharmaceutical Benefits Report entries. The data items in the Medicare documents will be loaded into the My Health Record…
Medicare DVA Benefits Report v1.1
When a consumer registers for access to their Medicare information through their digital health record, Services Australia will register the consumer’s Medicare documents in their digital health record which include the Medicare/DVA Benefits Report. The Medicare CDA documents will be created by Services Australia as the sole supplier of…
Medicare Overview v1.2
Medicare Overview v1.2 Medicare Overview documents provide an overview of Medicare-sourced information stored in an individual’s My Health Record. An individual’s My Health Record can be used to collect administrative information from Medicare records. Such records relate to the following data sets of claims and registries managed by…
Participant Model Specification v1.0
The Participant Model Specification represents a key foundation for the modelling of clinical document specifications developed by the Australian Digital Health Agency (the Agency). It provides background information for the comprehensive understanding of clinical document types. The Participant Model Specification establishes a set of base models to…
Participation Data Specification v3.3
The Participation Data Specification is a foundation document for the suite of data specifications that the Agency is developing for the Australian health informatics community across a range of health topics. These specifications are generally agreed to be of high priority in order to achieve the benefits of semantic interoperability in the Australian…
Personal Health Notes v1.1
Personal health notes documents allow individuals to record health-related notes in their digital health record. These notes can provide a memory aid for individuals and their representatives. The notes are not visible to healthcare providers. Consumer Entered Notes has been changed to Personal Health Notes. This is reflected in the name of this end…
Personal Health Summary v1.1
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…
Pharmacist Shared Medicines List v1.1.1
Services
Topics
ID
EP-2924:2020
Type
Product
Version
1.1.1
Status
Active
PSML documents help ensure the continuity of medicine management for consumers across different care settings. PSML documents allow pharmacists in both hospital and community pharmacy settings to record the outcome of consumer consultations regarding their current medications for upload to the My Health Record system. This specification references or…
Referral v2.0
The previous eReferral clinical document specifications were constrained to supporting referrals from a General Practitioner to a private specialist. Referrals to public hospitals, allied health providers or human services providers were not supported. The Service Referral v1.1 specifications expand this scope of use to include any referrals for healthcare…
Shared Health Summary v1.5.2
Shared Health Summary documents are sourced from an individual’s nominated healthcare provider and contain key summary information about the individual’s health status.
Supporting Document Library v1.0
Access to miscellaneous supporting documents