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Specifications, guidance and associated collateral applicable to all types of clinical documents.

The My Health Record allows different types of functionality including uploading of clinical documents and accessing targeted My Health Record views.

The following table describes the My Health Record functionalities and their relevance to various Healthcare sectors.

✓✓ Highly Recommended     ✓ Recommended

UploadingGP Pharmacy PathologyDiagnostic      
Imaging
Allied     
Health 
Shared Health Summary✓✓    
Event Summary✓✓  ✓✓
eHealth Prescription Record✓✓    
eHealth Dispense Record ✓✓   
eHealth Pathology Report  ✓✓  
eHealth Diagnostic Imaging Report   ✓✓ 
ViewingGPPharmacyPathologyDiagnostic     
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.

Developer guides

Resources

Australian Immunisation Register v1.2

Product
EP-3433:2021
Version
1.2
Status
Active
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 Documents Integration Toolkit v1.9

Product
EP-3546:2021
Version
1.9
Status
Active
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. Access to sample code and the eHealth Reference Platform’s online simulator…

Clinical Package Validator v3.3

Product
EP-3776:2023
Version
3.3
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

Product
EP-3435:2022
Version
1.6
Status
Active
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

Product
EP-1428:2013
Version
1.2
Status
Withdrawn
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

Product
EP-1458:2013
Version
1.0.1
Status
Archived
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.

Core Level One Clinical Document v1.0

Product
EP-2648:2018
Version
1.0
Status
Active
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

Product
EP-1135:2010
Version
1.0
Status
Active
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

Product
EP-2522:2017
Version
4.5
Status
Active
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

Product
EP-3415:2022
Version
1.6
Status
Active
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

Product
EP-1147:2011
Version
1.0
Status
Active
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 v1.2.2

Product
EP-2560:2017
Version
1.2.2
Status
Active
eHealth diagnostic imaging reports can be used to share information about diagnostic imaging examinations via an individual's digital health record. The Diagnostic Imaging Report PDF may contain one or more examinations that are uploaded by the diagnostic imaging provider to the individual's digital health record. This specification references or contains…

eHealth Diagnostic Imaging Report View v1.1

Product
EP-2052:2015
Version
1.1
Status
Active
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

Product
EP-2690:2018
Version
1.2.1
Status
Active
eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.

eHealth Pathology Report v2.1

Product
EP-3854:2023
Version
2.1
Status
Active
eHealth Pathology Report documents can be used to share information about pathology test results via a consumer's My Health Record. Such report may contain one or more tests that are uploaded by a pathology provider to the consumer's My Health Record, and may be in a structured test results format, or a PDF format. This specification references or contains…

eHealth Pathology Report View v1.1

Product
EP-2053:2015
Version
1.1
Status
Active
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

Product
EP-1657:2014
Version
1.2.2
Status
Active
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

Product
EP-2689:2018
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

Product
EP-3441:2021
Version
1.1
Status
Active
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

Product
EP-3419:2022
Version
1.5
Status
Active
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
Product
EP-3023:2020
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
Product
EP-2895:2019
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

Product
EP-1700:2015
Version
1.1
Status
Withdrawn
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&nbsp…

Medicare - Australian Organ Donor Register v1.1

Product
EP-1703:2014
Version
1.1
Status
Active
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

Product
EP-1697:2014
Version
1.1
Status
Active
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

Product
EP-1706:2015
Version
1.1
Status
Active
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

Product
EP-1795:2014
Version
1.2
Status
Archived
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…

My Health Record Overviews, Guides and Conformance Material v1.7

Services
Product
EP-3804:2023
Version
1.7
Status
Active
This release of the My Health Record Overviews, Guides and Conformance Material have been updated to include the newly released Security Requirements for My Health Record Connecting Systems Conformance Profile - Final Draft v1.1. The security profile boosts cyber-security defences for clinical information systems connected to the My Health Record system. DH…

Participant Model Specification v1.0

Product
EP-2741:2018
Version
1.0
Status
Active
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

Product
EP-2499:2017
Version
3.3
Status
Active
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

Product
EP-2282:2016
Version
1.1
Status
Active
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

Product
EP-2272:2016
Version
1.1
Status
Active
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

Product
EP-2924:2020
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

Product
EP-2718:2018
Version
2.0
Status
Active
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

Product
EP-3013:2019
Version
1.5.2
Status
Active
Shared Health Summary documents are sourced from an individual’s nominated healthcare provider and contain key summary information about the individual’s health status.