Clinical Documents

Supports the continuity of care, and improve the interactions between healthcare providers and patients.
Identifier: 
EP-3142:2020

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.

Identifier: 
EP-3149:2020

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

Identifier: 
EP-2924:2020

PSML documents help ensure the continuity of medicine management for consumers across different care settings.

Identifier: 
EP-3024:2020

The Goals of Care clinical document type is used to capture advance care information in alignment with Western Australia’s Goals of Patient Care Summary documents.

Identifier: 
EP-3013:2019

Shared Health Summary documents are sourced from an individual’s nominated healthcare provider and contain key summary information about the individual’s health status.

Identifier: 
EP-2499:2017

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.

Identifier: 
EP-2741:2018

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.

Identifier: 
EP-2746:2018

The Medicare Records FHIR Implementation Guide specifies the format of FHIR-based representations of Medicare documents that is used for the upload of such documents into the My Health Record system. It includes FHIR profiles defining the representation of:

Identifier: 
EP-2690:2018

eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.

Identifier: 
EP-2648:2018

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.

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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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