PCEHR Medicare Overview v1.1

The My Health Record system provides access to Medicare information from the following data sets of claims and registries managed by the Department of Human Services (DHS) Medicare:

  • Medicare Benefits Scheme (MBS) and Department of Veterans’ Affairs (DVA) claims history
  • Pharmaceutical Benefits Scheme (PBS) and Repatriation Pharmaceutical Benefits Scheme (RPBS) claims historyAustralian Childhood Immunisation Register (ACIR) information
  • Australian Organ Donor Registry (AODR) information.

These data sets are grouped and displayed in a Medicare Overview in the national portals, and are the source of data for the PCEHR Medicare Overview CDA document that is provided on request through the PCEHR business-to-business (B2B) channel.

End products superseded by

A new version has been released for this end product

Please refer to Medicare Overview v1.1.1 or refer to the Release History for all releases of this End Product.

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2.63 MB

Product Components

Product component

This document is a Structured Content Specification (SCS) for a PCEHR Medicare Overview document. It specifies the information structure of the Agency-compliant PCEHR Medicare Overview in order to support the transfer of the following Medicare information:

Product component

This document summarises the requirements for producers and consumers of the PCEHR Medicare Overview.

Product component

This release note introduces specifications associated with the PCEHR Medicare Overview v1.1

Product component

This document provides a guide to implementing the 'logical' model detailed by the Agency's PCEHR Medicare Overview Structured Content Specification as an HL7 Clinical Document Architecture Release 2 (CDA) XML document.

Release history

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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