Clinical Documents - Implementation Guidance - Representing Coding in CDA Documents v1.0

This document provides advice for implementers with respect to coding common clinical concepts in Agency CDA documents, including e-Referral, Discharge Summary, Event Summary, Shared Health Summary, and Specialist Letter. This document describes how to correctly encode a concept for maximum utility in the future.

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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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