Clinical Documents

Supports the continuity of care, and improve the interactions between healthcare providers and patients.
Identifier: 
EP-2807:2019

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

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-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-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-2689:2018

eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record.

Identifier: 
EP-2656:2018

Discharge Summary documents support the transfer of a patient from a hospital back to the care of their nominated primary healthcare provider.

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-2662:2018

Advance care documents let individuals make choices about their future medical treatment in the event that they are cognitively impaired or otherwise unable to make their preferences known.

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.

Identifier: 
EP-2718:2018

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.

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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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