Clinical Documents

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.


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.


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.


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


Specialist Letter documents are used in replying to a referral or reporting on a health event and contain information related to the event or the requested diagnosis or treatment by a specialist.


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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