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Common - Clinical Document v1.5.4

Products, Specifications | EP-3149:2020

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

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Goals of Care v1.0

Specifications | 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.
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eHealth Prescription Record v1.2.1

Specifications | EP-2689:2018
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record. Documents of this type do not represent actual prescriptions, but merely support the sharing of information about medication prescriptions via the individual’s digital health record.
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Common - Clinical Documents

Products

The Common - Clinical Document end product provides developers of systems generating CDA documents with important updates of:

Products

Common - Clinical Documents

Products

The Common - Clinical Document end product provides developers of systems generating CDA documents with important updates of:

Specifications

Common - Clinical Document v1.5.4

Products, Specifications | EP-3149:2020

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

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Goals of Care v1.0

Specifications | 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.
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eHealth Prescription Record v1.2.1

Specifications | EP-2689:2018
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record. Documents of this type do not represent actual prescriptions, but merely support the sharing of information about medication prescriptions via the individual’s digital health record.
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Health Record Overview v1.2

Specifications | EP-3023:2020
The Health Record Overview provides a summary of an individual’s My Health Record and is intended to serve as the “home screen” displayed when an individual’s record is first opened.
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Pharmacist Shared Medicines List v1.1.1

Specifications | EP-2924:2020
PSML documents help ensure the continuity of medicine management for consumers across different care settings. PSML documents allow pharmacists in both hospital and community pharmacy settings to record the outcome of consumer consultations regarding their current medications for upload to the My Health Record system.
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Advance Care Planning v1.1

Specifications | 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.
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Shared Health Summary v1.5.2

Specifications | 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.
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eHealth Dispense Record v1.2.1

Specifications | EP-2690:2018
eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.
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Core Level One Clinical Document v1.0

Specifications | 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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Discharge Summary v1.5.2

Specifications | 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.
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Advance Care Document Custodian v1.1.1

Specifications | EP-2662:2018
Advance care document custodian documents can be used to capture information about the custodian of the individual’s advance care directive. Such documents do not contain the advance care directive itself.
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Referral v2.0

Specifications | 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. The Service Referral v1.1 specifications expand this scope of use to include any referrals for healthcare or human services. Note that this does not include the requesting medications or requesting diagnostic investigations.
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eHealth Pathology Report v1.2.2

Specifications | EP-2558:2017
eHealth pathology reports can be used to share information about pathology tests via an individual's digital health record. The Pathology Report PDF may contain one or more tests that are uploaded by the pathology provider to the individual's digital health record.
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eHealth Diagnostic Imaging Report v1.2.2

Specifications | EP-2560:2017
eHealth diagnostic imaging reports can be used to share information about diagnostic imaging examinations via an individual's digital health record. The Diagnostic Imaging Report PDF may contain one or more examinations that are uploaded by the diagnostic imaging provider to the individual's digital health record.
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Common - Consumer Entered Information v1.2

Specifications | EP-1428:2013
Documents that are common to the Consumer Entered Information products.
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Common - Continuity of Care v1.0.1

Specifications | EP-1458:2013
This end product contains FAQs that are common to the Agency’s continuity of care end products.
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Specialist Letter v1.3

Specifications | EP-1796:2014
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.
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eDiagnostic Imaging v1.0

Specifications | EP-1147:2011
eDiagnostic Imaging facilitates the development of a national approach to radiology services, creating more effective, efficient and safer patient care. This national approach will also promote greater continuity of care and enable increased responsiveness across the diagnostic imaging sector.
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Event Summary v1.4

Specifications | EP-1817:2015
Event Summary documents are used to capture key health information about significant healthcare events that are relevant to the ongoing care of an individual.
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Clinical Documents Integration Toolkit v1.5.1

Specifications, Toolkits | EP-2286:2016
The Clinical Documents Integration Toolkit contains libraries for the creation, packaging and presentation of clinical documents through the use of style sheets.
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Personal Health Summary v1.1

Specifications | EP-2272:2016
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.
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Personal Health Notes v1.1

Specifications | EP-2282:2016
Personal health notes documents allow individuals to record health-related notes in their digital health record.
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FAQs

My Health Record Clinical Document Specifications

FAQs, Developer Guides

The detailed specifications for all clinical documents are available 

News

Clinical Package Validator v3.2 Released

News

The Australian Digital Health Agency has released version 3.2 of the Clinical Package Validator.

Tuesday, 12 January 2021

Clinical Documents Integration Toolkit v1.8 and Health Record Overview v1.2 released

News

The Agency has released updates for the following products Clinical Documents Integration Toolkit v1.8 and Health Record Overview v1.2

Friday, 28 August 2020

Clinical Package Validator v2.8 - Enhanced validation using IQ Rules Released

News, Specifications, Toolkits

The Australian Digital Health Agency (the Agency) has released version 2.8 of the Clinical Package Validator. The Clinical Package Validator v2.8 now supports the execution of enhanced validation rules for clinical documents: Information Quality Rules (IQ Rules).

Monday, 11 May 2020

HIPS 7.0 Released

News

The Australian Digital Health Agency (the Agency) has released a new major release of its HIPS middleware product: HIPS 7.0

Wednesday, 6 February 2019

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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