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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Specifications, guidance and associated collateral applicable to all types of clinical documents.
The Common - Clinical Document end product provides developers of systems generating CDA documents with important updates of:
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record.
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.
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.
The eHealth integration toolkits are a collection of integration tools and sample code resources available in both .NET and Java. The sample code and integration tools are used within the eHealth Reference Platform, forming part of the code library for tools and simulators.
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).
The Common - Consumer Entered Information end product component has been archived and the conformance points within that conformance profile have been republished in three different end products:
The Common - Continuity of Care end product has been archived. The remaining three components have been moved to Common - Clinical Documents.
These are:
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.
Discharge Summary documents support the transfer of a patient from a hospital back to the care of their nominated primary healthcare provider.
eHealth diagnostic imaging reports can be used to share information about diagnostic imaging examinations via an individual's digital health record.
eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.
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.
Event Summary documents are used to capture key health information about significant healthcare events that are relevant to the ongoing care of an individual.
Event Summary documents can be submitted to an individual’s digital health record by any participating organisation.
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.
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.
PSML documents help ensure the continuity of medicine management for consumers across different care settings.
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.
Specifications, guidance and associated collateral applicable to all types of clinical documents.
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record.
The Common - Clinical Document end product provides developers of systems generating CDA documents with important updates of:
The Common - Clinical Document end product provides developers of systems generating CDA documents with important updates of:
Specifications, guidance and associated collateral applicable to all types of clinical documents.
eHealth prescription record documents can be used to share information about prescribed medications via the individual’s digital health record.
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.
PSML documents help ensure the continuity of medicine management for consumers across different care settings.
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.
Shared Health Summary documents are sourced from an individual’s nominated healthcare provider and contain key summary information about the individual’s health status.
eHealth Dispense Record documents can be used to share information about medication dispensations via the individual’s digital health record.
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.
Discharge Summary documents support the transfer of a patient from a hospital back to the care of their nominated primary healthcare provider.
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.
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.
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.
eHealth diagnostic imaging reports can be used to share information about diagnostic imaging examinations via an individual's digital health record.
The Common - Consumer Entered Information end product component has been archived and the conformance points within that conformance profile have been republished in three different end products:
The Common - Continuity of Care end product has been archived. The remaining three components have been moved to Common - Clinical Documents.
These are:
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.
Event Summary documents are used to capture key health information about significant healthcare events that are relevant to the ongoing care of an individual.
Event Summary documents can be submitted to an individual’s digital health record by any participating organisation.
The eHealth integration toolkits are a collection of integration tools and sample code resources available in both .NET and Java. The sample code and integration tools are used within the eHealth Reference Platform, forming part of the code library for tools and simulators.
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.
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.
The detailed specifications for all clinical documents are available
The Agency has released updates for the following products Clinical Documents Integration Toolkit v1.8 and Health Record Overview v1.2
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).
The Australian Digital Health Agency (the Agency) has released a new major release of its HIPS middleware product: HIPS 7.0
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).