About My Health Record data This Chapter provides a summary of the My Health Record data. The reason My Health Record was developed was so that an individual’s health information can be accessed through one system by authorised healthcare provider organisations and the individual anywhere at any time. Table 2.1 describes the data that can currently be held in the My Health Record system. Table 2.1: Summary of information that can currently be held in the My Health Record system, August 2016 Information Authored by Viewable by* Type of information Discharge Summary Hospital Clinician Authorised employees A record of an individual’s hospital of a registered stay and any follow up treatment healthcare provider required. The data may include discharge medications, relevant pathology results, presenting problem and diagnoses, treatments provided and recommendations on future care. Event Summary Any clinician Authorised employees Key information relating to one or of a registered more episodes of care such as a visit healthcare provider to an allied health professional, general practitioner, etc. that is relevant to future care. Shared Health Summary Medical practitioners, Authorised employees A clinical document summarising an registered nurse or certain of a registered individual’s health status that includes Indigenous health healthcare provider important information such as workers allergies/adverse reactions, medicines, medical history and immunisations. Specialist Letter Medical specialist Authorised employees Report on a course of care provided of a registered by a medical specialist that is sent to healthcare provider the referring clinician. It may include diagnoses, treatments, relevant test results, recommendations for future care, etc. Referral Any clinician Authorised employees A request for advice or care from of a registered another clinician. It may include a healthcare provider summary of previous health and health care issues such as history, presenting problem, diagnoses, relevant test results, etc. Prescription Record Prescribing Clinician Authorised employees Information about medicines of a registered prescribed. healthcare provider Dispense Record Pharmacist - Community Authorised employees Information on medicines dispensed. or hospital of a registered healthcare provider Pathology Report Pathologist Authorised employees Pathology test results of a registered healthcare provider Diagnostic Imaging Report Radiologist Authorised employees Report on the outcome of a of a registered diagnostic imaging examination healthcare provider
About My Health Record data This Chapter provides a summary of the My Health Record data. The reason My Health Record was developed was so that an individual’s health information can be accessed through one system by authorised healthcare provider organisations and the individual anywhere at any time. Table 2.1 describes the data that can currently be held in the My Health Record system. Table 2.1: Summary of information that can currently be held in the My Health Record system, August 2016 Information Authored by Viewable by* Type of information Discharge Summary Hospital Clinician Authorised employees of a registered healthcare provider A record of an individual’s hospital stay and any follow up treatment required. The data may include discharge medications, relevant pathology results, presenting problem and diagnoses, treatments provided and recommendations on future care. Event Summary Any clinician Authorised employees of a registered healthcare provider Key information relating to one or more episodes of care such as a visit to an allied health professional, general practitioner, etc. that is relevant to future care. Shared Health Summary Medical practitioners, registered nurse or certain Indigenous health workers Authorised employees of a registered healthcare provider A clinical document summarising an individual’s health status that includes important information such as allergies/adverse reactions, medicines, medical history and immunisations. Specialist Letter Medical specialist Authorised employees of a registered healthcare provider Report on a course of care provided by a medical specialist that is sent to the referring clinician. It may include diagnoses, treatments, relevant test results, recommendations for future care, etc. Referral Any clinician Authorised employees of a registered healthcare provider A request for advice or care from another clinician. It may include a summary of previous health and health care issues such as history, presenting problem, diagnoses, relevant test results, etc. Prescription Record Prescribing Clinician Authorised employees of a registered healthcare provider Information about medicines prescribed. Dispense Record Pharmacist - Community or hospital Authorised employees of a registered healthcare provider Information on medicines dispensed. Pathology Report Pathologist Authorised employees of a registered healthcare provider Pathology test results Diagnostic Imaging Report Radiologist Authorised employees of a registered healthcare provider Report on the outcome of a diagnostic imaging examination
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