Concept of Operations: Relating to the introduction of a Personally Controlled Electronic Health Record System
4.3.4 Specialist LettersThe PCEHR System will support the collection of Specialist Letters. When a specialist creates a Specialist Letter, it will be sent directly to the intended recipient, as per current practices, and a copy of the Specialist Letter may also be sent to the PCEHR System.
The PCEHR System will accept a Specialist Letter as either level 1, 2 or 3 clinical document.
In addition to the common fields, a structured Specialist Letter may contain:
- Specialist (required)
- Referring GP (required)
- Usual GP15 (required)
- Document recipients (required)
- Response details (required)
- Recommendations (required)
- Medicines list (required)
- Diagnostic investigations (optional)
- Attachments (optional)
|eHealth Site Notes: All wave 1 sites and a number of wave 2 sites will be informing the creation and management of specialist letters.|
15 Note that the NEHTA referral and specialist letter specification predates the PCEHR System Concept of Operations. The ’usual GP’ referred to in those specifications should not be confused with the Shared Health Summary Nominated provider.