National Health Reform

Concept of Operations: Relating to the introduction of a Personally Controlled Electronic Health Record System

6.2.2 Clinical systems

Purpose

The PCEHR System will be accessible from a range of clinical systems, including GP systems, pharmacy systems, hospital systems, aged care systems, specialist systems, etc.

How the clinical system is integrated with the PCEHR System will vary from system to system. Some systems may have inbuilt features to access the PCEHR System and others may rely on a combination of backend gateways and provider portal integration to access the PCEHR System.

This section outlines the functionality required of a clinical system in order to access the PCEHR System.

Functionality

These systems will be able to:

• Utilise National eHealth foundations, including:
  • HI Service
  • NASH
  • Secure Messaging
  • Clinical Terminology
• Access a PCEHR, including:
  • Find a PCEHR.
  • Add the organisation to the access list (PACC may be required).
  • Obtain emergency access.
  • Access PCEHR views (see Section 4.4).
  • Search a PCEHR (see Section 4.5).
  • Download and/or print clinical documents and views.
• Upload clinical documents into the PCEHR System.
• Access support services:
  • Access online help about the PCEHR System.
  • Contact the PCEHR System operator and request support.

This list is not exhaustive and consultation will be required to refine it.

Relevant standards and specifications

Relevant standards and specifications include:

• Standards and specifications required for foundations (see Section 6.1.2) (required).
• Standards and specifications required for the B2B gateway (see section 6.3.4) (required)
• HL7 EHR-S Functional Profile [HL72007] (recommended)
• Guidelines from Standards Australia on implementing clinical terminologies within clinical systems (planned as part of IT-14 work program) (recommended)
• HB 306 User interface requirements for the presentation of health data [HB306] (informative)
• HB 307 Guide to the principles and desirable features of clinical decision support systems [HB307] (informative)

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