My Health Record

My Health Record brings together health information from health care providers across the sector, allowing important patient information to be shared between them. This can include:

• medications
• allergies
• diagnoses
• hospital discharge summary
• pathology and imaging.

Patients can also enter their own health information such as a personal health summary or an advance care directive.

For more information about what is in a My Health Record, click here.

• Avoiding adverse drug events
• Enhancing patient self-management
• Improving patient outcomes
• Reducing time gathering information
• Avoiding duplication of services.

eHealth Practice Incentive Program (ePIP)

The eHealth Practice Incentive Program (ePIP) aims to encourage general practices to keep up to date with the latest developments in digital health technologies. Practices can apply for the ePIP through HPOS.

There are currently five requirements for practices to become eligible for the ePIP and they are:

• Integrating health care identifiers into electronic practice records
• Secure messaging capability
• Data records and clinical coding
• Electronic transfer of prescriptions
• My Health Record system access and uploading

USEFUL RESOURCES

• Practice Incentives Programs (Department of Human Services)
• RACGP ePIP fact sheet
• RACGP website

Requirement 1:  Integrating Health care Identifiers into Electronic Practice Record

• Healthcare Identifiers Service- FAQs
• Best Practice: Inputting HPI-O and HPI-I
• Best Practice: Validating Patient IHI Numbers
• Medical Director: Inputting HPI-O and HPI-I
• Medical Director: Validating Patient IHI Numbers (see page 6)

Requirement 2:  Secure Messaging Capability

• Secure Message Delivery Information Pack for General Practice
• Secure Messaging Capability Policy Template

Requirement 3:  Data Records and Clinical Coding

• Data Records and Coding Policy Template

Requirement 4:  Electronic Transfer of Prescriptions

• eRx Script Exchange
• MediSecure
• Electronic Transfer of Prescriptions Policy Template

Requirement 5: My Health Record Access and Uploading

• RACGP My Health Record, A brief guide for general practice
• My Health Record Policy Template

Uploading a Shared Health Summary instructions sheets

• Medical Director
• Best Practice
• Genie
• Zedmed

Shared Health summary calculators

• Best Practice
• Medical Director

• General Practitioners
• Nurses
• Allied health providers
• Aged care providers
• Pharmacists
• Private hospitals
• Specialists
• Aboriginal Medical Services

In 2023 the Australian Digital Health Agency (ADHA) released the my health app. This app lets patients and their healthcare providers view key health information in a fast, easy and secure solution in the palm of the hand.

Get started with my health

Before accessing my health you will need:

• a myGov account already linked to My Health Record and
• to have accessed My Health Record at least once through a web browser

There is help on the steps needed to link My Health Record.

Then follow these simple steps:

• Download my health from your app store. Use the links below or search for "my health gov" in the Apple App Store or Google Play Store.
• Open the app, select Get Started and follow the prompts.
• Start exploring!

The my health app is especially useful for healthcare providers without conformant software to access health information about their patients. The patients can share their data with these providers through the app.

For more information click here.

The Australian Digital Health Agency (ADHA), as the My Health Record system operator, has a layered security model with multiple security controls in place to protect the confidentiality, integrity and privacy of consumer health care information. Security controls include:

• strong encryption
• firewalls
• secure login/authentication mechanisms
• audit log

Individuals with a My Health Record provide standing consent for all health care providers who give direct care to them to view and upload clinical information to their record.

There are 3 healthcare identifiers that form the digital health foundations and ensure the right health information can be accessed for the right individual at the point of care. These identifiers are required for access to a My Health Record.

1. Where the service was provided: Healthcare Provider Identifier – Organisation (HPI-O)
2. Who provided the service: Healthcare Provider Identifier Individual (HPI-I)
3. Who received the service: Individual Healthcare Identifier (IHI)

Individuals control which health care organisations can access the information in their My Health Record by enabling advanced privacy controls including:

• Control access
• Lock documents
• Nominate representatives
• Check activity.

Control access

Limit access to the entire record or to some documents using an access code. In an emergency, a provider can assert the emergency access functionality which will override the existing access controls for a specified period.

Lock documents

Restrict viewing of specific documents to selected providers.

Nominate representatives

Nominate people to manage the record on behalf of the individuals.

Check activity

Alerts can be set to receive an SMS or email when the record is opened or added to. Additionally, all activity in a record is saved in an audit log.

For more information see privacy and security for providers.

In registering to the My Health Record system, organisations agree to comply with the My Health Records Act 2012, the My Health Records Regulation 2012 and the My Health Records Rule 2016. This includes having a policy in place that addresses certain matters, such as security measures and training of staff.

The RACGP has developed a template policy document that can be adjusted and implemented within the organisation. More information about the Digital Health policies can be found here.

Accessing the My Health Record system

There are two ways through which authorised health care providers can access an individual’s record in the My Health Record system: either with your conformant software or the National Provider Poratl. The way you will be accessing the system will determine the registration process that needs to be followed.

Conformant software

Accessing the My Health Record system through conformant clinical software enables health care providers to upload, view and download information from an individual’s My Health Record.

Check if your software is conformant here.

Registration and Set up Checklist for My Health Record access via conformant software.

National Provider Portal

If a health care provider does not have access to conformant software, they can view an individual’s My Health Record through the National Provider Portal. The health care provider will be able to view and download information from the individual’s My Health Record, but will not be able to upload any clinical information.

Registration and Set up Checklist for My Health Record Access via National Provider Portal.

Useful resources

• How to Register for PRODA Step by Step Guide
• How to Register for eOrdering (eRequesting) for Sullivan Nicolaides Pathology
• Register an Organisation to My Health Record Step by Step Guide
• Authorising links for My Health Record Provider Portal Access
• Adding or Removing an Organisation Maintenance Officer (OMO) from your My Health Record Registration
• AHPRA Registered Provider: Locate your HPI-I
• Non-AHPRA Registered Provider: Apply for a HPI-I
• NASH SHA-2 Certificate Renewal

Find below links to useful resources to set up your clinical software to access My Health Record.

Best Practice

• Best Practice: Inputting HPI-O and HPI-I
• Best Practice: Setting up My Health Record Permissions
• Best Practice: Installing NASH Certificate

Medical Director

• Medical Director: Inputting HPI-O and HPI-I
• Medical Director: Setting up My Health Record Permissions
• Medical Director: Installing NASH Certificate
• Medical Director: My Health Record User Guide

Genie

• Genie: Setting up My Health Record Permissions
• Genie support

Software support

For support, contact your software vendor or the Digital Health Team (ehealth@bsphn.org.au | 1300 467 265).

The Australian Digital Health Agency has developed a range of clinical software summary sheets with step-by-step instructions for interacting with My Health Record. Access the full range here.

Provider Portal

Accessing My Health Record via the Provider Portal

Best Practice

• Bulk validating Patient IHI numbers
• View a My Health Record 
• How to view Medicare Documents
• Upload a shared health summary
• Upload an event summary
• How to request prescription records not to be uploaded
• How to request pathology reports not to be uploaded
• How to delete a document you have authored

Medical Director

• Validate IHI Number and Status
• View a My Health Record
• How to view Medicare Documents
• Upload a shared health summary
• Upload an event summary
• How to request pathology reports not to be uploaded
• How to delete a document you have authored

Genie

• View a My Health Record
• Upload a shared health summary
• Upload an event summary

The Brisbane South PHN Digital Health team can provide in practice training and support. Please email ehealth@bsphn.org.au or phone 1300 467 265 for more information or to lock in an education session.

Self-paced training

These self-paced training modules introduce the key principles which will underpin use of the My Health Record system and demonstrate its features and functionalities. The training covers a range of topics and includes specific modules for general practice, community pharmacy, hospitals, specialists, allied health and residential aged care.

On Demand Training - Software simulations

On Demand Training is an online platform that allows users to simulate the use of My Health Record in their clinical software using a fictional patient and General Practitioner log in.

There are a number of software simulators available through On Demand Training including: 

• Best Practice
• Communicare
• Fred Dispense
• Genie
• Medical Director, and
• ZedMed.

The On Demand Training platform also provides a simulation of the My Health Record Consumer Portal. This system simulates the look and functionality of a consumer’s view of the My Health Record system for a fictitious patient, and replicates many of the functions with which consumers may interact.

• My Health Record On Demand Training
• Test simulation environment