• DCM Compliance
• About My Health Record
• Connecting your Organisation and Providers
• Connecting your Clients/Patients

  • Uploading document/s to DCM and then to MHR

• Accessing the MHR

DCM Compliance

• DCM integration with Health Identifier Service is finalised. This is a prerequisite to MHR integration. There are three sets of identifiers:
  • Individual Healthcare Identifier (IHI) assigned to the patient
  • Healthcare Provider Identifier - Individual (HPI-I) assigned to the Healthcare Provider, and
  • Healthcare Provider Identifier - Organisation (HPI-O) assigned to organisations

• DCM integrates with FHIR and SNOMED for Clinical Terminology.

  • Clinical terminologies are structured vocabularies covering complex concepts such as diseases, operations, treatments, and medicines. Clinical terminologies can be used in clinical practice to aid health professionals with more easily accessible and complete information regarding medical history, illnesses, treatments, laboratory results, and similar facts.

    The National Clinical Terminology Service (NCTS), operated by the Australian Digital Health Agency, is responsible for managing, developing, and distributing national clinical terminologies and related tools and services to support the digital health requirements of the Australian healthcare community. This responsibility includes being the Australian National Release Centre for SNOMED CT^® on behalf of the International Health Terminology Standards Development Organisation (IHTSDO).

• DCM has completed the Notice of Connection (NOC) and submitted our Conformance Vendor Declaration. For our clients, this means the following clinical documents can be uploaded to MHR

  • Advanced Health Directive
  • Discharge Summary
  • eHealth Prescription Record
  • Event Summary
  • Electronic Referral: In, Out or a Letter
  • Shared Health Summary
  • Specialist Letter (rename the Report to Referrer template to be Specialist Letter)

• The following can also be viewed in the Clinical Module in the MHR section:

  • Prescription and Dispense View
  • Medicare Overview
  • Observations View
  • Health Check Schedule View
  • Pathology Report View
  • Diagnostic Imaging Report View
• The Australian Digital Health Agency provides online training, webinars, and other resources for healthcare providers to learn more about My Health Record.

  • Find out more about My Health Record in specialist practice

  • Latest statistics on how healthcare providers and consumers are using My Health Record
  • Join a webinar to learn about the core features of My Health Record: My Health Record for specialist practices
  • Register and set up access for My Health Record
  • Free online training modules to learn more about using and accessing My Health Record

• DCM complies with the Secure Message Delivery (SMD) set of specifications that were developed collaboratively by the digital health community to include Standards Australia.

  • Reliable, secure provider-to-provider communication is a key component of digitally enabled integrated and coordinated care across the Australian health sector. Secure messaging is a core foundational capability required to enable interoperability and safe, seamless, secure, and confidential information sharing across all healthcare providers and consumers.

    While there are significant pockets of secure messaging in use, for example, supporting pathology communications and discharge summaries from certain hospitals, there continues to be a lack of a consistent approach to secure messaging and information exchange across Australian healthcare. This has led to significant challenges across the sector.

  • Secure Message Delivery (SMD) is a set of specifications that was developed collaboratively by the digital health community including NEHTA (which transitioned to the Australian Digital Health Agency on 1 July 2016), Standards Australia, desktop software vendors, and secure messaging service providers. This set of specifications defines an approach to digital health communication using widely supported IT industry standards.

    The SMD specifications support the secure delivery of messages containing clinical documents and/or other information between healthcare organisations, either directly or through one or more messaging service providers. A typical example is shown in the diagram below.

    

    Historically, only healthcare organisations using the same secure messaging provider have been able to exchange messages securely. While many secure messaging providers have connected their networks and are interoperable, interconnectivity remains a problem today.

    In addition to having a secure messaging connection, sending and receiving clinical systems need to be conformant to message format standards. The Agency has defined Clinical Document Architecture (CDA™) standards for eReferrals, specialist letters, and discharge summaries. This allows the exchange of these document types using secure messaging.

     

About My Health Record

My Health Record is a secure online summary of an individual’s health information and is available to all Australians. Healthcare providers authorised by their healthcare organisation can access My Health Record to view and add patient health information. Through the My Health Record system you can access timely information about your patients such as shared health summaries, discharge summaries, prescription and dispense records, pathology reports, and diagnostic imaging reports.

There are four service specifications:

1. Record Access that informs you if the patient has an 'advertised MHR'
2. Document Exchange for uploading, replacing, removing and downloading Clinical Documents
3. View Service for viewing a patient's MHR
4. Registration Service for you to offer assisted registration functionality to create an MHR should the patient not have one and want one

Connecting your Organisation and your Providers

Healthcare professionals can access patients’ records in the My Health Record system through conformant clinical information systems or via the web-based and read-only Provider Portal.

My Health Record for healthcare providers | Australian Digital Health Agency

Implementing My Health Record in your healthcare organisation | Australian Digital Health Agency

Connecting your Clients/Patients

My Health Record | Australian Digital Health Agency

MHR documents that can be uploaded. Note: The file name of the Document must be the same as the list below. E.G Specialist Letter.docx Digital Health Integrations – Direct CONTROL Medical (DCM)

• Advanced Health Directive
• Discharge Summary
• Event Summary
• Referral
  • In
  • Letter
  • Out
• Shared Health Summary
• Specialist Letter

1. Once all up and ready to use in DCM, go to the Client file via Regular Tasks - Clients - Select your client/patient file and double click to open - Communications tab.
2. Import, Scan, or Add the document/s to the patient file
3. Once the file is in Communications, highlight the document - right click, and select upload to MHR
4. Follow the steps in the form to ensure it is ready to upload, it will not upload if something is skipped

Uploading Documents to DCM and then to MHR

Before you upload, ensure you have the HPI-I number in the Referrer/Surgeon section (for the doctor that the Discharge summary is going to) and the HPI-I in the Entity (the Provider/Surgeon that performed the Service at Lithgow Private.
 

• To put the HPI-I for the referrer/surgeon. Go to Contact Management - Referrers/Surgeons - Click on the file or create a new one - Type in the number in the Healthcare Identifier field within the record - Save - Close - Refresh DCM
• To put the HPI-I number for the Entity, go to Utilities - Entities - select the Entity - select the About tab - Enter the number in the HPI-I field under the Healthcare Identifier section.

Once these steps are done, you are ready to upload to MHR

1. Go to the Communications tab in the Client/Patient file
2. Import the document and select the appropriate fields in the Edit Communication Details tab at the bottom, you need to have these fields correct as it is essentially like a filing system, ensure the Type: is selected as Discharge Summary (MHR only accepts a certain list of file types, see above under Connecting your Clients/Patients). Once the fields are selected (you can add a file comment, summarising the file if need be) - select Save. The file will populate the line under the 'All' tab and be selected in Orange.
3. Right-click on the Orange file line and select from the Menu, Upload to MHR
4. Follow the prompts along to upload, if there is a section that is blank or red, you need to fill this in, to go to the next screen for uploading.

 

 
I can do the first one or two with you if you prefer.
 
Accessing the client's MHR (more info, go to article Digital Health Integrations – Direct CONTROL Medical (DCM)), you will notice if the Client has this active with the Icon on the sidebar, select the Icon to view their record. Note that this is a direct link to the Government server, it could lag at times, and this is their server, not a DCM issue.

Accessing the MHR

There is further security for accessing a patient's MHR. 

The patient may have opted for an access code to be used when accessing their documents. 

When you select the MHR button in the client DCM record, it takes you into the Clinical module of DCM, there will be a Gain Access button for you to view the MHR of the client, more information on this Link My Health Record | myGov

If you have enabled MHR in User Roles, this will allow you to upload to My Health Record but may not give you access to view their record without a code.