Pearce C.,Inner East Melbourne Medicare Local |
Pearce C.,Monash University |
Bainbridge M.,University of British Columbia |
Bainbridge M.,ASE Consulting Pty Ltd. |
Bainbridge M.,National E Health Transition Authority
Journal of the American Medical Informatics Association | Year: 2014
Objective: On July 1, 2012 Australia launched a personally controlled electronic health record (PCEHR) designed around the needs of consumers. Using a distributed model and leveraging key component national eHealth infrastructure, the PCEHR is designed to enable sharing of any health information about a patient with them and any other health practitioner involved in their care to whom the patient allows access. This paper discusses the consumer-facing part of the program. Method: Design of the system was through stakeholder consultation and the development of detailed requirements, followed by clinical design assurance. Results: Patients are able to access any posted information through a web-accessible 'consumer portal.' Within the portal they are able to assert access controls on all or part of their record. The portal includes areas for consumers to record their own personal information. Discussion: The PCEHR has the potential to transform the ability of patients to actively engage in their own healthcare, and to enable the emerging partnership model of health and healthcare in medicine. The ability to access health information traditionally kept within the closed walls of institutions also raises challenges for the profession, both in the language clinicians choose and the ethical issues raised by the changed roles and responsibilities. Conclusions: The PCEHR is aimed at connecting all participants and their interventions, and is intended to become a system-wide activity.
Michel J.,Queensland Health |
Lawley M.J.,CSIRO |
Chu A.,Queensland Health |
Barned J.,National E Health Transition Authority
Studies in Health Technology and Informatics | Year: 2011
An exploratory exercise in mapping approximately 8000 medication terms from the Queensland Health iPharmacy Medication File to the Australian Medicines Terminology (AMT) was carried out to determine coverage, build specialist knowledge, and inform future clinical terminology strategies. Snapper was the mapping tool selected for this exercise. The Automap function of the tool mapped 39.2% of the items that were successfully mapped, and the remainder were manually mapped. A total of 51.8% of the sample items were mapped to a semantically equivalent AMT concept with 50.0% of terms being mapped to a satisfactory fully specified term, and 1.8% of terms being mapped to a fully specified term that was considered unsuitable for QH clinical purposes. Rules and guidelines on how to deal with the emerging differences between the two terminologies were developed during the course of the project. Snapper was found to be an appropriate tool for this exercise; its functionality is being constantly refined to assist users. As a result, this exercise will provide NEHTA with input for the national scope and content for AMT, and QH will endeavour to prepare the iPharmacy medication file for future interfaces with other terminologies. © 2011 The authors and IOS Press. All rights reserved.
Bond A.,National E Health Transition Authority |
Hacking A.,National E Health Transition Authority |
Milosevic Z.,National E Health Transition Authority |
Zander A.,National E Health Transition Authority
Computer Standards and Interfaces | Year: 2013
This paper describes the experiences of Australia's National E-Health Transition Authority in using the RM-ODP to address a number of interoperability challenges in Australian eHealth. The RM-ODP viewpoints provide the separation of concerns across a specification, allowing direct support of independent capability levels within an eHealth community. The RM-ODP provides precise architectural expression, including that of business and policy contexts critical for eHealth. This precision is important for a tools-based architectural approach that supports traceability between requirements, design and implementation. The paper identifies some issues encountered while using the RM-ODP, which provide input into further standardisation efforts. © 2011 Elsevier B.V.
Szucs C.,National E Health Transition Authority
Telecommunications Journal of Australia | Year: 2011
General Practice is a highly computerised part of the health system and the place where most Australians receive health care. This positions it well to lead the adoption of telehealth. On the other hand, by supporting computerisation in general practice to a greater extent than in other health sectors, we may have created an island of computerisation in a sea of paper. Because this island is essentially a collection of thousands of independent small businesses, the adoption of new systems is especially challenging. Each general practice can choose to participate or to not. This article discusses the adoption of technology in the sector so far, and examines what will be required to ensure that the current investment in telehealth succeeds.