It Seems The NEHRS / PCEHR Has Had a Bit Of A Make Over. Interesting Changes In A Couple Of Areas.

After the outage overnight I wandered along to see what changes had been made to the what the user sees.
Here is what the navigation menu down the side now looks like.

Health Record Overview

Clinical Documents
                Shared Health Summary
Medication Records
                Prescription and Dispense View
Personal
Personal Health Notes
Personal Health Summary
Advance Care Directive Custodian
Your Personal Details
Emergency Contact Details
Child Development
                Achievement Diary
                Personal Observations
                Immunisations
                Child Health Check Schedule
                Child Growth Charts
                Information for Parents
                Medicare Records
Medicare/DVA Benefits Report
                Pharmaceutical Benefits Report
                Medicare Overview
Restricted Settings
                Medicare Information Preferences
                Notification Settings
                Manage Access to this Record
                Manage Document Access
                Restricted Settings
                Audit Log
----- End
The main changes since my last visit are the addition of two sections. First we have the Child Development Section - which is some reference material and some user added records on the nipper’s progress. Seems sensible but the access controls are a little odd with the Achievement Diary not clinically accessible but the Personal Observations - next down - being clinician accessible.
The other big change is the section labelled Medication Records. Despite having lots of records  under the Pharmaceutical Benefits Report none of this seems to have made it to the Medication Records - so it is very unclear what is going on with this. Maybe is it just another work in progress.
Overall the system now has so many tabs and sub-tabs that checking on all of what is there is quite a lengthy process.
What is now clear is that the whole thing was not delivered in July last year and that major additions are still going on. I wonder how much all this is costing? It seems the child Development Section is a late idea from DoHA to try and actually make the record useful. The un-intended consequences of all this might be quite interesting. I wonder is there a plan to have this record sharable like the Shared Health Summary?
All we can do it watch and wait and see what happens next!
David.

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