Clinical Records

Clinical records contain information about your health written by your healthcare providers. A My Health Record may contain seven different types of clinical records. These include:

  • Diagnostic Imaging Reports: documents authored by a radiologist which contain the results of diagnostic imaging examinations you have undergone;
  • Discharge Summaries: are created in the event you are admitted and discharged from a healthcare facility;
  • Event Summaries: documents used to capture health information about significant healthcare events in an individual’s ongoing care;
  • Pathology Reports: documents authored by pathologists which contain the results of pathology tests you have undergone;
  • e-Referrals: documents used to exchange patient information from one treating healthcare provider to another;
  • Shared Health Summaries: written by your primary healthcare provider (this may be a qualified medical practitioner, registered nurse or Aboriginal and Torres Strait Islander health worker) and provide a summary of your health status; and
  • Specialist Letters: are created by a medical specialist and sent directly to the intended recipient.

Over time, more document types will be made available.

 

How do I find Clinical Records?

You can find clinical records by clicking on the ‘Documents’ link on the navigation menu then selecting ‘Clinical Records’ under the ‘Information created by your Healthcare Providers’ section. New clinical records will appear under this menu as they are added to your My Health Record by your healthcare providers.

 

Who can view my Clinical Records?

As a default setting, all healthcare providers involved in your care will be able to see the documents that are added to your My Health Record. If you want to control which healthcare providers have access to your clinical records, you will need to update your access settings. More information on access settings can be found on the ‘Privacy and Access’ help page.

Authorised Representatives are always able to view all of your documents.

Nominated Representatives may view all of your documents or a limited range, depending on the settings you choose. When you appoint a Nominated Representative, you select the level of access they have to your documents by giving them either ‘General’ or ‘Restricted’ Access. You can change a Nominated Representative’s access level at any time through the ‘Privacy & Access’ page.