PKI certificates are required by many businesses for maintaining access to digital health tools including electronic prescribing and My Health Record. Two such certificates are about to expire for some practices. These are the National Authentication Service for Health's certificate (commonly referred to as a 'NASH' certificate), and Medicare's 'Location' certificate.
o The NASH certificate provides secure transactions between your practice and My Health Record and other digital health tools. This certificate is used by MedicalDirector Helix and Clinical, and must be renewed for continued communication between these applications and My Health Record.
o The Location certificate is used for secure online claiming, amongst others functions, and is used by MedicalDirector Helix, Clinical, Pracsoft and Bluechip. This certificate must be renewed for continued communication between these applications and Medicare or My Health Record.
These changes may affect your MedicalDirector applications. In some instances, updating your practice's PKI certificates is required for continued secure communication between your MedicalDirector applications and Medicare or My Health Record. New certificates have been issued, and are available to download and install. Click here for information on renewing your Certificates.
My Health Record (previously known as 'Personally Controlled Electronic Health Record') is an Australian Government initiative to allow patient information to be accessed securely online, making it easier to share information between healthcare professionals. Further information is available at publiclearning.ehealth.gov.au.
Clinical is compatible with the My Health Record system, allowing you to view CDA documentation that was created for the patient at another Practice (for example), as well as giving you the means to add your own patient documentation to the System, which can then be accessed by other clinicians. You can also upload prescriptions to a patient's My Health Record.
Documents managed via My Health Record are done so securely, and your Practice will require HI Signing and HI Encryption Certificates, as well as the My Health Record Certificate itself to access the System. These can be obtained via publiclearning.ehealth.gov.au after registering. Furthermore, patients who register can elect to secure their medical records with a password. Clinicians will then require this password in order to access their patient's records from the My Health Record System.
In order to access the My Health Record system, and transfer patient documentation between Clinical and My Health Record, you must ensure you have configured the following:
o Indicated your participation in My Health Record via the User Database.
o Recorded the Practice's Organisation type via Tools > Options > Practice tab.
o Recorded the Practice's Service type via Tools > Options > Practice tab.
o Imported the My Health Record Certificate via Tools > Options > PKI tab.
o Imported the HI Signing Certificate via Tools > Options > PKI tab.
o Imported the HI Encryption Certificate via Tools > Options > PKI tab.
If you have not configured one of the required fields, you will be prompted accordingly when you attempt to access a patient's My Health Record documents.
My Health Record requires an active Internet connection. If necessary, you can record you proxy server's settings via the Network Settings utility within MedicalDirector Maintenance. Please consult your System Administrator if you require assistance with this configuration.
With Clinical configured correctly, you can access a patient's My Health Record documentation via the My Health Record menu within the patient's Clinical Window. You will be presented with the My Health Record window, an example of which is shown below.
Note that when you first access the My Health Record system, you will be prompted to complete your user name details. You will only be asked this once.
The My Health Record View tab lists the patient's My Health Record documents.
The Prescription and Dispense View tab lists prescribed/dispensed medications that the patient has granted consent to upload to the My Health Record System. Consent is typically indicated via the Enter Dose window during the prescribing process, but can also be granted/revoked afterwards by right-clicking an item on the CurrentRx tab and clicking the My Health Record Consent entry from the menu that appears. This functionality requires that you have enable ePrescribing.
To view a medication on this window;
1. First, expand the medication details by clicking the button at the far left end of the medication row.
2. Secondly, click the medication details. The script details will be revealed
1. Select the My Health Record View tab. Filtering of documents is available only to this tab.
2. Locate and click at the top of the column you wish to apply a filter to. The filter window appears, and example of which is shown following.
The criteria available to the filter window varies depending on the data format and types of entries within the column you are applying a filter to, with the example above displaying all the types of Organisation associated with the current set of documents in the My Health Record window.
3. Apply a filter;
o Filter the list of documents to either start with or contain a specific term by typing the term into the Enter Search Text field, and selecting either the 'Starts With' or 'Contains' condition.
o Filter the list of documents by one or more specific entries by ticking/un-ticking available options in the Select Items to Filter By list. Deselect/Select the entire list by clicking the Deselect All/Select All button (this button is a toggle). The example above will display all records where the Organisation Type is either 'General Practice' or 'Transport'.
o Click the Reset Filter to reset this column's filter, closing the filter window, and returning you to the My Health Record window.
4. Click to apply your chosen filter settings to this column.
1. Within the patient's record, select the My Health Record menu. You will be presented with the My Health Record window.
2. Locate and select the document you wish to download.
o If the document is of type 'Shared Health Summary' or 'Event Summary' it is saved to the Documents tab of the patient record. Documents of type 'e-Referral' or 'Specialist Letter' are saved to the Letters tab.
o If the document already exists in the patient's record (it has already been downloaded from My Health Record), you will be notified accordingly.
o If the document already exists in the patient's record, but on the My Health Record system there is a newer version of it, the document will be downloaded to the patient's record, and the older version will be retained within the patient's record for historical purposes.
o The 'My Health Record Status' and 'My Health Record Activity Date' columns within the Documents/Letters tabs will indicate the selected document's My Health Record status, such as 'Uploaded', 'Downloaded', 'Superseded', or 'Removed'.
3. Click You will be presented with a preview of the document.
4. If you are satisfied that this is the document you wish to upload, click Send on the preview window.
5. The upload will commence and you will be notified upon completion. The 'My Health Record Status' and 'My Health Record Activity Date' columns within the correspondence tabs of the patient's record will indicate the selected document's My Health Record status.
2. Within the My Health Record window, locate and right-click the document you wish to supersede, and select Supersede from the menu that appears.
3. The Select a Document window appears.
4. Browse through the list of available documents from your patient's record, and select the document you wish to use to replace that within My Health Record.
5. Click The document will be uploaded to My Health Record, to replace the existing document.
With a patient’s consent, prescriptions can be uploaded to their My Health Record. The upload occurs automatically when you print a script. Consent is typically indicated via the Enter Dose window during the prescribing process, but can also be granted/revoked afterwards by right-clicking an item on the CurrentRx tab and clicking the My Health Record Consent entry from the menu that appears.
The National Prescription and Dispense Repository (NPDR) is a subset of a patient’s My Health Record and allows for the creation of an online medication history (for both prescriptions and dispensing). Transfer of medications in this way requires you are registered for ePrescribing and have enabled eRx Script Exchange.
o Practitioner is registered for ePrescribing. See ePrescribing Configuration for instructions.
o My Health Record is configured correctly. See Configuring MedicalDirector Clinical for My Health Record for instructions.
o Practitioner has indicated their participation in My Health Record. See below for details.
For further information regarding the NPDR, please refer to the following link:
1. Within the patient’s record, click MyHealthRecord.
2. The My Health Record window appears. Select the Prescription and Dispense View tab. Upon selecting this tab, the patient’s current My Health Record medications list will be retrieved and downloaded to Clinical.
3. Locate the medication you wish to save to the patient’s record, and click to display the details of the medication. Then click the details, They will be displayed in the window.
4. With the details selected, becomes available. Click this to save a copy of the medication to the patient’s record.
Note that the medication record is only saved to the Documents tab of the patient’s record; it is considered a document, and cannot be used to re-prescribe from.