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The Healthcare Identifiers Service & PCEHR. eHealth Support Officer Program. HI Service & PCEHR Videos. HI Service videos on the eHealth website and YouTube: http:// Bringing the PCEHR system to life

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The Healthcare Identifiers Service & PCEHR

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The healthcare identifiers service pcehr
The Healthcare Identifiers Service&PCEHR

eHealth Support Officer Program

Hi service pcehr videos
HI Service & PCEHR Videos

  • HI Service videos on the eHealth website and YouTube:



  • Bringing the PCEHR system to life


  • How will the PCEHR system benefit you?



The healthcare identifiers service
The Healthcare Identifiers Service

  • IHI

    • Individual Healthcare Identifier

      • a 16 digit number linked, for those who have one, to an individual’s Medicare Card number

  • HPI-I

    • Healthcare Provider Identifier - Individual

      • for healthcare professionals and other health personnel involved in patient care

  • HPI-O

    • Healthcare Provider Identifier - Organisation

      • the organisation where care is provided

  • CSP

    • Contracted Service Provider

      • providers of admin and IT services to provider organisations

Hi service benefits
HI Service Benefits

  • Efficiency

  • Accuracy

  • Effective, streamlined & integrated care

    • the right information, in the right place, for the right person, at the right time

  • In the future the HI Service will enable:

    • Access to online health summaries (PCEHR)

    • Sending referrals

    • Sending & receiving test results

    • Writing electronic prescriptions and sending to pharmacist; &

    • Other services designed to make healthcare more efficient

Hi service application guide
HI Service Application Guide

  • A guide and checklist to prepare you for and assist you with the HPI-O registration process



  • Thanks to Gary Walker and the Cradle Coast eHealth Information Exchange (eHIE) in Tasmania

    • eHIE is a collaboration of the University of Tasmania Rural Clinical School, General Practice North West, the Cradle Coast Authority, and the North West Area Health Service.

Healthcare organisation
Healthcare Organisation

  • A healthcare organisation can apply to the HI service for a Healthcare Provider Identifier – Organisation (HPI-O) number.

  • A healthcare organisation is an entity, or a part of an entity that provides healthcare (including healthcare provided free of charge).

  • There are two types of Healthcare Organisations:

    • Seed Organisations

    • Network Organisations

Seed organisation
Seed Organisation

  • A Seed organisation is any entity which provides or controls the delivery of healthcare services within Australia.

Network organisation
Network Organisation

  • A Network Organisation is a Healthcare Provider Organisation that is linked to the seed in an organisation hierarchy

  • It is not a requirement to have an Organisation Maintenance Officer (OMO) for a Network Organisation

  • A Network Organisation may provide services as part of the Seed Organisation

Seed organisations network organisations
Seed Organisations & Network Organisations


Seed Organisation

Network Organisation

Network Organisation

Network Organisation

Network Organisation

Roles responsibilities
Roles & Responsibilities

Responsible Officer

  • The Responsible Officer (RO) is the authorised representative of a Seed Organisation (e.g. CEO, Board Member, Sole Trader)

    Organisation Maintenance Officer

  • An Organisation Maintenance Officer (OMO) is responsible for maintaining information about any organisation they are linked to (e.g. Administrative Officer, Practice Manager)

Responsible officer ro
Responsible Officer (RO)

  • The RO must be linked to the organisation and is entrusted to maintain details of the organisation on the HI service.

  • Create and deactivate a Seed Organisation within the HI Service

  • Nominate an Organisation Maintenance Officer (OMO)

  • Request the HI Service Operator to process a Change of Ownership for a Seed Organisation

  • Add or remove links between an RO or an OMO at the Seed level

  • Update their own demographic details

  • The Responsible Officer (RO will not require a 100 point check already known by Medicare – has existing PKI)

Organisation maintenance officer omo
Organisation Maintenance Officer (OMO)

  • Add or remove links for OMOs or linked healthcare providers for the organisation(s) they represent or are below them in the organisation hierarchy

  • May request RO to amend their details or details about the organisation

  • Update the HealthCare Provider Directory

  • Administrative access to the organisation records in the HI service for the organisation(s) they represent or are below them in the organisation hierarchy

Pki expiration
PKI Expiration


  • If the PKI key was issued after December 2008 it is valid for 5 years

  • The 2 types of keys (the iKey dongle and the smart card) were switched to the new 5 year system at different times (due to technology constraints). The iKeys actually switched over to the 5 year expiry term in July 2007. Then the smart card finally caught up in December 2008

  • If the key was issued before those dates (depending on the type of key), it is only valid for 2 years

  • If practices have individual PKI certificates sitting in desk drawers which were issued a while ago, they should ring Medicare to check whether they need to renew them or not.


  • All location certificates have a 5 year expiry as of December 2008

The healthcare identifiers service2
The Healthcare Identifiers Service

Key Messages

  • To practice managers & providers

    • Encourage adoption by providers/organisations

    • Supports workflow

      • Low effort

      • High impact

    • Reduces risk

      • More patient information = better, safer decisions

        • (allergies, medications, history)

    • Reduces burden of repetition on patients

      • (history, demographics, medications, investigations)

    • Engage your vendors

      • When will this functionality be integrated?

  • What are the key messages for your patients?

The healthcare identifiers service3
The Healthcare Identifiers Service

Key Messages

  • To patients

    • Reduces unnecessary duplication of tests

      • Dangerous - exposure to radiation

      • Expensive - travel, wasted time & money

    • Reduces unnecessary repetition of information

      • Completing forms - frustrating

      • Repeating history - demoralising

    • Reduces unnecessary risk

      • Allergies

      • Medications

      • Co-morbidities

    • Less risk to privacy than paper/fax

  • Health literacy re choices about access

The healthcare identifiers service4
The Healthcare Identifiers Service

“Start building the foundation now for seamless continuity of care and practice efficiency. Give your patients a head start.”

Get ready now!

Medicare websites
Medicare Websites

Confirm your PKI Status or Register for PKI

PKI Registration - Individual & Site


    Find forms to register for an HPI-O

    The Medicare HI Service Website


    Link HPI-Is to HPI-O

    Health Professional Online Services


Medicare hi service team
Medicare HI Service Team

  • The HI Service Enquiry Line is available Monday through to Friday from 8:30am to 5:00pm, local time (AEST), excluding Public Holidays.

    1300 361 457

The healthcare provider directory
The Healthcare Provider Directory

  • With consent, the HI Service Healthcare Provider Directory (HPD) lists details of registered healthcare professionals and organisations who deliver healthcare services.

    • to assist healthcare professionals and organisations searching for other healthcare professionals and organisations registered with the HI Service.

  • At this stage practices will still benefit from registering and/or maintaining their details on their state’s preferred service directory

Human services directory hsd
Human Services Directory (HSD)

  • The HSD has been chosen as the model for the national services directory and is a stepping stone to participation in eReferral activity

  • Please encourage your primary care provider colleagues (private allied health, private specialists & GPs) to register on the HSD

  • To register or update details email DCA or phone the HSD help desk on 9320 9070

  • This information is relevant to Victoria. Each state may have their own process and contact information for registering on their preferred service/provider directory. For more info use the eHealth Support Officer contact information at the end of this presentation

What to do
What to do

  • Confirm PKI status – renew if necessary

  • Determine the organisation type (Seed or Network)

  • Decide Seed organisation type

  • Decide who is going to be RO

  • Determine if RO or another person will be the OMO. If another person, decide who.

  • Follow checklist to prepare documentation

  • Use HPOS and PKI to register for HPI-O and to build your organisation by linking HPI-Is

  • Register and/or maintain your existing information on the Human Services Directory or the preferred directory in your state

  • Continue to focus on data quality

Racgp health summary
RACGP Health Summary

Criterion 1.7.2

Health summaries

  • Our practice incorporates health summaries into active patient health records.

    • Medical history

    • Allergies and adverse reactions

    • Medicines list

    • Health risks factors

    • Immunisations

    • Relevant family history

    • Relevant social history

Racgp health summary1
RACGP Health Summary

  • Position Statement - GP e-health summary (125KB)

  • Fact sheet - Allergies and adverse reactions (PDF 191KB)

  • Fact sheet - Health risk factors (PDF 186KB)

  • Fact sheet - Immunisations (PDF 186KB)

  • Fact sheet - Medical history (PDF 186KB)

  • Fact sheet - Medicines list (PDF 186KB)

  • Fact sheet - Relevant family history (PDF 186KB)

  • Fact sheet - Social history (PDF 184KB)

The ehealth journey
The eHealth Journey

  • The eHealth Journey display (formerly known as the Model Healthcare Community)

    • Identifiers demonstrated

    • Early adopter vendors

  • RACGP hosts the eHealth Journey display at the John Murtagh Centre, 1 Palmerston Crescent, South Melbourne. To arrange a tour please email:

Personally controlled electronic health record pcehr
Personally Controlled Electronic Health Record (PCEHR)

  • PCEHR Draft Concept of Operations

Nominated provider
Nominated Provider

  • A healthcare provider or healthcare organisation may be nominated by the individual to manage their Shared Health Summary

Types of clinical documents supported
Types of Clinical Documents Supported

  • Shared Health Summaries (see Section 4.2.2).

  • Event Summaries (see Section 4.2.3).

  • Discharge Summaries (see Section 4.2.4).

  • Consumer entered information (see Section 4.2.11).

Additional clinical document types considered
Additional clinical document types considered:

  • Specialist Letters (see Section 4.2.5).

  • Referrals (see Section 4.2.6).

  • Prescribing and Dispensing information (see Section 4.2.7).

  • Pathology Result Reports (see Section 4.2.8).

  • Diagnostic Imaging Reports (see Section 4.2.9).

  • Medicare Australia records (including Medicare claims history, PBS data, Organ Donor and the Australian Childhood Immunisation Register) (see Section 4.2.10).

  • Advance Care Directives (see Section 4.2.12).


  • The PCEHR System will support the following views:

    • Index View

    • Consolidated View

Index view
Index View

  • The date of the record.

  • The type of record (e.g. Event Summary, Discharge Summary).

  • The clinical setting where it was recorded (e.g. General Practice, Hospital, Community Pharmacy, etc).

  • The author name and role (e.g. Dr John Smith, Endocrinologist).

  • A link to the original document.

  • Option to find amended clinical documents

The healthcare identifiers service pcehr


Thank you


Ehealth support officers ehso
eHealth Support Officers (eHSO)

For more information or assistance please contact :


Paul 9342 5234

Brendon 03 9341 5238

Martin 9341 5247


Jacqueline 02 9239 2925

Melanie Smith 02 9239 2965

Paul 02 9239 2909


David Millichap 3105 8323

Kat Murray 3105 8300


Marcus 8179 1702

Mark Endacott 8179 1702

GP Tasmania

Phil Evans 03 6220 6406

Gary Walker 03 6425 0800


Lauren Leclerc 9472 2922


Eleonor Geoghegane.geoghegan@actdgp.asn.au02 6287 8099


Ross 02 6228 0825


Nicky O'Brien Nicky.O' 8982 1036

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