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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

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

    [email protected]

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  [email protected] 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: [email protected]

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


Thank you


Ehealth support officers ehso
eHealth Support Officers (eHSO)

For more information or assistance please contact :


Paul Macdonald [email protected] 03 9342 5234

Brendon Wickham [email protected] 03 9341 5238

Martin Forrest [email protected] 03 9341 5247


Jacqueline Owens [email protected] 02 9239 2925

Melanie Smith [email protected] 02 9239 2965

Paul Bruce [email protected] 02 9239 2909


David Millichap [email protected] 3105 8323

Kat Murray [email protected] 3105 8300


Marcus Windle [email protected] 8179 1702

Mark Endacott [email protected] 8179 1702

GP Tasmania

Phil Evans [email protected] 03 6220 6406

Gary Walker [email protected] 03 6425 0800


Lauren Leclerc [email protected] 9472 2922


Eleonor Geoghegan [email protected] 02 6287 8099


Ross Nable [email protected] 02 6228 0825


Nicky O'Brien Nicky.O'[email protected] 08 8982 1036