Education toolkits for general practice

Introduction to My Health Record in general practice - Chapter 2

My Health Record content

Last revised: 15 May 2020




Personal Details   Includes Aboriginal and/or Torres Strait Islander status and veteran/Australian Defence Force (ADF) status  
Emergency contact details   Next of kin/carer contacts  
Advance Care Planning Document   A document that is a type of written statement regarding a person’s wishes for their future medical or healthcare treatment and may formally appoint a substitute decision-maker.  
Advance Care Document Custodian   Name of the person or organisation holding a copy of the individual’s advance care planning document  
Personal Health Summary   Health details the individual wishes to share with their healthcare providers, such as allergies/adverse reactions and current medicines  
Personal health notes (not visible to healthcare providers)   Private diary entries – cannot be viewed by healthcare providers  
Child development information   Parent-entered results of a child’s scheduled health checks, childhood development information, and other useful information  




Shared Health Summary   A clinical document that can only be uploaded by the patient's nominated healthcare provider. It includes information from a particular point in time about the healthcare consumer’s medical history, medicines, allergies, adverse reactions and immunisations/vaccines. An example of what a Shared Health Summary looks like can be found here.  
Event Summary   A clinical document detailing one or more episodes of care. Provides possibly useful information for another healthcare provider who might see the patient at an unknown time in the future  
Prescription Records   Prescription records contain information about medicines prescribed by a healthcare provider, including the prescribers name and the healthcare organisation visited, It may also include medication brand name, medication generic name, dosage instructions, maximum number of repeats, the date and the expiry date of the prescription.  
eReferrals   Have a specified structure, including standard (optional) fields for current and past medical history, current medications, allergies and adverse reactions, and diagnostic investigations.Includes a free-text “reason for referral” field for the referrer to include additional content about the patient’s clinical background.  




Pathology report   Such as blood tests and biopsies from participating pathology practices
Some private pathology providers have special requirements to enable results to be uploaded to My Health Record including eOrders and activation. More information can be found here
Diagnostic imaging report   Such as x-rays and scans from participating diagnostic imaging providers. The x-rays and scans will not be uploaded, only the reports  
Event Summary   An event summary captures key health information about significant healthcare events that are relevant to the ongoing care of an individual. Other healthcare providers can also upload an Event Summary  
Specialist letter   Has a specified structure, including standard (optional) fields for patient recommendations, medications and medication review, adverse reactions, and diagnostic investigations. Includes a free-text “response narrative” field for the specialist to include additional content about the patient’s condition  
Prescribe and dispense information   Name and date a medication was prescribed and dispensed. Includes brand name, active ingredient/s, strength of medication, direction for consumption, and form of medication  
Discharge summary   From participating hospitals  
Pharmacist Shared Medicines List (PSML)   A document that is created and uploaded by pharmacists which includes a list of all medicines that the patient is known to be taking. This includes prescribed, over-the-counter, and complementary medicines.




Medicare Benefits Schedule (MBS) claims information   The fields displayed are the date of service, the item number, the description of the service, the service provider, and whether it was an in-hospital service. The contents of the service are not displayed. When a My Health Record is activated, two years of retrospective MBS data appears.  
Pharmaceutical Benefits Scheme (PBS)/Repatriation PBS (RPBS) claims information   When a My Health Record is activated, two years of retrospective PBS/RPS data appears.  
Immunisation records   Supplied by the Australian Immunisation Register (AIR).  
Organ donor status   Supplied by the Australian Organ Donor Register (AODR)  

Shared Health Summary


Event Summary


What is it?

An overview of specific health information at a particular point in time   Information about a specific healthcare event    

What does it contain?

Mandatory fields:
  • current medicines
  • medical history
  • allergies and adverse reactions
  • immunisations/vaccines
  Free-text fields (optional content):
  • allergies and adverse reactions
  • medicines
  • diagnoses
  • immunisations/vaccines
  • diagnostic interventions

Who can create it?

‘Nominated Healthcare Provider’ as defined in the My Health Records Act 2012 – usually a person who has ongoing contact with the patient
  Any eligible healthcare provider – usually a person who does not have ongoing contact with the patient    

Under the My Health Records Act 2012, a Shared Health Summary can only be authored/created by a consumer’s Nominated Healthcare Provider. This person is usually the consumer’s usual GP or another health provider who usually provides care to the patient. A Nominated Healthcare Provider must be a medical practitioner (not necessarily a GP), a registered nurse, or an Aboriginal or Torres Strait Islander health practitioner who has a Certificate IV in Aboriginal and/or Torres Strait Islander Primary Health Care (Practice). The decision about whether this person is the consumer’s Nominated Healthcare Provider is decided by mutual agreement between the consumer and the healthcare provider. Only one person can serve as the Nominated Healthcare Provider at any given time. An example of what a Shared Health Summary looks like can be found here.

A Shared Health Summary can be created in the context of any consultation. A Nominated Healthcare Provider might feel it is useful to create and upload a new Shared Health Summary in the following situations:

  • where a Shared Health Summary does not already exist, perhaps at the request of the patient
  • when completing a patient health assessment – for example, a GP management plan or child health check
  • when there has been a change to a patient’s medical conditions, medicines, allergies, adverse reactions or immunisations.

The information in a Shared Health Summary is pulled from the patient’s record in your clinical information system. The better the quality and currency of the data in your local files, the easier it will be to create a Share Health Summary. The RACGP has developed the resource Improving health record quality in general practice to assist GPs to maintain good quality patient records that are fit for purpose.

If a patient explicitly asks a healthcare provider not to upload information to their My Health Record, the healthcare provider must comply with that directive. Therefore, a patient can request that information be left out of a Shared Health Summary or for a Shared Health Summary to not be uploaded altogether. However, if the Nominated Healthcare Provider believes that omitting the information might mislead other healthcare providers, they may decline to upload the Shared Health Summary that omits the information. There is no legal requirement for a healthcare provider to give a patient the opportunity to review the Shared Health Summary prior to upload. Once the Shared Health Summary has been created, the Nominated Healthcare Provider uploads the document to My Health Record from their clinical information system.

Documents in a person’s My Health Record cannot be edited. The only way to update the Shared Health Summary is by creating and uploading a new Shared Health Summary. The healthcare provider who created and uploaded the Shared Health Summary can delete it if it contains a mistake or was uploaded in error. Although there is no legal requirement to regularly update a Shared Health Summary, it is useful for the patient’s care to upload an updated Shared Health Summary when there is a change to a patient’s medical conditions, medicines, allergies, adverse reactions or immunisations.

An Event Summary might be created for a patient who is receiving care from an after-hours GP service, a transient/holidaying patient, or a patient who is receiving an immunisation/vaccine from someone other than their regular GP. Unlike a Shared Health Summary, an Event Summary may be used to indicate a clinical intervention, improvement in a condition or that a treatment has been started or completed. An Event Summary can be created by any healthcare provider including Allied Health such as a physiotherapist or a psychologist. In all of these cases, the same information should be sent directly to the patient’s usual GP or general practice as well.

An example of what an Event Summary looks like can be found here.

An Event Summary should contain enough information to appropriately communicate the change or action taken. The information should be presented in such a way that it can be easily understood by another healthcare provider.

No. As an Event Summary details a single healthcare event, it’s possible that a patient may have multiple Event Summaries. The healthcare provider who created and uploaded the Event Summary can delete it if it contains a mistake or was uploaded in error. Creating and uploading an Event Summary does not replace communicating directly with the patient’s usual GP or general practice to inform them about the contact with the patient.

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