MHR AU Patient Summary Consultation - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Page standards status: Informative |
The Agency is exploring viable patterns to make health information more accessible to both patients and healthcare providers. This work represents the early stages of technical investigation and exploration.
Important: This is preliminary consultation material. No conclusions should be drawn from this content. There are many steps required to confirm policy, MHR requirements, and security considerations before any technical feasibility can be determined.
The Agency is actively exploring SMART Health Links as one potential option for improving access to patient summaries.
Current Status:
What is presented in this Implementation Guide is an additional parameter to the Find Content by Patient named query. This parameter would:
This flow shows how a patient generates and prepares a Patient Summary for sharing with healthcare providers.
sequenceDiagram
actor Consumer as Patient
participant App as MHR Conformant App
participant MHR as My Health Record
participant SHL as SHL Management Service
participant Repository as National Patient Summary Repository
Consumer->>App: Request Patient Summary with sharing option
App->>MHR: Invoke Named Query with smart-link=true
MHR->>MHR: Generate Patient Summary document
MHR->>MHR: Encrypt Patient Summary document
MHR->>Repository: Store Patient Summary document
Repository->>MHR: Return document reference/ID
MHR->>SHL: Request SHL creation
SHL->>SHL: Generate SHL
SHL->>MHR: Return SHL
MHR->>App: Return Patient Summary Bundle + SHL
App->>Consumer: Display Patient Summary and shareable link
This flow shows how a healthcare provider accesses a shared Patient Summary.
sequenceDiagram
actor Provider as Healthcare Provider
participant Viewer as SMART Link Viewer App
participant SHL as SHL Management Service
participant Auth as National Authorisation Service
participant Repository as National Patient Summary Repository
Provider->>Viewer: Open SMART Health Link
Viewer->>SHL: Validate SMART Health Link
SHL->>Viewer: Return validated document reference
Viewer->>Auth: Request access authorisation
Auth->>Auth: Validate provider credentials
Auth->>Viewer: Return access token/approval
Viewer->>Repository: Request Patient Summary document (with token & reference)
Repository->>Repository: Validate access token
Repository->>Viewer: Return encrypted Patient Summary
Viewer->>Viewer: Decrypt Patient Summary
Viewer->>Provider: Display Patient Summary
Critical: Security requirements are under active investigation and have not been finalised.
Key security areas requiring further exploration include:
Note on SMART Health Links Compliance:
The following components have potential to be part of the National Infrastructure:
Before any implementation can proceed:
The Agency seeks feedback on: