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Monday, August 20, 2012

Now What On Earth Is Going On Here? More Stuffing About It Would Seem. Talk About Tiny Steps Forward.

Just got this when I tried to access my NEHRS:

National eHealth Record System Provider Portal Login

ENTER

Ensure you have a valid NASH Token connected.

The NASH (National Authentication Services for Health) is a digital credential for healthcare professionals.
Here is the link:

Given NASH does not exist - it is clear clicking that did not work. Going back things were back to routine!
As mentioned, later we were back to normal and I got into my NEHRS.

I checked on the integration and got this!

                       22-May-2012 Medicare/DVA Benefits Report DHS Medicare
                       22-May-2012 Medicare/DVA Benefits Report DHS Medicare

                         22-May-2012 Medicare/DVA Benefits Report DHS Medicare

                       06-May-2012 Pharmaceutical Benefits Report DHS Medicare
                       06-May-2012 Pharmaceutical Benefits Report DHS Medicare

                       06-May-2012 Pharmaceutical Benefits Report DHS Medicare
                       06-May-2012 Pharmaceutical Benefits Report DHS Medicare

                       06-May-2012 Pharmaceutical Benefits Report DHS Medicare

Each drug gives you this:

Pharmaceutical Benefit Items

Generic Name        ALLOPURINOL
Brand                     PROGOUT 300
Prescribed             Sat May 05 00:00:00 EST 2012
Supplied                Sun May 06 00:00:00 EST 2012
Form and Strength TABLET 300MG
Quantity                60
Repeat Number     2

At last I found the summary screen and guess what it was 3 months out of date! I filled repeats in June, July and I think August. Of course the times are just nonsense - a date would do!

Medicare Overview

The information below is provided from Medicare and may be incomplete. To find out more or to change your preferences, go to Medicare Information Preferences.

Prescription information - PBS & RPBS

Generic name
Brand
Prescribed
Supplied
Form & Strength
Quantity
Repeats
Code
MELOXICAM
MOXICAM 15
05-May-2012
06-May-2012
TABLET 15MG
30
2
08562P
ALLOPURINOL
PROGOUT 300
05-May-2012
06-May-2012
TABLET 300MG
60
2
02604C
TELMISARTAN
MICARDIS
05-May-2012
06-May-2012
TABLET 80MG
28
5
08356T
MELOXICAM
MOXICAM 15
05-May-2012
06-May-2012
TABLET 15MG
30
3
08562P
OMEPRAZOLE
ACIMAX TABLETS
05-May-2012
06-May-2012
TABLET 20MG (AS MAGNESIUM)
30
5
09110L

Australian Childhood Immunisation Register - ACIR

Immunisations

No information available

Cancelled Vaccinations

No information available

Australian Organ Donor Register - AODR

No information available

Medicare Services - MBS & DVA items

Date
Number
Description
Service Provider
In Hospital?
22-May-2012
66602
Red cell folate + serum B12
DR XXX XXXXX
No
22-May-2012
66608
Vitamin D
DR XXX XXXXX
No
22-May-2012
65129
Coagulation - 4 or 4+ tests
DR XXX XXXXX
No

What to say? We have old, incomplete and very clumsy records that no doctor could love. Given I know the medication records are close to 3 months out of date it is hard to really believe this would hardly help much - some, but not what was needed. Definitely a start but jinx a lot of work is needed on interface, utility and so on.
Personal note: These medications are for hypertension, arthritis, gout (family history) and so on so be not concerned - they are not a secret and many over 60 are on such meds. Seeing what we are being offered in the NEHRS is more vital so people can form a view on what is being done. To anyone who wonders all the meds are working well and all my parameters are fabulous now! e.g My blood pressure is 110/70!

Hope this helps others to set up a record and see for themselves.

It seems to me utterly clear that no clinician was involved in the design of this or we would not see what we have been given. This is incompetent rubbish compared with what was possible with some consultation and effort!

David.