I'm hoping for some Australian responses - and more details.
An audit trail of access at organisational level seems a bit high - and
phone operators being able to tell you titles of the documents in your
record gives them a huge amount of information: how is the help-line access
monitored/regulated?
http://www.ehealth.gov.au/internet/ehealth/publishing.nsf/Content/faqs-consu
mer-privacy
A few quotes from the FAQ..
How can I view my eHealth record?
You will have a user ID and password so you can view your record online
whenever you want to. If you do not have online access, you can also use the
telephone helpline 1800 723 471, and the operators can tell you what
clinical documents are included within your eHealth record, although they
will not be able to see the specific information within each clinical
document.
Will I be able to see who has accessed or updated my eHealth record?
Yes. You can see an activity history of your eHealth record, which will show
you when information has been added or removed. It will also tell you which
healthcare organisations have accessed or updated your information and when.
If you think someone has inappropriately accessed your record you can call
the helpline on 1800 723 471.
Who has access to my eHealth record?
Only you and the healthcare organisations providing your care can access and
add to your record. You can also share your health information with family
members, carers, or other trusted people if you wish.
If you choose to have an eHealth record, you can control what information is
stored in the record and which healthcare organisations can access that
information. This ability to set access control measures has been a key
privacy feature of the eHealth record system.
However, only healthcare professionals involved in your care, authorised by
participating Australian organisations, will be able to upload clinical
information to your eHealth record.
Mary Hawking
Retired from NHS on 31.3.13 because of the Health and Social Care Act 2012
"thinking - independent thinking - is to humans as swimming is to cats: we
can do it if we really have to." Mark Earles on Radio 4
blog http://maryhawking.wordpress.com/ , bloglist
https://dl.dropbox.com/u/4529244/MH%20blog%20list.doc And Fred!
http://primaryhealthinfo.wordpress.com/2013/01/20/who-knows-what-and-why/
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