The Australian PCEHR or My Health Record: The Journey Around a Large-Scale Nationwide Digital Health Solution

  • Nilmini Wickramasinghe
  • John Zelcer
Part of the Healthcare Delivery in the Information Age book series (Healthcare Delivery Inform. Age)


This case study attempts to document key events and milestones in the development of Australia’s nationwide digital health solution the My Health Record (formerly known as the PCEHR). This is done by presenting an overview of the Australian healthcare system and in particular highlighting unique features about this system into which the My Health Record was implemented. This journey has only just begun, and in the next decades, it is expected that the My Health Record will change and evolve further; hence, the case study concludes with questions for the reader to consider rather than provide final statements. Ultimately, the success of such a solution can only be judged in the fullness of time; however, we note that this was a massive undertaking that has had far-reaching implications for healthcare delivery throughout Australia and impacts all stakeholders including patients, providers, payers, the regulator and healthcare organizations.


PCEHR (personally controlled electronic health record) My health record Nationwide digital health solutions Healthcare challenges e-Health initiatives 



We wish to acknowledge with thanks all the organizations and individuals who assisted us with information to help us compile this case study. In particular, we acknowledge Dr. Imran Muhammad for his inputs on early drafts.


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Nilmini Wickramasinghe
    • 1
    • 2
  • John Zelcer
    • 3
  1. 1.Epworth HealthCareRichmondAustralia
  2. 2.Swinburne University of TechnologyHawthornAustralia
  3. 3.Swinburne University of TechnologyHawthornAustralia

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