Goals of Patient Care documents in My Health Record

South Metropolitan Health Service and WA Country Health Service recently commenced uploading Goals of Patient Care (GoPC) clinical documents to My Health Record. When a GoPC clinical document is created during a person’s hospital admission, they are asked if they would like the completed document to be uploaded to their My Health Record. If they agree, the document will be visible in their My Health Record.

This change means that completed GoPC clinical documents can be viewed by the patient, their My Health Record representatives and other healthcare professionals involved in their care.

The WA Health sites that have recently enabled this functionality are Fiona Stanley and Fremantle hospitals, and the WA Country Health Service South West sites: Bunbury, Busselton, Collie, Warren and Margaret River. WA Health aims to roll out this functionality to other sites over the next year.

If your patient has a GoPC clinical document uploaded to the My Health Record, it will be in the place where clinical documents are usually held. This location depends on the type of clinical software you use to access My Health Record. The document will be listed as a ‘Goals of Care Document’.

If a GoPC clinical document is available to view in My Health Record, you can discuss the document with the patient, their family and / or carers. This supports ongoing shared decision-making with the patient, and provides a starting point for advance care planning conversations should this be appropriate.

For more information on the upload of GoPC clinical documents to My Health Record please email any queries to GoalsofCareMHRproject@health.wa.gov.au

For more information on My Health Record including the uploads of Advance Care Planning documents please contact the WA Primary Health Alliance the email any queries to the Digital Health Team ehealth@wapha.org.au

For more information about Advance Care Planning, see the “Advance Care Planning” HealthPathway.