Field Name

Required

Description

Patient ID

N/A

o      The patient identification number is set automatically by Helix when a new patient record is saved.

Patient Preferences

N

o      Access Patient Preferences via located at the top of this form.

My Health Record:

Indicate whether the patient consents to uploading of clinical documents to My Health Record. The default is Opt-In.

PIP-QI:

Indicate whether the patient wishes to op-out of the Practice Incentive Program.

ePrescribing:

Indicate whether the patient consents to uploading of prescriptions via a Prescription Exchange. The default is Opt-In.

SMS:

Indicate whether the patient consents to receiving SMS reminders about upcoming appointments.

Correspondence:

Indicate whether the patient consents to being contacted regarding Health Reminders and/or Offers & Promotions. The default is Opt-In.

Title

N

Gender

Y

Surname

Y

First Name

Y

Middle Name

N

Preferred Name

N

Date of Birth

Y

Address

Y

Contact Numbers

N

Email

N

Individual Healthcare Identifier (IHI)

Y

Medicare

N

Concession Card

N

DVA Department of Veterans' Affairs

N

ATSI

Y

Closing the Gap

N

Carer Details

N

Payer Details

N

Patient Notes

N