This document summarizes a patient's life journey through a single shared electronic health record from birth to aged care. Key events include the patient's birth record being created, various medical encounters like injuries and illnesses throughout life that are documented in the record and accessible by different care providers, and the patient's record being updated with information as they age, such as an advance care plan. The single shared record allows information to be continuously updated and accessible to support the patient's care at each stage of life.

1. Baby/ChildYoungAdultAdult
Single Electronic Health Record
AgedCare
Born
Administrator creates new
electronic health record
that will follow you
wherever you go.
GP receives
notification of
your birth when
she logs into the
system.
You are selected to
play soccer for the
regions under-19s
soccer team.
You run into
another player
and sustain a
compound
ankle fracture.
Dad takes you to
Middlemore hospital ED
and uses the kiosk to check
into the system for the E.D.
staff to prioritise you.
ED staff access your record
and check to see if you’re
on any medications. They
see that you take
magnesium and Vitamin C.
You are
admitted for
urgent surgery.
Admin process your
admission and
schedule you into a
bed using the bed
management portal.
Clinician shows
you your care plan
and details of your
care team on
MyChart Bedside.
You’re very keen
to get back to
your prior fitness
level, so you use
your Fitbit to
record your
progress and
update it on
MyChart to
measure your
development.
You message
from your iPad to
the nurse’s
iPhone with
MyChart Bedside
to say the
codeine you were
given for pain is
making you feel
nauseous.
You get a
notification of a
physiotherapy
appointment for
tomorrow.
The E.D. clinician sends
you to Radiology for an
X-ray by sending a
request in Epic. X-ray
image is made available
on your record.
You can see that
your parents have
lodged the ACC
claim for the
accident and it has
been accepted.
You take videos of
yourself doing
physio exercises
and load them
on MyChart.
GP has all the info
about encounter
in hospital and will
update your care
plan to set goals
for your recovery.
You’ve been
selected to play
soccer in
Gloucestershire.
Access patient
portal while visiting
new GP to load up
relevant info into
new record.
Your parents have
access to your record
and can review your
birth record in
MyChart Bedside.
Your Mother is shown where
she can access info on
breastfeeding etc and
schedule your vaccinations
through the MyChart portal.
You are
taken to
Starship.
Paediatrician
checks record on
Epic and sees you
have no known
allergies, you are
a combination of
breast and
bottle-fed, and
sleep in your cot.
Parents using iPad at bedside
can view info and messages
– they see a nurse will run
them through child CPR
in the morning.
You are observed overnight and blood
test results are checked, no reason for
episode found. Sleeping monitor
provided. Your parents are shown where
info and videos can be found through
the MyChart patient portal.
At 6 weeks the
notification for first
immunisations
comes through via
a message on the
patient portal.
Your mother
schedules an
appointment
on her
iPhone.
GP reviews the info
about the hospital
visit, making a
note using voice
recognition tool
to ask follow up
questions to check
that there were no
further incidents
or concerns with
your breathing.
Community nurse
sends message to
your parents to
arrange collection
of sleeping monitor.
Your mother has
bought over-the-
counter medication,
and updates this
information online.
You have
started
teething.
You’re going
home!
Happy 16th
birthday!
You are
six months
old.
You get
married.
You move back to
New Zealand and
get a job as a
sport advisor.
Take a summary
of your patient
record from your
GP and some
of the key
information
was entered into
your record upon
your return.
Discharge
summary loaded
into Epic requesting
GP to refer to a
physiotherapist
on your return.
Your GP pulls up
key clinical
information in the
Epic record and
also approves
consent for your
children to have
proxy access to
your record.
Your daughter
receives a
notification on her
phone and confirms
your appointment.
Care team helps your family through
telehealth video calls and messaging
to complete the Advance Care Plan
through the patient portal.
GP receives
notification when the
plan is complete.
Schedules a recall
notification for
12 months time.
Your children and
husband add into
your notes that your
decision-making is
consistently unsafe
and that your ability
to communicate is
deteriorating.
You have started
wandering more
often.
Your care team
use the messaging
tools in Epic to
determine a
course of action.
They recommend
that you move
into a rest home.
Your care team create a report for the
Geriatrician who endorses the request
for subsidised aged residential care.
A report is provided
to your aged care
facility, which details
your medical history,
medication and
care plan.
Alzheimer's is
determined as
the cause of
dementia.
A care team is
notified through
the Alzheimer’s
care plan.
GP refers you to
ADHB. Your GP
receives a
notification that
pops up when they
log into Epic, stating
that you are on the
waiting list.
You have been under investigation for
dementia and you also have hearing
problems. You and your family request
further investigation in Auckland and an
opinion on what has happened to date.
You take a trip
to the U.S. to
celebrate your
birthday.
You roll your
ankle while
out partying.
The clinicians can access your info
through care everywhere and see you
previously had surgery on the ankle.
Happy 70th
birthday!
You’re 50!
You have a positive
pregnancy test.
Schedule an
appointment with
your GP through
MyChart.
GP orders a blood
test during your visit
discusses that due to
your age you are
classed as high risk.
You receive a text
message reminding
you to get a for flu
vaccination.
Obstetrician views
results of your
ultrasound before
your appointment.
You get a promotion
so you and your
husband move to
Whangarei. Register
on MyChart for a
local GP.
Have telehealth
appointment
with obstetrician.
Approve genomic
testing for breast
cancer, results
show above
average risk to
breast cancer
which is added to
her file which will
be monitored
throughout your
lifetime.
BONUS: This
information will also
help with population
health analytics for
the region.
You have a mole that has changed shape
and is a bit darker than usual. You look
up some info on the patient portal and
think it is worth getting it checked.
Schedule appointment through MyChart.
GP is concerned
about it and
suspects it may be
Melanoma. He
submits an HSC
referral in Epic.
You receive an
appointment time
to attend an urgent
biopsy to be done at
Whangarei hospital.
The surgeon
sees on your file
your historical
reaction to
codeine.
You’re home.
Access information
on wound care
and videos through
the patient portal.
The report from the surgery shows you
require further surgery to remove the
Melanoma, but it has not metastasised
so won’t require chemotherapy.
You have
a baby girl!
You receive options
in MyChart for an
appointment time for
your ultrasound and
obestetrician
appointment.
You tell your GP
you would like an
obstetrician as your
LMC. GP makes
referral through Epic.
Enters in your blood
pressure and BMI
so they’re accessible
to the obstetrician.
Also adds referral
for antenatal and
anaesthetic
assessment at
Auckland Hospital.
Under medications
he adds he’s given
you a prescription
for Folic Acid. Lastly
he submits a referral
for an ultrasound.
Happy 45th
birthday!
You’re 40!
Midwife enters
assessment
into Stork.
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