+# My Health Record
+
+## Background info
+- federal government
+- digital copy of records
+- stored 30 years after death
+- not clinically reliable
+- existed since July 2012 (many technical failures)
+- purpose of records does not change
+- helps pharmacists and non-treating health professionals
+
+### Statistics
+- 6 million consumers registered (54% F, 46% M)
+- 14 thousand healthcare providers registered
+- 8 million documents uploaded
+- 24 million prescriptions uploaded
+
+
+
+
+**Benefits**
+
+- data use for research (with consent)
+- better communication between professionals
+- ownership and access to information (privacy rights)
+
+**Risks**
+
+- reidentification
+- inclusion of genomic data
+- - system can be modified when this is approaching
+- innacuracy of data (not clinically reliable)
+- - not the only source of information
+- - MHR is not "removing" data
+- - lack of technical skills
+- - - Blue Mountains trial - 15% -> 70% uptake with traininbg
+- cost™
+- - cost is unclear (executive report, 2012)
+
+>**Contention:** MHR is well-intended but needs more work before it is implemented.
+
+## Paragraphs
+
+**Introduction** - introduce issue and recent developments
+
+> MHR has good intentions and is long overdue but needs more work before it is fully implemented. This will ensure its safety, reliability and practical usefulness to patients and the industry in general.
+
+**Body 1** - inaccuracy - describe risks, consequences & projected developments
+
+- emergency access available - is inaccurate data bettter than no data?
+- proper training will alleviate problems - Blue Mountains trial - 15% -> 70% uptake with proper training
+- accuracy of information is not necessarily worse than with paper / non-centralised records
+- less risk of data loss due to secure & trustworthy system (e.g. no risk of fire, burglary etc)
+
+**Body 2** - data collection for research - benefits, importance of accuracy
+
+- option to opt out
+- useful data for medical research is rare and hard to obtain
+- system requires a more detailed ethical code and easy protocol for researchers to obtain data, e.g. data.gov.au
+
+**Body 3** - benefits for patients - efficiency & reliability, interdisciplinary contact & education
+
+-
+
+**Body 4 (?)** - confidentiality & privacy of information - discuss validity of concerns (accomodating tone), suggest possible solutions and timeframe for these modifications
+
+- concerns about confidentiality are greatly reduced with education (from executive report, 20122)
+-
+
+**Conclusion** - summarise issues & draw conclusion that MHR needs more work before widespread implementation, with overall positive tone
+
+- "moving in the right direction" according to public (executive report, 2012)
+
+## Statement of Intention
+
+My opinion essay is written in a style intended for a newspaper or website. I took the approach of a casual but informative discussion around My Health Record, and I was careful to thoroughly cover the background of the issue in order to lead readers to a logically sound conclusion.
+
+The piece begins with a clear in
+
+
+## Bibliography
+<https://en.wikipedia.org/wiki/Electronic_health_record>
+<https://theconversation.com/using-my-health-record-data-for-research-could-save-lives-but-we-must-ensure-its-ethical-100757>
+<https://theconversation.com/my-health-record-the-case-for-opting-in-99850>
+<https://www.health.gov.au/internet/main/publishing.nsf/content/A892B3781E14E1B3CA25810C000BF7C6/%24File/Evaluation-of-the-My-Health-Record-Participation-Trials-Report.pdf>
+<https://www.legislation.gov.au/Details/C2015A00157>
+<https://www.nbmphn.com.au/getattachment/5e802003-8972-40cc-ad68-9eda354d3406/attachment.aspx>
+<https://www.myhealthrecord.gov.au/sites/g/files/net5181/f/my_health_record_dashboard_-_30_september_2018.pdf?v=1538967834>
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