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My health record

Old 26th Jan 2019, 01:10
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My health record

We had an interesting discussion at the airfield today about the new "my health record" system that comes into place in the next few days. Several at the airport see this as an opportunity for CASA, should they wish, to go data mining through the records to find little secrets that have not been reported during your medical checkups.

Several in the group said that they had two separate doctors that they visited, one for common things like a cold, a cut etc and another doctor who looked after their major medical events like diabetes, heart disease and so on. (Please note that none of these are commercial pilots they are just sport pilots flying two seat aircraft)

These people were adamant that CASA would mine the records and catch them out because when they went for a CASA medical they only reported the doctor they visited for minor ailments and having access to all of the records would highlight a second or a third doctor in the background including any specialists.

It is a very interesting subject that will probably affect a lot of older pilots.

The medical records are available to any medical person and I assume this also means a CASA doctor, acting for and on behalf of CASA.

You can even set up an automatic notification to receive an email or a text when somebody accesses your health record but what good is this if it is CASA and they have already gone in and downloaded everything that they need for a review of your medical status.

This subject created a lot of lively debate at the airport this morning with pretty much everybody unanimously agreeing that you need to opt out.

I am surprised that this has not been talked about previously and I bring up this subject to see what is everyone else doing ?
mcoates is offline  
Old 26th Jan 2019, 01:26
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Or you can have your My Health Record deleted completely ...
Would be a bad idea to be misleading CASA, just tell them what they ask ... "normal" health issues (if managed) won't affect your medical. Or revert to the drivers' licence medical, if you don't need a class 1 or 2.
drpixie is offline  
Old 26th Jan 2019, 03:03
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Originally Posted by drpixie View Post
Or you can have your My Health Record deleted completely ...
Would be a bad idea to be misleading CASA, just tell them what they ask ... "normal" health issues (if managed) won't affect your medical. Or revert to the drivers' licence medical, if you don't need a class 1 or 2.
Not only a “bad idea” but illegal and potentially dangerous not only to you but anybody else around should you have a medical episode.
flying-spike is offline  
Old 26th Jan 2019, 03:32
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Originally Posted by mcoates View Post

I am surprised that this has not been talked about previously
It was.... use the search function.

OPTING OUT OF MEDICAL RECORDS
compressor stall is offline  
Old 26th Jan 2019, 04:33
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CASA is the least of your potential problems. Wait till potential employers and insurers get access, and they will try. The problem with all digital records is that they are effectively binary - you either have a condition or you don’t. I have a friend who this week elected to see a shrink and was diagnosed with depression*. No matter what treatment, with successful results or not, his. health record is going to be marked with a big “D” - precluding him from obtaining a licence.

* And why not? Just sold his successful business and now doesn’t know what to do with himself plus wife kicked him out as well because his presence interferes with her lifestyle.

Sunfish is offline  
Old 26th Jan 2019, 04:44
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This subject was raised with a senior manager at CASA last year with the suggestion that CASA should spell out it's policy on this subject and what their position is on the access of such data relating to pilots. That was 3 months ago and nothing to date!

Perhaps the question needs to be asked again?
triadic is offline  
Old 26th Jan 2019, 04:59
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precluding him from obtaining a licence
I'd be very surprised if that's the case Sunny, though it doesn't take much to surprise me these days. Plenty of folk with "D" flying, with ATPL as well. Depends on the individuals state of course, seen guys remove themselves from the cockpit voluntarily to get treatment, and returned to the job following treatment. In some cases the treatment is long term via medication, but doesn't necessarily keep you out of the cockpit. CASA med have been at the forefront world wide in getting such people back on the job. Hate to think they have thrown in the towel and changed position. They did a study some years ago and found treated folk were safer than the general pilot population, albeit from a small data base, so may mean nothing. Society needs to get over the mind set that the individual with depression is an axe murderer in the making, though protagonists can make much of such cases as Germanwings.
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Old 26th Jan 2019, 05:05
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The way the public servants work is that they must be seen to be doing things that leave no stone unturned, as if they don't consider and mitigate all options, they can be in a world of legal hurt.

If there is an avenue for AVMED to access My Health Data, and they do not, should there ever be an accident in which the coroner discovers that the pilot has a My Health record of relevance to the accident, and CASA did not consider that record in the granting of the medical, then some AVMED/CASA folk will have a lot of explaining before the inquiry. I can't see AVMED ignoring My Health data, unless it is illegal for them to do so (but then a quick rewrite of the rules deep in an election campaign and pushed through as part of other legislation might see them access it in the future anyway).
compressor stall is offline  
Old 26th Jan 2019, 07:50
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Opting out of the My Health record system was a very real option. There was a date last year where you could opt out very easily online. Not sure what the situation is now we are past this date. If you opt out before anything appears in your record then their would be nothing to exist!

I think it has been proven that data security doesn’t truely exist online. Also it only legislation that prevents CASA from having free access. Legislation can change easily!
RUMBEAR is offline  
Old 26th Jan 2019, 08:00
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Rumbear, you can still opt out, until the 31st of Jan.
Capn Bloggs is offline  
Old 26th Jan 2019, 08:34
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Originally Posted by flying-spike View Post
Not only a “bad idea” but illegal and potentially dangerous not only to you but anybody else around should you have a medical episode.
Perfectly legal, you just apply through the My Health Record website.
And (for now) it only contains financial type info - consultations, tests, scripts paid - no results ... though that will come later.
drpixie is offline  
Old 26th Jan 2019, 08:50
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TRUST.

Given CAsA's track record of questionable ethics over the years one could be forgiven
for being a tad sceptical about their intentions regarding access to the my health record
data base. Given that the medical records they already hold are accessible to everyone
within CAsA down to the tea lady I'd be very concerned about the sanctity of your private
medical history.
Remember its not that long ago they made a concerted effort for access to everyones
meta data.
thorn bird is offline  
Old 26th Jan 2019, 10:46
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My cynical self believes the "OPT OUT" exercise simply ticks a box in this system and does nothing else. Records are still gathered and easily shared amongst the privileged, the rest is just the same old public facade.

All my health specialists were all old school and although technically brilliant they understood the fallacies of the perfect human specimen all too well. Unfortunately my GP retired years ago, my optometrist a few years later, my DAME last year and my dentist yesterday. Buggah, I got no-one now, and having trouble finding replacements that I'm confident in dealing with that aren't overly prescriptive with transient minor issues (for most of my life I have not taken medicines, I don't even take aspirin). I can now see why people like me don't get to see a ripe all age.

I cannot see any benefit coming out of e-health records for the individual involved. On the other hand e-health records are a huge bonanza for pharmaceutical companies, insurance companies, government, media, and any other industry that deals with demographics and epidemiology.
cattletruck is offline  
Old 26th Jan 2019, 19:19
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I think you're all paranoid. Get on with life! It is fun.
Aussie Bob is offline  
Old 26th Jan 2019, 20:00
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This is a no brainer.

Opt out.

If you've already got an e-health record - delete it.

PG
Popgun is offline  
Old 26th Jan 2019, 20:48
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Talk to your doctor / GP. Mine told me that he has to choose what goes on the myhealth record and it’s not as simple as everything goes.

If you’ve got kids for example, you may wish for the doctor to tick the asthma checkbox for example for their own safety.

It’s about sharing the data for your benefit, like when you’re retired and away in Qld with your caravan and you have a health episode - quick access.

All that being said... I opted out.
Squawk7700 is offline  
Old 26th Jan 2019, 21:01
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At " https://www.myhealthrecord.gov.au/fo...ve-information " there is
If you remove a document, depending on the document type, you may be able to reinstate it at a later date.
At " https://www.oaic.gov.au/individuals/...-health-record " there is
If a document has been uploaded to your My Health Record and you would like to have it removed, you can have it ‘effectively removed’.[1]
...
[1] A document that has been ‘effectively removed’ will not be viewable on the individual’s My Health Record, but it may still be stored and accessible via the Australian Digital Health Agency for medico-legal reasons or other reasons authorised or required by law.
ie. their definition of 'remove', is, 'hide it from the plebs but let the masters do what they want'.
KittyKatKaper is offline  
Old 26th Jan 2019, 22:22
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To anyone not sure what to do, opt out by Jan 31 - you can always opt back in later after further research or the privacy issues have been sorted.
topdrop is offline  
Old 27th Jan 2019, 08:07
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I too have opted out
Jetman346 is offline  
Old 27th Jan 2019, 08:23
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Originally Posted by Squawk7700 View Post
If you’ve got kids for example, you may wish for the doctor to tick the asthma checkbox for example for their own safety.
Or, if they may wish to be pilots one day, you may wish to Opt them Out.
Derfred is offline  

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