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A specialist letter is the document used by a treating specialist to respond to a GP about a referred patient. It is based on the usual practice where a specialist writes back to the GP.

The specialist letter clinical document takes the paper form and creates an electronic version, allowing for it to be used in communication directly to a GP, and uploaded to an individual's My Health Record. The standard structure creates an efficient way of displaying key information about the visit, such as diagnoses and medications.

What information is included in the specialist letter?

When a specialist letter is created, structured fields give the sender the ability to include information about:

  • patient recommendations;
  • medications and medication review;
  • adverse reactions; and
  • diagnostic investigations (optional).

The "response narrative" section provides a free text field for the specialist to include additional content regarding the patient's condition.