Australians will have from July 16 to October 15, 2018, to opt out of having an electronic health record.
Those choosing not to have a My Health Record can opt out at the My Health Record website or by calling 1800 723 471. So far, 5.7 million people are in the system.
"The protection of patient information is critical, and the My Health Record system has strong safeguards in place to protect the health data. It is also subject to some of the strongest legislation in the world to prevent unauthorised use," the Australian Digital Health Agency said in a blog post.
"Australians can cancel their My Health Record at any time after the end of the opt-out period -- or create one, if they opted out."
Among the benefits touted by Minister for Health Greg Hunt for having an electronic record were "reduced duplication of tests, better coordination of care for people with chronic and complex conditions, and better informed treatment decisions".
Direct access to or release of My Health Record data is only to the Australian entity, the guidelines state, and data released for secondary use is to be stored in a facility within Australia.
The framework restricts access to de-identified data, noting that it cannot be used solely for commercial and non-health-related purposes.
Where a health record has been cancelled, the data also becomes unavailable for secondary use.
With health the highest breached sector in Australia since the country's Notifiable Data Breaches (NDB) scheme came into effect earlier this year, the framework has included a contractual requirement that the entity using the My Health Record data report any data breaches or data loss to the Office of the Australian Information Commissioner, including advice on remedial actions to be taken under the NDB scheme.
The organisation provides advice on contraception, pregnancy, and sexual health, and it is believed the databases breached contained information on around 8,000 clients who had contacted Family Planning NSW to make an appointment or leave feedback through its website.
Those potentially caught up in the breach would have accessed the organisation's online services in the past two and a half years.
A review commissioned by former Health Minister Peter Dutton in 2013 recommended that the system that would become My Health Record be made opt-out, so that unless patients objected to it, their health records would be added into the system.
In 2016, then Victorian Commissioner for Privacy and Data Protection David Watts said the change was a "fundamental breach of trust".
"I actually designed the regulatory system for e-health in Australia, and I swore black and blue ... that we would never be an opt-out system, and always be an opt-in. And of course it's now an opt-out system in order to drive take-up of e-health, because AU$4 billion had been spent on it and very few people had registered," Watts said at the time.
"It says something about trust across government that those sorts of principles would be thrown away simply because a system's not been used as much as it should be."