Clinical documents

Clinical documents in MySaskHealthRecord (MSHR) help patients access more of their health information. 

Select clinical documents from eHR Viewer flow to MSHR 48 hours after they are finalized, including: 

• Saskatchewan Cancer Agency reports, such as discharge summaries, new patient notes, pain and symptom management notes, and review notes, as of June 2023 
• diagnostic reports, such as Holter monitors, sleep studies, exercise tolerance tests, ECG, EEG, stress tests and pulmonary function tests, as of November 2023 
• operative reports, discharge summaries and transfers, consults, history and physical, and assessments, as of April 2025 

Historical clinical documents are not included. Only documents finalized after a user registers for MSHR will appear in their account.  

Voices from the community

Dr. Christo Lotz says, "Access to clinical documents in MSHR has transformed patient care by improving transparency and engagement. Patients arrive better informed, leading to more effective consultations and fewer follow-up questions. The mutual auditing process ensures our documentation remains accurate and compliant, strengthening care continuity and trust in the system." 

Trenna Derdall, a cancer survivor, explains, “having physician notes available in MSHR is key to advocating for yourself.  It allows you to understand exactly what is happening to you and is an important step for patients and their families." 

Dr. Muhammad Aslam notes, “having clinical documents available in MSHR has been overall positive and has improved how patients and providers communicate. Patients come to their visits more prepared than before and have fewer questions after their appointments."

Clinical documents in MSHR

Having access to clinical documents in MSHR can help patients prepare for appointments and have more focused conversations with their care team.   

It can also help patients: 

• better understand their health information take a more active role in their health 
• navigate their care through the health system, reduce unnecessary follow-up questions or repeated visits  

Learn more about the benefits of open clinical documents from Open Notes Org.

Excluding a document from MSHR

In some cases, a clinical document may need to be excluded from MSHR. Under The Health Information Protection Act (HIPA), a document may be excluded when sharing it could reasonably be expected to cause harm to the patient or create legal concerns.  

Examples may include: 

• information a patient has shared that could put their safety or privacy at risk if viewed by someone with access to their MSHR account information related to suspected abuse, family violence or other sensitive safety concerns 
• information connected to a legal proceeding 

Download HIPA.

Marking documents as normal or excluded

Authors can mark documents as: 

• normal, so the document flows to MSHR  
• excluded, so the document does not flow to MSHR, when it meets criteria under HIPA  

Training is available in MyConnection for users who author documents in SCM, Fluency for Transcription, Fluency Mobile or Fluency Flex.  

Search MyConnection for the learning module 'Excluding Clinical Documents from MySaskHealthRecord.'  

CME credits are available for completed MyConnection training. 

You can also access: 

• Guide for excluding clinical documents from MSHR  
• One page overview for excluding clinical documents from MSHR 

Special instructions for users of Fluency Mobile App

Users who author documents in the Fluency Mobile App may see a missing info error message when they complete and upload a document with blank fields. This can happen when the patient doesn't have a current registered visit and patient demographics do not auto-populate from the registration system. 

If this happens, select Fix. To prevent the error, all the mandatory fields must have a value: 

• The 1 Normal 2 Exclude MSHR field must include either a 1 or a 2. 
• Enter a dash (-) in any other mandatory blank fields. For example, this may include Billing Number and Medical Record Number. Other blank fields may appear, depending on your template. You can then complete and upload your document. 

Dictation and transcription technical support is available 24 hours a day: 

Phone: 1-888-316-7446 

Email: servicedesk@ehealthsask.ca 

Making corrections to clinical documents

Using Fluency for Transcription/ Fluency Mobile 

Only submit corrections for errors that may place a patient at risk.  

To correct a critical error, send the following by fax to 306-347-5914: 

• fax the report cover sheet 
• the correction, hand-printed clearly  
• your signature 

Using Fluency Flex

To request a correction, email selfedit.dictation@3shealth.ca and include: 

• the job number, which is the 8-digit at the bottom of report  
• the patient’s medical record number  

The report will appear in your To Do tab in Flex and be available for correction. 

Once you e-sign, the corrected report will be distributed again. 

Flag a critical error in another clinician’s report

Patients can report errors in MSHR by contacting the eHealth Service Desk. 

Phone: 1-844-767-8259 

Email: mysaskhealthrecord@ehealthsask.ca 

If you find an error in a patient record that may result in injury or affect patient care, email mysaskhealthrecord@ehealthsask.ca and include: 

• job number listed at the bottom of the dictated care report 
• a description of the error that needs to be corrected 

The eHealth Service Desk will send the concern to the right team to resolve with the report author. Any needed changes will appear as an amended document in eHR Viewer and MSHR.