The eHealth record System Operator is the Secretary of the Department of Health and Ageing (DoHA). The System Operator works with a range of agencies and organisations to deliver the eHealth record system. Many of the System Operator’s functions are delivered by Accenture, contracted by the System Operator as the eHealth record system’s National Infrastructure Operator (NIO), and the Chief Executive Medicare, Department of Human Services (DHS).

In performing functions the System Operator must have regard to the advice and recommendations given by the Jurisdictional Advisory Committee and the Independent Advisory Council. These committees ensure that the operation of the system reflects key expertise and the involvement of states, territories and key stakeholders.

The eHealth record system framework is found in legislation, contracts and agreements.